• Usage of radiological and radioisotope methods for juvenile arthritis diagnosis (analytical review)

Usage of radiological and radioisotope methods for juvenile arthritis diagnosis (analytical review)

SOVREMENNAYA PEDIATRIYA.2018.2(90):71-80; doi 10.15574/SP.2018.90.71

Berezhniy V. V.,  Bondarets Yu. I.
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Juvenile rheumatoid arthritis is one of the most frequent disabling rheumatic diseases in children, for diagnosis of which various radiological methods are used: X-ray imaging, ultrasound, magnetic resonance. Each of these methods has both positive properties and drawbacks. Often there is a need to use several radiological methods at the same time for early, timely diagnosis and administration of appropriate basic treatment. One of the most affordable diagnostic tools of articular syndrome is X&ray imaging that allows in most cases identifying erosion, osteoporosis, cysts, dislocations, incomplete dislocation in joints, however, for the detection of soft tissue lesions this method yields little information. At the present time, ultrasound of joints has become widespread that makes it possible to detect lesions of the synovial membrane, cartilage, erosion detection at an early stage of the disease, tendovaginitis and synovitis. However, evaluating the visualization of joints with ultrasound also has drawbacks: subjectivism of physician and absence of standard protocols. A more accurate diagnostic method for the diagnosis of juvenile rheumatoid arthritis is magnetic resonance imaging. However, high cost, limitations for young children do not allow using it widely in the doctor's practice.
Key words: juvenile rheumatoid arthritis, radiological diagnostic methods, radioisotope diagnostic methods.

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