Possibilities and Prospects of Ultrasound Diagnostics in Rheumatology
Abstract
Currently, ultrasound (ultrasound) is one of the most informative imaging examination methods. Due to portability, accessibility, speed of implementation, relatively low cost and almost complete absence of contraindications, ultrasound is an effective method not only for diagnosis, but also to assess the quality of treatment. This method is highly informative for visualizing the tendino-ligamentous apparatus, hyaline cartilage, cortical bone, and paraarticular soft tissue, which greatly expands a rheumatologist's diagnostic and treatment options and allows for monitoring of efficacy of the treatment. This review article discusses the possibilities of using ultrasound in the diagnosis of a number of rheumatological diseases, such as: B. rheumatoid arthritis, osteoarthritis, spondyloarthritis, gout, tendon damage in hypercholesterolemia. The possibilities of using sonoelastography (a method for determining the elasticity of soft tissue structures) in the diagnosis of rheumatic diseases are also considered. According to the authors, sonoelastography could soon enter clinical practice as a first-line diagnostic method to detect biomechanical changes in tendons, muscles and ligaments and to assess treatment efficacy. Performing an ultrasound of the musculoskeletal system significantly expands the diagnostic and therapeutic options of the doctor.
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