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Arthritis und Rheuma 2020; 40(03): 163-172
DOI: 10.1055/a-1161-5922
Schwerpunkt
© Georg Thieme Verlag KG Stuttgart · New York

Magnetresonanztomografie peripherer Gelenke

Update 2020Magnetic Resonance Imaging of peripheral jointsUpdate 2020
Daniel B. Abrar∗
1   Institut für Diagnostische und Interventionelle Radiologie, Heinrich-Heine-Universität Düsseldorf
,
Philipp Sewerin∗
2   Poliklinik, Funktionsbereich und Hiller Forschungszentrum für Rheumatologie, Heinrich-Heine-Universität Düsseldorf
› Author Affiliations
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Publication History

Publication Date:
16 June 2020 (online)

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ZUSAMMENFASSUNG

Bildgebende Verfahren nehmen in der Primärdiagnostik, Prognose und Therapiekontrolle einen zunehmenden Stellenwert ein. Insbesondere die Magnetresonanztomografie (MRT) ermöglicht dabei die sensitive und frühe Erkennung akut-entzündlicher (z. B. Synovialitis und Knochenmarködem) und chronisch-struktureller (z. B. Erosionen) Veränderungen im Rahmen peripherer rheumatischer Gelenkerkrankungen. Die steigende Bedeutung wird durch die Etablierung standardisierter, zunehmend vereinfachter Scoring-Systeme unterstrichen, die MRT-Untersuchungen objektivier- und vergleichbar machen. Zudem wird durch den Einsatz innovativer, kompositioneller Methoden die Früherkennung von Knorpelveränderungen und durch dynamische Verfahren die Quantifizierung fokaler Gelenkentzündung ermöglicht.

ABSTRACT

Imaging procedures are becoming increasingly important in the primary diagnosis, outcome prediction and therapy monitoring. Magnetic resonance imaging (MRI) enables the sensitive and early detection of acute-inflammatory (e. g. synovitis and bone marrow edema) and chronic-structural (e. g. erosions) changes in peripheral rheumatic joint diseases. The increasing importance is underlined by the establishment of standardized and increasingly simplified scoring systems, which make MRI examinations more objective and comparable. In addition, the use of innovative, compositional methods enables the early detection of cartilage changes. Further, dynamic procedures allow the quantification of focal joint inflammation.

Schlüsselwörter

Bildgebung - MRT - rheumatoide Arthritis - Psoriasis-Arthritis

Keywords

Imaging - MRI - rheumatoid arthritis - psoriatic arthritis
 

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