Imaging of Osteoarthritis in Geriatric Patients.
Imaging of Osteoarthritis in Geriatric Patients.
复制标题
老年患者骨关节炎的影像学。
DOI：
10.1007/s40134-015-0133-9
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发表时间：
2016
影响因子：
0.7
通讯作者：
Link,ThomasM
中科院分区：
文献类型：
--
作者：
Gersing,AlexandraS;Link,ThomasM
由于人口老龄化，老年人骨关节炎（OA）的影像学变得越来越重要。它需要了解与患者管理相关的发现以及其他异常发现，但由于缺乏临床症状，属于正常衰老的一部分，与患者管理无关。本综述将提供有关哪些成像技术最适合膝关节 OA 以及如何系统评估膝关节结构的信息，以涵盖 OA 中最常见的无症状和症状 MR 结果。我们将讨论哪些发现通常出现在老年患者中，哪些可能发展为严重疼痛和残疾，最终导致全关节置换。该综述可以帮助放射科医生和转诊临床医生更好地了解有症状 OA 的演变以及最常见有症状和无症状表现的当前或未来的临床意义。
Imaging of osteoarthritis (OA) in the elderly is gaining importance because of the aging population. It requires knowledge about findings relevant for patient management and others which are abnormal findings, but part of normal aging without relevance for patient management due to lack of clinical symptoms. This review will provide information on what imaging techniques are best used for knee OA and how to systematically assess knee joint structures in order to cover the most common asymptomatic and symptomatic MR findings in OA. We will discuss which findings are typically found in older patients and which are likely to progress to severe pain and disability, finally leading to total joint replacement. The review may aid radiologists and referring clinicians to better understand the evolution of symptomatic OA and the current or future clinical significance of the most common symptomatic and asymptomatic findings.