|
Objective To study the rheumatoid arthritis ( rheumatoid arthritis , RA ) wrist MRI and clinical value . Collect the 1987 ARA diagnostic criteria of the American Rheumatism Association rheumatoid arthritis patients 43 cases , 12 males and 31 females, the line the wrists joint MR scan . Are used SET 1 WI, fast inversion recovery (STIR) sequences , enhanced T 1 WI line coronal scan . Select the control in 10 normal volunteers . While collecting comparative analysis of the patient's clinical symptoms, signs , and laboratory markers and MRI . The results of 43 patients , MRI visible synovial thickening , pannus hyperplasia , pannus significantly strengthen the 38 cases , 21 cases of bone marrow edema , joint effusion in 37 cases of bone destruction in 30 cases . Group of bone marrow edema , joint effusion group , pannus significantly strengthen the group with no corresponding performance group is very significant in the blood sedimentation rate , health assessment questionnaire the question (HAQ score ) , the patient's overall assessment (AIMS), the number of swollen joints aspects differences significant, P < 0.05 . Bone marrow edema group with bone marrow edema group of bone destruction , the tenderness of the metatarsophalangeal joint (MTP) , anti- perinuclear factor (APF) differences significant x 2 value , P values ??were 8.35,0.004 : 10.38,0.001 ; 5.06,0.024 . Conclusion MRI can show the pathological changes of rheumatoid arthritis , and MRI findings have some clinical value in the prognosis of the disease .
|