Diagnosis of periarticular osteoporosis in rheumatoid arthritis using digital X-ray radiogrammetry

被引:24
作者
Boettcher, Joachim [1 ]
Pfeil, Alexander [1 ]
机构
[1] Univ Jena, Inst Diag & Intervent Radiol, D-07747 Jena, Germany
关键词
D O I
10.1186/ar2352
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteoporosis can manifest in two ways in rheumatoid arthritis: generalized bone loss, which may result from immobility, the inflammatory process per se and/or treatments such as steroids; and periarticular demineralization, which is probably due to local release of inflammatory agents. Digital X-ray radiogrammetry (DXR) is an effective and sensitive modality for monitoring periarticular osteoporosis, which is among the earliest features of rheumatoid arthritis, preceding bone erosions. DXR is a promising technique, which can provide quantitative data that allow early diagnosis. During the course of rheumatoid arthritis it can be deployed in combination with established X-ray scoring methods to inform decisions regarding the optimal therapy to prevent joint destruction.
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页数:3
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