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[Radiodiagnosis in polyarthropathies].

OBJECTIVE: To improve radiodiagnosis of polyarthropathies.

MATERIALS AND METHODS: Three hundred patients aged 18 to 55 years with polyarthropathies were examined. All the patients underwent X-ray study of affected joints and magnetic resonance imaging (MRI). Multislice spiral computed tomography (MSCT) was carried out in 86 patients. Contrast-enhanced MRI was performed in 44 (14.7%) patients. RESULTS. X-ray study and MSCT generally revealed changes involving the bony structures of the joints. MRI visualized changes in both soft tissue and bony structures. Articular syndrome and bone marrow edema syndrome were identified. Subchondral erosions, minor subchondral cysts, and extra-articular manifestations of the inflammatory process were revealed earlier than at X-ray study.

CONCLUSION: Analysis of the findings indicated that MRI could enhance the informative value of clinical and radiographic examination of patients with polyarthropathies.

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