A clinical perspective on imaging in juvenile idiopathic arthritis.

Autor: Tarsia M; Clinical Paediatrics, Department of Molecular Medicine and Development, University of Siena, Siena, Italy., Zajc Avramovič M; Department of Allergology, Rheumatology and Clinical Immunology, University Children's Hospital, University Medical Centre Ljubljana, Bohoričeva 20 SI-1525, 1000, Ljubljana, Slovenia.; Department of Pediatrics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia., Gazikalović A; Department of Radiology, University Children's Hospital, University Medical Centre Ljubljana, Bohoričeva ulica 20, 1000, Ljubljana, Slovenia., Ključevšek D; Department of Radiology, University Children's Hospital, University Medical Centre Ljubljana, Bohoričeva ulica 20, 1000, Ljubljana, Slovenia., Avčin T; Department of Allergology, Rheumatology and Clinical Immunology, University Children's Hospital, University Medical Centre Ljubljana, Bohoričeva 20 SI-1525, 1000, Ljubljana, Slovenia. tadej.avcin@kclj.si.; Department of Pediatrics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. tadej.avcin@kclj.si.
Jazyk: angličtina
Zdroj: Pediatric radiology [Pediatr Radiol] 2024 Apr; Vol. 54 (4), pp. 490-504. Date of Electronic Publication: 2023 Nov 28.
DOI: 10.1007/s00247-023-05815-2
Abstrakt: In recent years, imaging has become increasingly important to confirm diagnosis, monitor disease activity, and predict disease course and outcome in children with juvenile idiopathic arthritis (JIA). Over the past few decades, great efforts have been made to improve the quality of diagnostic imaging and to reach a consensus on which methods and scoring systems to use. However, there are still some critical issues, and the diagnosis, course, and management of JIA are closely related to clinical assessment. This review discusses the main indications for conventional radiography (XR), musculoskeletal ultrasound (US), and magnetic resonance imaging (MRI), while trying to maintain a clinical perspective. The diagnostic-therapeutic timing at which one or the other method should be used, depending on the disease/patient phenotype, will be assessed, considering the main advantages and disadvantages of each imaging modality according to the currently available literature. Some brief clinical case scenarios on the most frequently and severely involved joints in JIA are also presented.
(© 2023. The Author(s).)
Databáze: MEDLINE
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