rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2019-91-99rsp-2679Research ArticleОБЗОРREVIEWСравнение рентгенографии и магнитно-резонансной томографии при диагностике остеоартрита суставов кистейComparison of radiography and magnetic resonance imaging in the diagnosis of hand osteoarthritisКудинскийД. М.KudinskyD. M.Jet56@yandex.ruСмирновА. В.SmirnovA. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

АлексееваЛ. И.AlekseevaL. I.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научноисследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2019200320195719199Copyright © Кудинский Д.М., Смирнов А.В., Алексеева Л.И., 20192019Кудинский Д.М., Смирнов А.В., Алексеева Л.И.Kudinsky D.M., Smirnov A.V., Alekseeva L.I.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/2679

В статье обсуждаются возможности и поиск оптимальной концепции диагностики остеоартрита (ОА) суставов кистей. Представлены данные многочисленных исследований с акцентом на сравнение чувствительности и специфичности основных методик при данном виде патологии – стандартной рентгенографии и магнитно-резонансной томографии (МРТ). Определение самых ранних симптомов ОА позволяет заблаговременно прогнозировать развитие заболевания и приступить к его терапии. Cужение суставной щели – наиболее ранний рентгенологический симптом ОА, обусловленный потерей суставного хряща, которая наблюдается на поздних стадиях. МРТ, в отличие от рентгенографии, дает возможность визуализации суставного хряща, жидкости в полости сустава, отеков костного мозга и мягких тканей, но является более дорогостоящим и затратным по времени методом. Основная сложность заключается в отсутствии на данный момент стандартизированной системы оценки проявлений ОА суставов кистей по данным МРТ, а также недостаточным объемом приведенных в этой области исследований.

The article discusses the possibilities and search for the optimal concept of diagnosis of hand osteoarthritis (OA). The data of numerous studies with focus on the comparison of sensitivity and specificity of the main techniques in this type of pathology – standard radiography and magnetic resonance imaging (MRI) are presented. Determination of the earliest symptoms of OA allows to predict the development of the disease and begin its therapy. The joint space narrowing due to the loss of articular cartilage is the earliest radiological symptom of OA, which is observed in the advanced stage of the disease. MRI, unlike radiography, makes it possible to visualize the articular cartilage, fluid in the joint cavity, bone marrow edema and soft tissues, but it is more expensive and time-consuming method. At present the main difficulty lies in the absence of a standardized system for assessing the MRI hand OA manifestations, as well as insufficient number of investigations in this area.

остеоартрит суставов кистейрентгенография суставов кистеймагнитно-резонансная томография суставов кистейдистальные межфаланговые суставы кистейпроксимальные межфаланговые суставы кистейсужение суставной щелиостеофитыотек костного мозгаклассификация Kellgren и Lawrenceсистема оценки OHOA-MRIhand osteoarthritisx-rays of hand jointsmagnetic resonance imaging of hand jointsdistal interphalangeal joints of the handsthe proximal interphalangeal joints of the handsnarrowing of the joint spaceosteophytesbone marrow edemaclassification of Kellgren and Lawrencesystem of evaluation of the OHOA-MRIReferencesPicavet HS, Hazes JM. Prevalence of self reported musculoskeletal diseases is high. Ann Rheum Dis. 2003 Jul;62(7):644e50.Picavet HS, Hazes JM. Prevalence of self reported musculoskeletal diseases is high. Ann Rheum Dis. 2003 Jul;62(7):644e50.ACR. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. 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The authors declare that there are no conflicts of interest present.