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Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética

Because of its low cost, availability in primary care and ease of interpretation, simple X-ray should be the first-line imaging technique used by family physicians for the diagnosis and/or follow-up of patients with osteoarthritis. Nevertheless, this technique should only be used if there are sound...

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Autores principales: Gallo Vallejo, Francisco Javier, Ruiz, Vicente Giner
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8171420/
https://www.ncbi.nlm.nih.gov/pubmed/24467957
http://dx.doi.org/10.1016/S0212-6567(14)70040-X
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author Gallo Vallejo, Francisco Javier
Ruiz, Vicente Giner
author_facet Gallo Vallejo, Francisco Javier
Ruiz, Vicente Giner
author_sort Gallo Vallejo, Francisco Javier
collection PubMed
description Because of its low cost, availability in primary care and ease of interpretation, simple X-ray should be the first-line imaging technique used by family physicians for the diagnosis and/or follow-up of patients with osteoarthritis. Nevertheless, this technique should only be used if there are sound indications and if the results will influence decision-making. Despite the increase of indications in patients with rheumatological disease, the role of ultrasound in patients with osteoarthritis continues to be limited. Computed tomography (CT) is of some –although limited– use in osteoarthritis, especially in the study of complex joints (such as the sacroiliac joint and facet joints). Magnetic resonance imaging (MRI) has represented a major advance in the evaluation of joint cartilage and subchondral bone in patients with osteoarthritis but, because of its high cost and diagnostic-prognostic yield, this technique should only be used in highly selected patients. The indications for ultrasound, CT and MRI in patients with osteoarthritis continue to be limited in primary care and often coincide with situations in which the patient may require hospital referral. Patient safety should be bourne in mind. Patients should be protected from excessive ionizing radiation due to unnecessary repeat X-rays or inadequate views or to requests for tests such as CT, when not indicated.
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spelling pubmed-81714202021-06-11 Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética Gallo Vallejo, Francisco Javier Ruiz, Vicente Giner Aten Primaria Article Because of its low cost, availability in primary care and ease of interpretation, simple X-ray should be the first-line imaging technique used by family physicians for the diagnosis and/or follow-up of patients with osteoarthritis. Nevertheless, this technique should only be used if there are sound indications and if the results will influence decision-making. Despite the increase of indications in patients with rheumatological disease, the role of ultrasound in patients with osteoarthritis continues to be limited. Computed tomography (CT) is of some –although limited– use in osteoarthritis, especially in the study of complex joints (such as the sacroiliac joint and facet joints). Magnetic resonance imaging (MRI) has represented a major advance in the evaluation of joint cartilage and subchondral bone in patients with osteoarthritis but, because of its high cost and diagnostic-prognostic yield, this technique should only be used in highly selected patients. The indications for ultrasound, CT and MRI in patients with osteoarthritis continue to be limited in primary care and often coincide with situations in which the patient may require hospital referral. Patient safety should be bourne in mind. Patients should be protected from excessive ionizing radiation due to unnecessary repeat X-rays or inadequate views or to requests for tests such as CT, when not indicated. Elsevier 2014-01 2014-01-24 /pmc/articles/PMC8171420/ /pubmed/24467957 http://dx.doi.org/10.1016/S0212-6567(14)70040-X Text en © 2013 Elsevier España, S.L. Todos los derechos reservados. https://creativecommons.org/licenses/by-nc-nd/3.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Article
Gallo Vallejo, Francisco Javier
Ruiz, Vicente Giner
Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title_full Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title_fullStr Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title_full_unstemmed Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title_short Diagnóstico. Estudio radiológico. Ecografía, tomografía computarizada y resonancia magnética
title_sort diagnóstico. estudio radiológico. ecografía, tomografía computarizada y resonancia magnética
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8171420/
https://www.ncbi.nlm.nih.gov/pubmed/24467957
http://dx.doi.org/10.1016/S0212-6567(14)70040-X
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