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首页> 外文期刊>International journal of clinical rheumatology. >The place of ultrasonography in knee joint osteoarthritis: an update
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The place of ultrasonography in knee joint osteoarthritis: an update

机译：超声检查在膝关节骨关节炎中的地位：一个更新

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摘要

Ultrasound is gaining ground over conventional imaging methods in the assessment of musculoskeietal changes in osteoarthritis. Systematic ultrasound scanning following established guidelines enables the detection of even minimal and early abnormalities of cartilage, synovial tissue and subchondrai bone. Thus far, ultrasound has shown to be extremely sensitive in the detection of soft tissue changes in knee osteoarthritis, including synovial proliferation and synovial fluid. Such abnormalities are correlated with symptomatic flares and have associated prognostic implications. Although there has been some progression, there is still a lack of standardization and validation over the definition and scoring of ultrasound signs that are thought to reflect structural damage affecting different joint structures. Meanwhile, exciting developments are expanding the applications of ultrasound in the musculoskeletai field; the application of technologies such as sonoeiastography, imaging coupling, 3D ultrasound and ultrasound contrast agents in the field of osteoarthritis is expected to improve not only healthcare-related aspects but also our current understanding of the pathophysiology of the disease.
机译：在评估骨关节炎的肌肉骨骼变化方面，超声已超越传统的影像学方法。遵循既定的准则进行系统的超声扫描，甚至可以检测到软骨，滑膜组织和软骨下骨的最小和早期异常。迄今为止，超声显示在检测膝骨关节炎的软组织变化（包括滑膜增生和滑液）方面极为敏感。此类异常与症状发作有关，并具有预后影响。尽管已经取得了一些进展，但是仍然缺乏关于超声信号的定义和评分的标准化和验证，这些超声信号被认为反映了影响不同关节结构的结构损伤。同时，令人振奋的发展正在扩大超声在肌肉骨骼领域的应用。超声弹性成像，成像耦合，3D超声和超声造影剂等技术在骨关节炎领域的应用不仅有望改善医疗保健相关方面，而且还将改善我们目前对该疾病的病理生理学的认识。

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