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류마티스내과 영역에서의 근골격 초음파

Musculoskeletal ultrasound in rheumatology

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참고문헌

키워드

주제분류내과학

초록

류마티스내과 영역의 근골격 초음파는 표준화되고 정립되어야 하는 부분이 아직 남아 있지만 류마티스내과 의사가 필수적으로 갖추어야 할 매우 유용하고 강력한 도구로서 진료와 연구에 많은 장점들을 제공하여 준다. 현재 류마티스 질환의 진단, 치료, 시술에서 초음파의 많은 임상적 적응증들이 확립되어 있으며 활용영역이 증가되고 있다. 또한 도플러 초음파를 통해 얻을 수 있는 관류에 대한 정보로 염증성을 판단하고 질병 활성도를 측정할 수 있다. 염증의 진단과 스테로이드 주사의 정확성이라는 의미에서 근골격 초음파 검사는 류마티스내과 환자 진료에서 유용하다고 할 수 있다32). 미래의 새로운 초음파 기술의 발전은 근골격 구조와 류마티스 질환에 대한 진보된 영상의 제공을 통해 류마티스내과 의사들에게 보다 친숙하게 다가올 수 있을 것으로 기대된다.

Abstract

As technological advances in ultrasound have led to high-resolution imaging of musculoskeletal structures, ultrasonography has become an integral part of diagnosis and management in rheumatology practice. Ultrasound has several advantages over clinical examination in the diagnosis and localization of rheumatic diseases, such as joint effusion, erosion, synovitis, tendon diseases, and enthesopathy. Moreover, ultrasound improves joint aspiration accuracy and both intra-articular and soft tissue injection technique. The Doppler evaluation provides useful clinical information regarding tissue vascularity and can be used to monitor joint and soft tissue disease activity and progression. This paper presents a review of the evidence in support of the application of musculoskeletal ultrasound in rheumatology.

참고문헌 (50)

  1. Wakefield RJ, "The current status of ultrasonography in rheumatology", Rheumatology, 38, pp.195~198 (1999)
  2. Manger B, "Joint and connective tissue ultrasonography: a rheumatologic bedside procedure? A German experience", Arthritis Rheum, 38, pp.736~742 (1995)
  3. Swen WA, "Comparison of sonography and magnetic resonance imaging for the diagnosis of partial tears of finger extensor tendons in rheumatoid arthritis", Rheumatology, 39, pp.55~62 (2000)
  4. Swen WA, "Is sonography performed by the rheumatologist as useful as arthrography executed by the radiologist for the assessment of full thickness rotator cuff tears?", J Rheumatol, 25, pp.1800~1806 (1998)
  5. Cooperberg PL, "Gray scale ultrasound in the evaluation of rheumatoid arthritis of the knee", Radiology, 126, pp.759~763 (1978)
  6. Wakefield RJ, "Musculoskeletal ultrasonography in Europe: results of a rheumatologist- based survey at a EULAR meeting", Rheumatology, 42, pp.1251~1253 (2003)
  7. Grassi W, "Clinical evaluation versus ultrasonography: who is the winner?", J Rheumatol, 30, pp.908~909 (2003)
  8. Karim Z, "The impact of ultrasonography on diagnosis and management of patients with musculoskeletal conditions", Arthritis Rheum, 44, pp.2932~2933 (2001)
  9. Grassi W, "Ultrasonography in rheumatology: an evolving technique", Ann Rheum Dis, 57, pp.268~271 (1998)
  10. Atchia I, "A modular, flexible training strategy to achieve competence in diagnostic and interventional musculoskeletal ultrasound in patients with hip osteoarthritis", Rheumatology, 46, pp.1583~1586 (2007)
  11. Taggart A, "Musculoskeletal ultrasound training in rheumatology: the Belfast experience", Rheumatology, 45, pp.102~105 (2006)
  12. Takase K, "Use of musculoskeletal ultrasound in Japan: a survey of practicing rheumatologists", Mod Rheumatol, ~ (2010)
  13. Wakefield RJ, "Musculoskeletal ultrasound including definitions for ultrasonographic pathology", J Rheumatol, 32, pp.2485~2487 (2005)
  14. Kane D, "Musculoskeletal ultrasound: a state of the art review in rheumatology. Part 1: current controversies and issues in the development of musculoskeletal ultrasound in rheumatology", Rheumatology, 43, pp.823~828 (2004)
  15. Filippucci E, "Ultrasound imaging for the rheumatologist", Clin Exp Rheumatol, 24, pp.1~5 (2006)
  16. Bruyn GAW, "Introductory guide to musculoskeletal ultrasound for the rheumatologist", pp.25~ (2006), Bohn Stafleu van Loghum
  17. Kane D, "Ultrasonography is superior to clinical examination in the detection and localization of knee joint effusion in rheumatoid arthritis", J Rheumatol, 30, pp.966~971 (2003)
  18. Backhaus M, "Ultrasound and structural changes in inflammatory arthritis: synovitis and tenosynovitis", Ann N Y Acad Sci, 1154, pp.139~151 (2009)
  19. Szkudlarek M, "Interobserver agreement in ultrasonography of the finger and toe joints in rheumatoid arthritis", Arthritis Rheum, 48, pp.955~962 (2003)
  20. Ostergaard M, "Imaging in early rheumatoid arthritis: roles of magnetic resonance imaging, ultrasonography, conventional radiography and computed tomography", Best Pract Res Clin Rheumatol, 19, pp.91~116 (2005)
  21. Fukae J, "Change of synovial vascularity in single finger joint assessed by power Doppler sonography correlated with radiographic change in rheumatoid arthritis: comparative study of novel quantitative score with semi-quantitative score", Arthritis Care Res, 62, pp.657~663 (2010)
  22. 김해림, "류마티스관절염에서 초음파의 이용", 대한류마티스학회지, 16(2), pp.74~86 (2009), 대한류마티스학회
  23. Freeston JE, "A diagnostic algorithm for persistence of very early inflammatory arthritis: the utility of power Doppler ultrasound when added to conventional assessment tools", Ann Rheum Dis, 69, pp.417~419 (2010)
  24. Klauser A, "Value of contrast-enhanced power Doppler ultrasonography (US) of the metacarpophalangeal joints on rheumatoid arthritis", Eur Radiol, 14, pp.545~548 (2004)
  25. Wakefield RJ, "Power Doppler sonography: improving disease activity assessment in inflammatory musculoskeletal disease", Arthritis Rheum, 48, pp.285~288 (2003)
  26. Grassi W, "Ultrasonography in osteoarthritis", Semin Arthritis Rheum, 34, pp.19~23 (2005)
  27. Wakefield RJ, "The value of sonography in the detection of bone erosions in patients with rheumatoid arthritis: a comparison with conventional radiography", Arthritis Rheum, 43, pp.2762~2770 (2000)
  28. Campbell RS, "Current concepts in imaging of tendinopathy", Clin Radiol, 56, pp.253~267 (2001)
  29. Grassi W, "Sonographic imaging of tendons", Arthritis Rheum, 43, pp.969~976 (2000)
  30. Balint PV, "Ultrasonography of entheseal insertions in the lower limb in spondyloarthropathy", Ann Rheum Dis, 61, pp.905~910 (2002)
  31. Galluzzo E, "Sonographic analysis of the ankle in patients with psoriatic arthritis", Scand J Rheumatol, 29, pp.52~55 (2000)
  32. Kane D, "Musculoskeletal ultrasound: a state of the art review in rheumatology. Part 2: clinical indications for musculoskeletal ultrasound in rheumatology", Rheumatology, 43, pp.829~838 (2004)
  33. Fornage BD, "The case for ultrasound of muscles and tendons", Semin Musculoskelet Radiol, 4, pp.375~391 (2000)
  34. Bude RO, "Power versus conventional color Doppler sonography: comparison in the depiction of normal intrarenal vasculature", Radiology, 192, pp.777~780 (1994)
  35. Rubin JM, "Power Doppler US: a potentially useful alternative to mean frequency- based color Doppler US", Radiology, 190, pp.853~856 (1994)
  36. Meng C, "Combined use of power Doppler and gray-scale sonography: a new technique for the assessment of inflammatory myopathy", J Rheumatol, 28, pp.1271~1282 (2001)
  37. Richards PJ, "Achilles tendon (TA) size and power Doppler ultrasound (PD) changes compared to MRI: a preliminary observational study", Clin Radiol, 56, pp.843~850 (2001)
  38. Carotti M, "Power Doppler sonography in the assessment of synovial tissue of the knee joint in rheumatoid arthritis: a preliminary experience", Ann Rheum Dis, 61, pp.877~882 (2002)
  39. Qvistgaard E, "Quantitative ultrasonography in rheumatoid arthritis: evaluation of inflammation by Doppler technique", Ann Rheum Dis, 60, pp.690~693 (2001)
  40. Torp-Pedersen ST, "Settings and artefacts relevant in colour", power Doppler ultrasound in rheumatology, 2008, pp.67, 143~149
  41. El Miedany YM, "Ultrasonography versus nerve conduction study in patients with carpal tunnel syndrome: substantive or complementary tests?", Rheumatology, 43, pp.887~895 (2004)
  42. Raza K, "Ultrasound guidance allows accurate needle placement and aspiration from small joints in patients with early inflammatory arthritis", Rheumatology, 42, pp.976~979 (2003)
  43. Grassi W, "Synovitis of small joints: sonographic guided diagnostic and therapeutic approach", Ann Rheum Dis, 58, pp.595~597 (1999)
  44. van Vugt RM, "Ultrasound guided synovial biopsy of the wrist", Scand J Rheumatol, 26, pp.212~214 (1997)
  45. Epis O, "Ultrasound imaging for the rheumatologist: XVI. ultrasound-guided procedures", Clin Exp Rheumatol, 26, pp.515~518 (2008)
  46. del Cura JL, "Ultrasound-guided therapeutic procedures in the musculoskeletal system", Curr Probl Diagn Radiol, 37, pp.203~218 (2008)
  47. Salaffi F, "Ultrasonography of salivary glands in primary Sjogren's syndrome: a comparison with contrast sialography and scintigraphy", Rheumatology, 47, pp.1244~1249 (2008)
  48. Salaffi F, "Salivary gland ultrasonography in the evaluation of primary Sjogren's syndrome: comparison with minor salivary gland biopsy", J Rheumatol, 27, pp.1229~1236 (2000)
  49. Carotti M, "Ultrasonography and colour Doppler sonography of salivary glands in primary Sjogren's syndrome", Clin Rheumatol, 20, pp.213~219 (2001)
  50. Makula E, "The place of magnetic resonance and ultrasonographic examinations of the parotid gland in the diagnosis and follow-up of primary Sjogren's syndrome", Rheumatology, 39, pp.97~104 (2000)

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