rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2018-82-92rsp-2504Research ArticleФОРУМ МОЛОДЫХ УЧЕНЫХYOUNG SCIENTISTS FORUMУльтразвуковое исследование суставов при ревматоидном артрите: патогенетическая обоснованность, возможности использования в диагностике, оценке эффективности терапии и прогнозировании исходовJOINT ULTRASONOGRAPHY IN RHEUMATOID ARTHRITIS: PATHOGENETIC RATIONALE, POSSIBLE USE IN DIAGNOSIS, THERAPY EFFICIENCY EVALUATION, AND OUTCOME PREDICTIONАлексееваО. Г.AlekseevaO. G.

младший научный сотрудник лаборатории инструментальной и ультразвуковой диагностики.

Москва. 

Moscow.

alexeevamma@mail.ruФГБНУ «Научноисследовательский институт ревматологии им. В.А.Насоновой».РоссияV.A.Nasonova Research Institute of Rheumatology.Russian Federation2018030320185618292Copyright © Алексеева О.Г., 20182018Алексеева О.Г.Alekseeva O.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2504

Ревматоидный артрит (РА) – аутоиммунное ревматическое заболевание, характеризующееся хроническим эрозивным артритом и системными воспалительными изменениями внутренних органов, приводящими к ранней инвалидизации и ухудшению качества жизни пациентов. Современные методы визуализации явились новым этапом не только в диагностике заболеваний, но и в оценке течения и прогнозировании исходов. Ультразвуковое исследование суставов при РА на данный момент рассматривается как один из доступных и широко используемых методов инструментального исследования. В настоящем обзоре зарубежной литературы проводится подробный анализ публикаций, посвященных ультразвуковому исследованию суставов при РА. Их результаты противоречивы и зачастую ставят под сомнение информативность данного метода. Многочисленность оригинальных публикаций свидетельствует о большом интересе ревматологов к этому методу. Приведены существующие на настоящий момент точки зрения на патогенетическую обоснованность, диагностическую значимость и прогностический потенциал использования ультразвука у пациентов с РА. Обсуждаются вопросы методологии диагностической процедуры, необходимости использования энергетического допплеровского картирования, а также современные полуколичественные шкалы оценки выраженности воспаления. Представлены существующие зарубежные рекомендации для использования ультразвука при РА, подтверждающие важность этого метода визуализации.

Rheumatoid arthritis (RA) is an autoimmune rheumatic disease characterized by chronic erosive arthritis and systemic inflammatory changes, which lead to early disability and worse quality of life in patients. Current imaging techniques have become a new stage of not only in diagnosing, but also in assessing their course and in predicting outcomes. Joint ultrasonography in RA is now considered to be one of the available and widely used techniques. This review of literature provides a detailed analysis of publications on joint ultrasonography in RA. Their results are controversial and frequently cast any doubt on the informative value of this technique. The large number of original publications suggests that rheumatologists are taking a great interest in this method. The review gives the current points of view on the pathogenetic rationale, diagnostic value, and prognostic potential of using ultrasound in patients with RA. It discusses the issues of a methodology for diagnostic procedures, the need of using power Doppler imaging, and current semiquantitative inflammation rating scales. The review presents the existing guidelines for the use of ultrasound in RA, confirming the importance of this imaging technique. 

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The authors declare that there are no conflicts of interest present.