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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2019-1-95-100</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-893</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Применение магнитно-резонансной томографии в диагностике идиопатических воспалительных миопатий</article-title><trans-title-group xml:lang="en"><trans-title>Use of magnetic resonance imaging in the diagnosis of idiopathic inflammatory myopathies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хелковская-Сергеева</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khelkovskaya-Sergeeva</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анна Никитична Хелковская-Сергеева</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Anna Nikitichna Khelkovskaya-Sergeeva</p><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><email xlink:type="simple">ankhill@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ананьева</surname><given-names>Л. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Ananyeva</surname><given-names>L. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Казаков</surname><given-names>Д. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Kazakov</surname><given-names>D. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>2125412, Москва, ул. Талдомская, 2</p></bio><bio xml:lang="en"><p>2, Taldomskaya St., Moscow 125412</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насонов</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Nasonov</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский клинический институт педиатрии им. акад. Ю.Е. Вельтищева, ФГБОУВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Acad. Yu.E. Veltishchev Research Clinical Institute of Pediatrics, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>27</day><month>03</month><year>2019</year></pub-date><volume>13</volume><issue>1</issue><fpage>95</fpage><lpage>100</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хелковская-Сергеева А.Н., Ананьева Л.П., Казаков Д.О., Насонов Е.Л., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Хелковская-Сергеева А.Н., Ананьева Л.П., Казаков Д.О., Насонов Е.Л.</copyright-holder><copyright-holder xml:lang="en">Khelkovskaya-Sergeeva A.N., Ananyeva L.P., Kazakov D.O., Nasonov E.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/893">https://mrj.ima-press.net/mrj/article/view/893</self-uri><abstract><p>Идиопатические воспалительные миопатии (ИВМ) — группа аутоиммунных заболеваний, для которых характерно воспаление поперечно-полосатой мускулатуры с развитием мышечной слабости. Редкость данных заболеваний, наличие большого числа болезней с похожей клинической симптоматикой и отсутствие простых лабораторных тестов для подтверждения диагноза ИВМ могут приводить к трудностям при диагностике. Особенно часто возникают сложности при дифференциации полимиозита, спорадического миозита с включениями и поясно-конечностных мышечных дистрофий с поздним дебютом. Магнитно-резонансная томография мышц бедер и голеней играет важное значение в дифференциальной диагностике миопатий, в том числе аутоиммунных.</p></abstract><trans-abstract xml:lang="en"><p>Idiopathic inflammatory myopathies (IIMs) are a group of autoimmune diseases characterized by cross-striated muscle inflammation accompanied by muscle weakness. The rarity of these diseases and a large number of other diseases with similar clinical presentation, along with the absence of simple laboratory tests for confirming the diagnosis of IIMs can cause diagnostic difficulties. The latter may particularly frequently occur in the differentiation of polymyositis from sporadic inclusion body myositis, and late-onset limb-girdle muscular dystrophies. Magnetic resonance imaging of the thigh and leg muscles is of great importance for the differential diagnosis of myopathies, including autoimmune ones.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>магнитно-резонансная томография</kwd><kwd>идиопатические воспалительные миопатии</kwd><kwd>дерматомиозит</kwd><kwd>полимиозит</kwd><kwd>спорадический миозит с включениями</kwd><kwd>иммунозависимая некротизирующая миопатия</kwd><kwd>поясно-конечностные мышечные дистрофии</kwd></kwd-group><kwd-group xml:lang="en"><kwd>magnetic resonance imaging</kwd><kwd>idiopathic inflammatory myopathies</kwd><kwd>dermatomyositis</kwd><kwd>polymyositis</kwd><kwd>sporadic inclusion body myositis</kwd><kwd>immune-mediated necrotizing myopathy</kwd><kwd>limb-girdle muscular dystrophies</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bohan A, Peter JB. Polymyositis and der-matomyositis (second of two parts). N Engl J Med. 1975 Feb 20;292(8):403-7.</mixed-citation><mixed-citation xml:lang="en">Bohan A, Peter JB. Polymyositis and der-matomyositis (second of two parts). N Engl J Med. 1975 Feb 20;292(8):403-7.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Leclair V, Lundberg IE. New Myositis Classification Criteria —What We Have Learned Since Bohan and Peter. Curr Rheumatol Rep. 2018 Mar 17;20(4):18. doi: 10.1007/s11926-018-0726-4.</mixed-citation><mixed-citation xml:lang="en">Leclair V, Lundberg IE. New Myositis Classification Criteria —What We Have Learned Since Bohan and Peter. Curr Rheumatol Rep. 2018 Mar 17;20(4):18. doi: 10.1007/s11926-018-0726-4.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Michelle EH, Mammen AL. Myositis Mimics. Curr Rheumatol Rep. 2015 Oct; 17(10):63. doi: 10.1007/s11926-015-0541-0.</mixed-citation><mixed-citation xml:lang="en">Michelle EH, Mammen AL. Myositis Mimics. Curr Rheumatol Rep. 2015 Oct; 17(10):63. doi: 10.1007/s11926-015-0541-0.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Mammen AL. Which nonautoimmune myopathies are most frequently misdiagnosed as myositis? Curr Opin Rheumatol. 2017 Nov; 29(6):618-622. doi: 10.1097/BOR.0000000000000441.</mixed-citation><mixed-citation xml:lang="en">Mammen AL. Which nonautoimmune myopathies are most frequently misdiagnosed as myositis? Curr Opin Rheumatol. 2017 Nov; 29(6):618-622. doi: 10.1097/BOR.0000000000000441.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Schiffenbauer A. Imaging: Seeing Muscle in New Ways. Curr Opin Rheumatol. 2014 Nov; 26(6):712-6. doi: 10.1097/BOR.0000000000000105.</mixed-citation><mixed-citation xml:lang="en">Schiffenbauer A. Imaging: Seeing Muscle in New Ways. Curr Opin Rheumatol. 2014 Nov; 26(6):712-6. doi: 10.1097/BOR.0000000000000105.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Влодавец ДО, Казаков ДО. Диагностические возможности МРТ мышц при нервно-мышечных заболеваниях. Неврологический журнал. 2014;(3):4-13.</mixed-citation><mixed-citation xml:lang="en">Vlodavets DO, Kazakov DO. Diagnostic capabilities of MRI of muscles in neuromuscular diseases. Nevrologicheskii zhurnal. 2014;(3):4-13. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Mercuri E, Pichiecchio A, Allsop J, et al. Muscle MRI in inherited neuromuscular disorders: past, present and future. JMagn Reson Imaging. 2007 Feb;25(2):433-40.</mixed-citation><mixed-citation xml:lang="en">Mercuri E, Pichiecchio A, Allsop J, et al. Muscle MRI in inherited neuromuscular disorders: past, present and future. JMagn Reson Imaging. 2007 Feb;25(2):433-40.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Huang ZG, Gao BX, Chen H1, et al. An efficacy analysis of whole-body magnetic resonance imaging in the diagnosis and followup of polymyositis and dermatomyositis. PLoS One. 2017 Jul 17;12(7):e0181069. doi: 10.1371/journal.pone.0181069.e Collection 2017.</mixed-citation><mixed-citation xml:lang="en">Huang ZG, Gao BX, Chen H1, et al. An efficacy analysis of whole-body magnetic resonance imaging in the diagnosis and followup of polymyositis and dermatomyositis. PLoS One. 2017 Jul 17;12(7):e0181069. doi: 10.1371/journal.pone.0181069.e Collection 2017.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Miranda SS, Alvarenga D, Rodrigues JC, Shinjo SK. Different aspects of magnetic resonance imaging of muscles between dermato-myositis and polymyositis. Rev Bras Reumatol. 2014 Jul-Aug;54(4):295-300. doi: 10.1016/j.rbr.2014.04.004. Epub 2014 Aug 26.</mixed-citation><mixed-citation xml:lang="en">Miranda SS, Alvarenga D, Rodrigues JC, Shinjo SK. Different aspects of magnetic resonance imaging of muscles between dermato-myositis and polymyositis. Rev Bras Reumatol. 2014 Jul-Aug;54(4):295-300. doi: 10.1016/j.rbr.2014.04.004. Epub 2014 Aug 26.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Del Grande F, Carrino JA, Del Grande M, Mammen AL, Christopher Stine L. Magnetic resonance imaging of inflammatory myopathies. Top Magn Reson Imaging. 2011 Apr;22(2):39-43. doi: 10.1097/RMR.0b013e31825b2c35.</mixed-citation><mixed-citation xml:lang="en">Del Grande F, Carrino JA, Del Grande M, Mammen AL, Christopher Stine L. Magnetic resonance imaging of inflammatory myopathies. Top Magn Reson Imaging. 2011 Apr;22(2):39-43. doi: 10.1097/RMR.0b013e31825b2c35.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ukichi T, Yoshida K, Matsushima S, et al. Magnetic Resonance Imaging of Skeletal Muscles in Patients with Dermatomyositis and Polymyositis: Novel and Distinctive Characteristic Findings [abstract]. Arthritis Rheumatol. 2017;69(suppl 10):1999.</mixed-citation><mixed-citation xml:lang="en">Ukichi T, Yoshida K, Matsushima S, et al. Magnetic Resonance Imaging of Skeletal Muscles in Patients with Dermatomyositis and Polymyositis: Novel and Distinctive Characteristic Findings [abstract]. Arthritis Rheumatol. 2017;69(suppl 10):1999.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Pinal-Fernandez I, Casal-Dominguez M, Carrino JA, et al. Thigh muscle MRI in immune-mediated necrotising myopathy: extensive oedema, early muscle damage and role of anti-SRP autoantibodies as a marker of severity. Ann Rheum Dis. 2017 Apr;76(4): 681-687. doi: 10.1136/annrheumdis-2016-210198. Epub 2016 Sep 20</mixed-citation><mixed-citation xml:lang="en">Pinal-Fernandez I, Casal-Dominguez M, Carrino JA, et al. Thigh muscle MRI in immune-mediated necrotising myopathy: extensive oedema, early muscle damage and role of anti-SRP autoantibodies as a marker of severity. Ann Rheum Dis. 2017 Apr;76(4): 681-687. doi: 10.1136/annrheumdis-2016-210198. Epub 2016 Sep 20</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Tasca G, Monforte M, De Fino C, et al. Magnetic resonance imaging pattern recognition in sporadic inclusion-body myositis. Muscle Nerve. 2015 Dec;52(6):956-62. doi: 10.1002/mus.24661. Epub 2015 Aug 31.</mixed-citation><mixed-citation xml:lang="en">Tasca G, Monforte M, De Fino C, et al. Magnetic resonance imaging pattern recognition in sporadic inclusion-body myositis. Muscle Nerve. 2015 Dec;52(6):956-62. doi: 10.1002/mus.24661. Epub 2015 Aug 31.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Dobloug C, Garen T, Bitter H, et al. Prevalence and clinical characteristics of adult polymyositis and dermatomyositis; data from a large and unselected Norwegian cohort. Ann Rheum Dis. 2015 Aug;74(8): 1551-6. doi: 10.1136/annrheumdis-2013-205127. Epub 2014 Apr 2.</mixed-citation><mixed-citation xml:lang="en">Dobloug C, Garen T, Bitter H, et al. Prevalence and clinical characteristics of adult polymyositis and dermatomyositis; data from a large and unselected Norwegian cohort. Ann Rheum Dis. 2015 Aug;74(8): 1551-6. doi: 10.1136/annrheumdis-2013-205127. Epub 2014 Apr 2.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Subhawong TK, Wang X, Machado AJ, et al. 1H Magnetic resonance spectroscopy findings in idiopathic inflammatory myopathies at 3 T: feasibility and first results. Invest Radiol. 2013 Jul; 48(7): 509-16. doi: 10.1097/RLI.0b013e3182823562.</mixed-citation><mixed-citation xml:lang="en">Subhawong TK, Wang X, Machado AJ, et al. 1H Magnetic resonance spectroscopy findings in idiopathic inflammatory myopathies at 3 T: feasibility and first results. Invest Radiol. 2013 Jul; 48(7): 509-16. doi: 10.1097/RLI.0b013e3182823562.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Noto Y, Shiga K, Tsuji Y, et al. Contrasting echogenicity in flexor digitorum profundus-flexor carpi ulnaris: a diagnostic ultrasound pattern in sporadic inclusion body myositis. Muscle Nerve. 2014 May;49(5): 745-8. doi: 10.1002/mus.24056.</mixed-citation><mixed-citation xml:lang="en">Noto Y, Shiga K, Tsuji Y, et al. Contrasting echogenicity in flexor digitorum profundus-flexor carpi ulnaris: a diagnostic ultrasound pattern in sporadic inclusion body myositis. Muscle Nerve. 2014 May;49(5): 745-8. doi: 10.1002/mus.24056.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Pipitone N, Versari A, Zuccoli G, Levrini G, Macchioni P, Bajocchi G, Salvarani C. 18F-Fluorodeoxyglucose positron emission tomography for the assessment of myositis: a case series. Clin Exp Rheumatol. 2012 Jul-Aug;30(4):570-3. Epub 2012 Aug 29.</mixed-citation><mixed-citation xml:lang="en">Pipitone N, Versari A, Zuccoli G, Levrini G, Macchioni P, Bajocchi G, Salvarani C. 18F-Fluorodeoxyglucose positron emission tomography for the assessment of myositis: a case series. Clin Exp Rheumatol. 2012 Jul-Aug;30(4):570-3. Epub 2012 Aug 29.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Tanaka S, Ikeda K, Uchiyama K, et al. [18F]FDG uptake in proximal muscles assessed by PET/CT reflects both global and local muscular inflammation and provides useful information in the management of patients with polymyositis/dermatomyositis. Rheumatology (Oxford). 2013 Jul;52(7): 1271-8. doi: 10.1093/rheumatology/ket112. Epub 2013 Mar 11.</mixed-citation><mixed-citation xml:lang="en">Tanaka S, Ikeda K, Uchiyama K, et al. [18F]FDG uptake in proximal muscles assessed by PET/CT reflects both global and local muscular inflammation and provides useful information in the management of patients with polymyositis/dermatomyositis. Rheumatology (Oxford). 2013 Jul;52(7): 1271-8. doi: 10.1093/rheumatology/ket112. Epub 2013 Mar 11.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
