Head and Neck Imaging
Research of Clinical Applications on Imaging Methods in Diagnosis and Treatment to Target of RA
Author：XUE Tai-ping
affiliation：Department of Radiology, Shehong People's Hospital, Shehong 629200, Sichuan Province,China 629200 Shehong of Sichuan Province
PDFAbstract
Objective To explore the clinical applications values of imaging in diagnosis and treatment and post-clinical remission assessments of RA via imaging methods of MRI and CT. Methods 120 patients were divided into two groups. Autoantibodies examination was tested and disease activity was assessed. Imagines such as MRI and CT were performed and MRI images were scored by the RAMRIS system. Bone metabolism increased was analyzed by calculation of uptake ratio of the regional area of interest (ROI). Results The RAMRIS score system and correlation with clinical disease activity and autoantibodies. 40 cases of patients tested bilateral hand MRI examination. The remaining 80 patients' unilateral hand was tested. Synovitis, edema, erosion score had variance among MCV titer groups. Synovitis and erosion had significant differences among CCP groups. MRI examination revealed synovitis and BME. Tc-99m-MDP (1.59±0.26) uptake increased in 82 joints, and uptake ratio was higher than normal ones (1.15±0.09). Conclusions MRI, autoantibody titer and CT uptake ratio were meaningful to evaluate the disease progression. An integrated assessment such as clinical examination, laboratory indicators and the imaging methods could be more helpful to the treatment and slow disease progression.
【Keyword】Rheumatoid Arthritis; Diagnose; Treatment; Post Clinical Assessment; Imaging; Magnetic Resonance Imaging; CT
【Chart number】R593.22
【Document Identification Number】A
【DOI】10.3969/j.issn.1672-5131.2015.08.032
Chinese journal of CT and MRI
th13Volume， th 8 Issue
2015Year08Month
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