Diagnostic imaging of psoriatic arthritis. Part II: magnetic resonance imaging and ultrasonography

• Authors: Iwona Sudoł-Szopińska , Grzegorz Pracoń

Title variants

PL

Diagnostyka obrazowa łuszczycowego zapalenia stawów. Część II: rezonans magnetyczny i ultrasonografia

• Languages of publication: EN PL

Abstracts

EN

Plain radiography reveals specific, yet late changes of advanced psoriatic arthritis. Early inflammatory changes are seen both on magnetic resonance imaging and ultrasound within peripheral joints (arthritis, synovitis), tendons sheaths (tenosynovitis, tendovaginitis) and entheses (enthesitis, enthesopathy). In addition, magnetic resonance imaging enables the assessment of inflammatory features in the sacroiliac joints (sacroiliitis), and the spine (spondylitis). In this article, we review current opinions on the diagnostics of some selective, and distinctive features of psoriatic arthritis concerning magnetic resonance imaging and ultrasound and present some hypotheses on psoriatic arthritis etiopathogenesis, which have been studied with the use of magnetic resonance imaging. The following elements of the psoriatic arthritis are discussed: enthesitis, extracapsular inflammation, dactylitis, distal interphalangeal joint and nail disease, and the ability of magnetic resonance imaging to differentiate undifferentiated arthritis, the value of whole-body magnetic resonance imaging and dynamic contrast-enhanced magnetic resonance imaging.

PL

Radiografia klasyczna pozwala na uwidocznienie szeregu charakterystycznych zmian w przebiegu łuszczycowego zapalenia stawów. Ujawniają się one jednak na radiogramach dopiero w zaawansowanym etapie choroby. Wczesne zmiany zapalne w obrębie stawów obwodowych, pochewek ścięgien i entez widoczne są w badaniu metodą rezonansu magnetycznego oraz w ultrasonografii. Ponadto rezonans magnetyczny umożliwia ocenę zmian zapalnych stawów krzyżowo-biodrowych oraz kręgosłupa. W tej części artykułu przedstawiono aktualne doniesienia dotyczące diagnostyki łuszczycowego zapalenia stawów w badaniu metodą rezonansu magnetycznego i ultrasonografii, charakterystyczne obrazy tej choroby oraz hipotezy związane z jej etiopatogenezą. Omówiono następujące elementy łuszczycowego zapalenia stawów: patologie entez, zapalenie tkanek miękkich przystawowych, zapalenie palca, spektrum zmian na poziomie stawu międzypaliczkowego dalszego i paznokcia. Ponadto przedstawiono przydatność badania metodą rezonansu magnetycznego w diagnostyce różnicowej niezróżnicowanych zapaleń stawów, w tym badania całego ciała oraz badania dynamicznego metodą rezonansu magnetycznego.

Keywords

EN

badanie dynamicznemetodą rezonansumagnetycznego; dynamic contrastenhanced magneticresonance imaging; enthesitis; psoriatic arthritis; spondyloarthropathy; spondyloartropatia; ultrasonografia; ultrasonography; zapalenie przyczepówścięgnistych; łuszczycowezapalenie stawów

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Journal of Ultrasonography
• Year: 2016
• Volume: 16
• Issue: 65
• Pages: 163-174

Contributors

author

Iwona Sudoł-Szopińska

• Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland. Department of Diagnostic Imaging, Second Faculty, Warsaw Medical University, Poland

author

Grzegorz Pracoń

• Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland

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• Document Type: review