Computertomografie in der Rheumatologie – Update 2020

ZUSAMMENFASSUNG

Die Computertomografie (CT) ist ein dreidimensionales Bildgebungsverfahren, das sich besonders für die Darstellung des Knochens eignet. Auf Grund der häufigen knöchernen Beteiligung bei rheumatischen und muskuloskelettalen Erkrankungen ist der Einsatz für die klinische Versorgung und Forschung sinnvoll. Diese Übersichtsarbeit beschreibt den klinischen Stellenwert der hochauflösenden peripheren quantitativen Computertomografie (HR-pQCT), der Low-dose-CT sowie der Dual-Energie-CT (DECT) hinsichtlich der Diagnostik und Prognose verschiedener rheumatologischer Erkrankungen (rheumatoide Arthritis, Spondylarthropathien und Arthritis urica). Darüber hinaus wird sich auf die Bedeutung dieser bildgebenden Instrumente für die klinische Forschung fokussiert.

ABSTRACT

Computed tomography (CT) is a three-dimensional imaging technique that is particularly suitable for the visualization of bone. Due to the common occurrence of bone disease in rheumatic and musculoskeletal disorders, its use for clinical care and research is reasonable. This review describes the clinical significance of high-resolution peripheral quantitative computed tomography (HR-pQCT), low-dose CT and dual-energy CT (DECT) with regard to the diagnosis and prognosis of various rheumatic and musculoskeletal diseases (rheumatoid arthritis, spondyloarthropathies and arthritis urica). In addition, the importance of these imaging instruments for clinical research will be addressed.

Schlüsselwörter

Dual-Energie-CT - Computertomografie - HR-pQCT - Psoriasis-Arthritis - rheumatoide Arthritis - Arthritis urica

Keywords

Dual-energy CT (DECT) - computed tomography - high-resolution peripheral quantitative computed tomography (HR-pQCT) - psoriatic arthritis - rheumatoid arthritis - arthritis urica

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