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Musculoskeletal ultrasound scoring systems: assessing disease activity and therapeutic response in rheumatoid arthritis

机译:肌肉骨骼超声评分系统:评估类风湿关节炎的疾病活动性和治疗反应

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摘要

Several musculoskeletal ultrasound scoring methods exist to monitor rheumatoid arthritis disease activity and the therapeutic response to immunosuppressive therapies. Qualitative (0/1) and different semiquantitative (0-3) systems as well as quantitative measurements are used. The semiquantitative 4-grade system developed by Szkudlarek etal., which evaluates joint effusion, synovial thickening, bone erosion and power Doppler activity, is mostly applied. Thus far, an internationally accepted US sum scoring system does not exist. The novel seven-joint ultrasound (US7) score is the first US composite scoring system that combines soft tissue lesions (synovitis and tenosynovitis/paratenonitis) and destructive processes (erosions) in a single scoring system. By that, the implementation of the US7 score can quickly and easily give an overview of current disease activity in daily rheumatologic practice. Furthermore, its use in therapy monitoring is very helpful. This article reviews the development of different US scores and sum-scoring systems in a chronological order and contains current and future activities in this field.
机译:存在几种肌肉骨骼超声计分方法,以监测类风湿关节炎疾病的活动和对免疫抑制疗法的治疗反应。使用定性(0/1)和不同的半定量(0-3)系统以及定量测量。 Szkudlarek等人开发的半定量4级系统主要用于评估关节积液,滑膜增厚,骨侵蚀和功率多普勒活动。到目前为止,还没有国际公认的美国总分评分系统。新颖的七关节超声(US7)评分是美国第一个综合评分系统,在单个评分系统中将软组织病变(滑膜炎和腱鞘炎/副腱炎)和破坏性过程(侵蚀)结合在一起。这样,US7评分的实施可以快速轻松地概述日常风湿病实践中当前的疾病活动。此外,将其用于治疗监测非常有帮助。本文按时间顺序回顾了不同的美国分数和总评分系统的发展,并包含了该领域的当前和未来活动。

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