Osteoarthritis year 2010 in review: imaging

Osteoarthritis year 2010 in review: imaging
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DOI:
10.1016/j.joca.2011.02.003
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发表时间:
2011-04-01
影响因子:
7
通讯作者:
Hunter, D. J.
Hunter, D. J.
中科院分区:
医学2区
文献类型:
--
作者:
Hayashi, D.;Guermazi, A.;Hunter, D. J.

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骨关节炎(OA)不再被视为一种被动的、退行性疾病,而是一种主要由机械因素驱动的主动疾病过程。OA也应该被概念化为一种整个关节器官的疾病,因此,OA的成像需要能够使我们能够可视化整个关节器官的技术。尽管基于影像发现的临床决策仍然存在争议,但影像数据在骨性关节炎研究中的重要性怎么强调都不为过。自2009年年中以来,报道了许多关于以影像为导向的骨性关节炎研究的出版物。这些包括整个关节的许多特征的磁共振(MR)成像,如滑膜炎、软骨下骨、半月板、软骨和囊样病变。目前还在进行使用传统放射摄影术的积极研究,重点是测量关节间隙宽度和膝关节对齐情况。超声正在成为一种有用的成像技术,特别是在手部骨关节炎研究领域。随着成像数据的重要性增加,建议所有潜在的作者咨询肌肉骨骼放射科专家的意见,以确定正确的成像技术的应用,特别是MR脉冲序列和图像解释。因此,任何期刊上的OA成像的同行审查过程都应该有具有OA研究经验的肌肉骨骼放射科医生参与,以确保发表的论文具有科学合理的内容。(C)2011年国际骨性关节炎研究会。爱思唯尔有限公司出版。保留所有权利。
Osteoarthritis (OA) is no longer viewed as a passive, degenerative disorder, but rather an active disease process driven primarily by mechanical factors. OA should also be conceptualized as a disease of a whole joint organ, and therefore imaging of OA requires techniques which enable us to visualize the whole joint organ. Although clinical decision making based on imaging findings remains controversial the importance of imaging-derived data in OA research cannot be overemphasized. Since mid-2009, numerous publications reporting on imaging-oriented studies on OA have been reported. These include magnetic resonance (MR) imaging of numerous features of the whole joint such as synovitis, subchondral bone, meniscus, cartilage and cyst-like lesions. Active research is also ongoing using conventional radiography with a focus on measurements of joint space width and alignment of the knee joint. Ultrasound is emerging as a useful imaging technique, particularly in the field of hand OA research. As the importance of imaging-derived data increases, all potential authors are advised that they should seek opinions from expert musculoskeletal radiologist to ascertain the application of correct imaging techniques, especially the MR pulse sequences and image interpretation. The peer-review process of OA imaging in any journal, therefore, should involve musculoskeletal radiologists experienced in OA research to ensure the publication of papers with scientifically sound contents. (C) 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.