摘要： 肌肉骨骼超声（MSKUS）在各种风湿性疾病，尤其是类风湿关节炎（RA）中的使用日益增加。MSKUS可补充体格检查之外的信息，显示滑膜炎和骨破坏的改变，此方法较传统的X线具有更好的可视性并可与核磁共振（MRI）媲美或作为其补充。虽然仅提供动态成像，不是静态成像，但这种检测方法的费用低于MRI和CT扫描，且没有幽闭恐惧症或其他禁忌。越来越多的文献显示，MSKUS在RA的诊断、判断预后、纵向评估和评价病情缓解中做出显著贡献。此外，重点参照患者整体情况而不仅是关节情况建立的评分系统使检测更简单，同时仍保持良好的准确性和实用性。这些改进使MSKUS在RA临床及研究领域的应用不断增加。

附原文：The use of musculoskeletal ultrasound (MSKUS) has increased in a variety of rheumatic conditions, particularly rheumatoid arthritis (RA). MSKUS complements the physical examination by allowing for superior visualization of synovitis and erosive changes compared to conventional radiography and provides detail comparable or supplementary to magnetic resonance imaging (MRI). This modality is also less expensive than MRI and CT scans, without claustrophobia or other contraindications, while uniquely providing dynamic, rather than static imaging. A growing body of literature for MSKUS in RA is contributing signifcantly to the understanding of 肌肉骨骼超声应作为类风湿关节炎诊断和预后判断的工具

and prognostic utility, longitudinal assessment, and disease remission. Furthermore, scoring systems focusing on the patient level rather than individual joints have been developed, allowing for simplifcation of exams while still retaining accuracy and utility. The combination of these advances has led to increased use of MSKUS in RA in the realm of research as well as at the bedside and in the clinic.

摘自：Jain M, Samuels J. Musculoskeletal ultrasound as a diagnostic and prognostic tool in rheumatoid arthritis. Bull NYU Hosp Jt Dis. 2011;69(3):215-9.