摘要
中轴型脊柱关节炎(axial spondyloarthritis,axSpA)具有患病率高、病程长、致残率高的特点,容易累及骶髂关节(sacroiliac joints,SIJ),表现为SIJ活动性和结构性病变。2019年国际脊柱关节炎评估协会(Assessment of Spondylo Arthritis International Society,ASAS)更新了axSpA患者在SIJ上特异性的磁共振成像(magnetic resonance imaging,MRI)表现,强调了活动性病变与结构性病变并重的原则。依据ASAS MRI分类标准,本文综述近年研究中检测、评估axSpA结构性病变MRI征象的方法,为临床axSpA患者的SIJ结构性病变尽早诊断提供新的检测和评估思路,有助于提高该疾病诊断的准确性。
Axial spondyloarthritis(axSpA)has the characteristics of high prevalence,long course of disease and high disability rate.It is easy to involve sacroiliac joints(SIJ),which is manifested as active and structural lesions of SIJ.The 2019 Assessment of Spondylo Arthritis International Society(ASAS)updated the specific magnetic resonance imaging(MRI)findings of axSpA patients on SIJ,emphasizing the principle of equal emphasis on active lesions and structural lesions.According to the ASAS MRI classification criteria,this paper reviews the methods of detecting and evaluating the MRI signs of axSpA structural lesions in recent years,and provides new detection and evaluation ideas for the early diagnosis of SIJ structural lesions in clinical axSpA patients,which is helpful to improve the accuracy of the diagnosis of the disease.
作者
杨荟禾
俞顺
YANG Huihe;YU Shun(School of Medical Imaging,Fujian Medical University,Fuzhou 350122,China;Department of Radiology,Shengli Clinical Medical College of Fujian Medical University,Fujian Provincial Hospital,Fuzhou University Affiliated Provincial Hospital,Fuzhou 350001,China;Fujian Provincial Key Laboratory of Medical Big Data Engineering,Fuzhou 350001,China)
出处
《磁共振成像》
北大核心
2025年第7期202-208,共7页
Chinese Journal of Magnetic Resonance Imaging
基金
福建省卫生健康科技计划医学创新项目(编号:2024CXA007)。
关键词
中轴型脊柱关节炎
骶髂关节
磁共振成像
结构性病变
axial spondyloarthritis
sacroiliac joint
magnetic resonance imaging
structural lesions
