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DOI: 10.1055/a-2108-6114
Bildgebung bei der juvenilen idiopathischen Arthritis (JIA) – was, wann und warum?
Imaging in juvenile idiopathic arthritis (JIA) – what, when and why?![](https://www.thieme-connect.de/media/10.1055-s-00034917/202305/lookinside/thumbnails/10-1055-a-2108-6114-1.jpg)
ZUSAMMENFASSUNG
Der Artikel gibt einen Überblick zum aktuellen Stand der Bildgebung in der Kinderrheumatologie und geht insbesondere auf den praktischen Einsatz und die technischen Aspekte der Gelenksonografie, der Magnetresonanztomografie und Röntgenbildgebung ein. Dabei werden auch die wissenschaftlichen Entwicklungen der letzten Jahre zusammengefasst und berücksichtigt. Im Treat-to-target-Konzept der Behandlung einer juvenilen idiopathischen Arthritis entwickelt sich die Bildgebung zu einem entscheidenden Aktivitätsparameter. Die Bedeutung als Remissionskriterium wird momentan in Studien untersucht.
ABSTRACT
This article discusses the importance of imaging modalities in the diagnosis and monitoring of paediatric rheumatic diseases, including recent scientific work on the development and standardisation of musculoskeletal ultrasound, MRI or X-ray imaging. An overview of the most important practical aspects and new advances in the use of imaging in juvenile idiopathic arthritis (JIA) is presented. In the treat-to-target concept of treating JIA, imaging is increasingly a crucial parameter of inflammation. Studies are currently investigating its role as a criterion for remission.
Schlüsselwörter
Bildgebende Methoden - juvenile idiopathische Arthritis - Gelenkultraschall - MagnetresonanztomografieKeywords
Imaging modalities - juvenile idiopathic arthritis - musculoskeletal ultrasound - magnetic resonance imagingPublication History
Article published online:
16 October 2023
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Literatur
- 1 Juvenile idiopathic arthritis – the role of imaging from a rheumatologist’s perspective Malattia C. et al Pediatr Radiol. 2018; 48 (06) 785-791 DOI: 10.1007/s00247-017-4014-7. Epub 2018; May 8. PMID: 29766250.
- 2 Möglichkeiten der Bildgebung in der Kinder- und Jugendrheumatologie Windschall D.. Zeitschrift für Rheumatologie. 2016; 75: 973-986
- 3 Colebatch-Bourn AN, Edwards CJ, Collado P. et al EULAR-PReS points to consider for the use of imaging in the diagnosis and management of juvenile idiopathic arthritis in clinical practice. Ann Rheum Dis 2015; 74: 1964-1957
- 4 Collado P, Vojinovic J, Carlos Nieto J. et al Toward Standardized Musculoskeletal Ultrasound in Pediatric Rheumatology: Normal Age-Related Ultrasound Findings. Arthritis Care Res 2015; 68 (03) 348-356
- 5 Trauzeddel RF, Lehmann H, Windschall D. et al Age dependent arthrosonographic reference values of the hip joint in healthy children and adolescents – a cross-sectional multicenter ultrasound study. Pediatr Radiol 2017; 47: 1329-1336
- 6 Windschall D, Trauzeddel RF, Haller M. et al Pediatric musculoskeletal ultrasound: age- and sex-related normal B-mode findings of the knee. Rheumatology International 2016; 36: 1569-1577
- 7 Windschall D, Collado P, Vojinovic J. et al Age-related vascularization and ossification of joints in children: an international pilot study to test multi-observer ultrasound reliability. Arthritis Care Res 2017; 72 (04) 498-506
- 8 Roth J, Ravagnani V, Backhaus M. et al Preliminary definitions for the sonographic features of synovitis in children. Arthritis Care Res 2016; 69 (08) 1217-1223 DOI: 10.1002/acr.23130.
- 9 Collado P, Windschall D, Vojinovic J. et al Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique. Pediatr Rheumatol Online J 2018; 16 (01) 23
- 10 Windschall D, Malattia C. Ultrasound imaging in paediatric rheumatology. Best Pract Res Clin Rheumatol 2020; 34 (06) 101570 DOI: 10.1016/j.berh.2020.101570. Epub 2020; Aug 25. PMID: 32859519.
- 11 Gohar F, Windschall D. The new role of musculoskeletal ultrasound in the treat-to-target management of juvenile idiopathic arthritis. Rheumatology (Oxford) 2021; 60 (05) 2046-2053 DOI: 10.1093/rheumatology/keab004. PMID: 33493330.
- 12 De Lucia O, Ravagnani V, Pregnolato F. et al Baseline ultrasound examination as possible predictor of relapse in patients affected by juvenile idiopathic arthritis (JIA). Ann Rheum Dis 2018; 77 (10) 1426-1431 DOI: 10.1136/annrheumdis-2017-211696. Epub 2018; Feb 6. PMID: 29437586.
- 13 Mazzoni M, Pistorio A, Magnaguagno F. et al Predictive Value of Magnetic Resonance Imaging in Patients With Juvenile Idiopathic Arthritis in Clinical Remission. Arthritis Care Res (Hoboken) 2023; 75 (01) 198-205 DOI: 10.1002/acr.24757. Epub 2022; Sep 20. PMID: 34286915.
- 14 Mazzoni M, Merlo S, Morreale C. et al OP0161; Predictive value of musculoskeletal ultrasound in patients with juvenile idiopathic arthritis in clinical remission. Annals of the Rheumatic Diseases 2021; 80: 97