Progress in standardized ultrasound assessment for juvenile idiopathic arthritis
10.3760/cma.j.cn131148-20250428-00237
- VernacularTitle:幼年特发性关节炎标准化超声评估体系的研究进展
- Author:
Chunmei YIN
1
;
Huan XIAO
1
;
Chunjiang YANG
1
Author Information
1. 重庆医科大学附属儿童医院超声科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿童感染与免疫罕见病重点实验室，重庆 400014
- Publication Type:Journal Article
- Keywords:
Juvenile idiopathic arthritis;
Musculoskeletal ultrasound;
Standardized assessment;
Semiquantitative scoring system
- From:
Chinese Journal of Ultrasonography
2025;34(9):817-822
- CountryChina
- Language:Chinese
-
Abstract:
Juvenile idiopathic arthritis（JIA）is the most common chronic rheumatic disease in children，with a high rate of subclinical joint inflammation missed by conventional clinical assessment. Musculoskeletal ultrasound is well-suited for pediatric patients but faces challenges such as operator dependence and the complexity of interpreting dynamic skeletal development. Establishing a standardized ultrasound assessment system is essential for promoting the clinical application of Musculoskeletal ultrasound in JIA. This review outlines the evolution of standardized definitions，scanning protocols，and semi-quantitative scoring systems developed by international organizations，including Outcome Measures in Rheumatology（OMERACT），Paediatric Rheumatology European Society（PReS），and Childhood Arthritis and Rheumatology Research Alliance（CARRA）. The progression from foundational OMERACT frameworks to joint-specific protocols like PIUS-knee reflects advances in technical optimization and multi-dimensional validation. Standardized MSUS assessment improves diagnostic sensitivity，enables objective disease activity evaluation，and aids in relapse prediction. Simplified strategies such as MUSICAL enhance clinical feasibility. Future research should emphasize long-term outcome validation，ultrasound-guided treatment strategies，and multi-modal approaches to support precision management of JIA.
