动态增强磁共振结合实验室检查对未分化性关节炎患者病情转归的预测价值分析

doi:10.3969/j.issn.1671-7171.2018.10.015

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Abstract 【Objective】To explore the effect of dynamic contrast-enhanced magnetic resonance combined with laboratory tests on the prognosis of patients with undifferentiated arthritis (UA). 【Methods】The clinical data of 180 patients with UA admitted in our hospital from April 2013 to April 2017 were selected. According to the follow-up results whether RA was developed, they were divided into RA group (n=78) and non-RA group (n=71). The data of the remaining 31 patients were not completely excluded. All patients underwent dynamic contrast enhanced magnetic resonance (MRI) and laboratory tests. The indexes of dynamic enhanced MRI and related laboratory indexes were compared between RA group and non-RA group. The diagnostic efficacy of dynamic enhanced MRI in predicting the outcome of UA to RA was analyzed.【Results】There was no significant difference in the proportion of (TTP), rheumatoid factor (RF) positive between the two groups at peak time (P>0.05). In the RA group, the relative RELENH, MAXENH, MAXRELENH, WASHIN, AREACURV, ESR, CRP, ACCP positive and MCV positive were significantly different (P<0.05). AREACURV had the highest sensitivity (96.0%), and AUC max. of WASHIN (0.955), CRP specificity max.(89.6%) and AUC of ACCP positive max.(0.972) had the highest diagnostic efficacy.【Conclusion】Dynamic contrast-enhanced MRI and laboratory related indexes can predict the outcome of UA to RA and can guide early diagnosis and treatment.

Key words： Arthritis/RA Magnetic Resonance Imaging

Received: 21 May 2018

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R684.3

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	ZHANG Hao

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ZHANG Hao. Predictive Value of Dynamic Enhanced Magnetic Resonance Imaging Combined with Laboratory Examination in Patients with Undifferentiated Arthritis[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(10): 1917-1919.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2018.10.015 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2018/V35/I10/1917

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