Musculoskeletal ultrasonography assists the diagnostic performance of the 2010 classification criteria for rheumatoid arthritis

被引:43
作者
Kawashiri, Shin-ya [1 ]
Suzuki, Takahisa [1 ]
Okada, Akitomo [1 ]
Yamasaki, Satoshi [1 ]
Tamai, Mami [2 ]
Nakamura, Hideki [1 ]
Origuchi, Tomoki [3 ]
Mizokami, Akinari [4 ]
Uetani, Masataka [5 ]
Aoyagi, Kiyoshi [6 ]
Eguchi, Katsumi [7 ]
Kawakami, Atsushi [1 ]
机构
[1] Nagasaki Univ, Grad Sch Biomed Sci, Dept Immunol & Rheumatol, Unit Translat Med, Nagasaki 8528501, Japan
[2] Nagasaki Univ, Ctr Hlth & Community Med, Nagasaki 8528501, Japan
[3] Nagasaki Univ, Grad Sch Biomed Sci, Dept Hlth Sci, Nagasaki 8528501, Japan
[4] Nagasaki Municipal Hosp, Dept Internal Med, Omura, Japan
[5] Nagasaki Univ, Grad Sch Biomed Sci, Dept Radiol Sci, Nagasaki 8528501, Japan
[6] Nagasaki Univ, Grad Sch Biomed Sci, Dept Publ Hlth, Nagasaki 8528501, Japan
[7] Sasebo City Gen Hosp, Dept Internal Med, Sasebo, Japan
关键词
Rheumatoid arthritis; 2010 RA classification criteria; Ultrasonography; Power Doppler; MRI; POWER DOPPLER ULTRASOUND; RHEUMATOLOGY/EUROPEAN LEAGUE; INTEROBSERVER AGREEMENT; INFLAMMATORY ARTHRITIS; AMERICAN-COLLEGE; DISEASE-ACTIVITY; GREY-SCALE; JOINTS; RECOMMENDATIONS; SYNOVITIS;
D O I
10.1007/s10165-012-0628-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We investigated whether musculoskeletal ultrasonography (MSKUS) assists the diagnostic performance of the 2010 rheumatoid arthritis (RA) classification criteria. Sixty-nine early arthritis patients were consecutively enrolled. None of the patients had been treated. In MSKUS of bilateral wrist and finger joints from 22 sites, the findings obtained by gray-scale and power Doppler (PD) assessment were graded on a semiquantitative scale from 0 to 3. Plain magnetic resonance imaging (MRI) of both wrist and finger joints was also examined. Diagnosis of RA was defined by the initiation of disease-modifying antirheumatic drugs within the first 3 months. The diagnostic performance of the patients was evaluated at entry using 2010 RA classification criteria in conjunction with MSKUS. The indispensable MSKUS finding for differentiating RA was the presence of a PD grade 2 or 3 that was superior to 2010 RA classification criteria or MRI-proven bone edema. We propose that the decision tree algorithm of 2010 RA classification criteria with PD grade 2 or 3 reveals the best discriminative ability. MSKUS, especially with a strong PD signal, is very useful to assist the diagnostic performance of the 2010 RA classification criteria in the early recognition of RA.
引用
收藏
页码:36 / 43
页数:8
相关论文
共 26 条
[1]   2010 Rheumatoid Arthritis Classification Criteria An American College of Rheumatology/European League Against Rheumatism Collaborative Initiative [J].
Aletaha, Daniel ;
Neogi, Tuhina ;
Silman, Alan J. ;
Funovits, Julia ;
Felson, David T. ;
Bingham, Clifton O., III ;
Birnbaum, Neal S. ;
Burmester, Gerd R. ;
Bykerk, Vivian P. ;
Cohen, Marc D. ;
Combe, Bernard ;
Costenbader, Karen H. ;
Dougados, Maxime ;
Emery, Paul ;
Ferraccioli, Gianfranco ;
Hazes, Johanna M. W. ;
Hobbs, Kathryn ;
Huizinga, Tom W. J. ;
Kavanaugh, Arthur ;
Kay, Jonathan ;
Kvien, Tore K. ;
Laing, Timothy ;
Mease, Philip ;
Menard, Henri A. ;
Moreland, Larry W. ;
Naden, Raymond L. ;
Pincus, Theodore ;
Smolen, Josef S. ;
Stanislawska-Biernat, Ewa ;
Symmons, Deborah ;
Tak, Paul P. ;
Upchurch, Katherine S. ;
Vencovsky, Jiri ;
Wolfe, Frederick ;
Hawker, Gillian .
ARTHRITIS AND RHEUMATISM, 2010, 62 (09) :2569-2581
[2]   THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].
ARNETT, FC ;
EDWORTHY, SM ;
BLOCH, DA ;
MCSHANE, DJ ;
FRIES, JF ;
COOPER, NS ;
HEALEY, LA ;
KAPLAN, SR ;
LIANG, MH ;
LUTHRA, HS ;
MEDSGER, TA ;
MITCHELL, DM ;
NEUSTADT, DH ;
PINALS, RS ;
SCHALLER, JG ;
SHARP, JT ;
WILDER, RL ;
HUNDER, GG .
ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324
[3]   Guidelines for musculoskeletal ultrasound in rheumatology [J].
Backhaus, M ;
Burmester, GR ;
Gerber, T ;
Grassi, W ;
Machold, KP ;
Swen, WA ;
Wakefield, RJ ;
Manger, B .
ANNALS OF THE RHEUMATIC DISEASES, 2001, 60 (07) :641-649
[4]   Ultrasound and Structural Changes in Inflammatory Arthritis Synovitis and Tenosynovitis [J].
Backhaus, Marina .
MRI AND ULTRASOUND IN DIAGNOSIS AND MANAGEMENT OF RHEUMATOLOGICAL DISEASES, 2009, 1154 :139-151
[5]   Validation of the 2010 ACR/EULAR classification criteria for rheumatoid arthritis: slight improvement over the 1987 ACR criteria [J].
Britsemmer, Karin ;
Ursum, Jennie ;
Gerritsen, Martijn ;
van Tuyl, Lilian ;
van Schaardenburg, Dirkjan .
ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (08) :1468-1470
[6]   Performance of the 2010 ACR/EULAR criteria for rheumatoid arthritis: comparison with 1987 ACR criteria in a very early synovitis cohort [J].
Cader, Mohammed Z. ;
Filer, Andrew ;
Hazlehurst, Jonathan ;
de Pablo, Paola ;
Buckley, Christopher D. ;
Raza, Karim .
ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (06) :949-955
[7]   How to diagnose spondyloarthritis early? Accuracy of peripheral enthesitis detection by power Doppler ultrasonography [J].
D'Agostino, Maria Antonietta ;
Aegerter, Philippe ;
Bechara, Karine ;
Salliot, Carine ;
Judet, Olivia ;
Chimenti, Maria Sole ;
Monnet, Dominique ;
Le Parc, Jean-Marie ;
Landais, Paul ;
Breban, Maxime .
ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (08) :1433-1440
[8]   Utility of ultrasound joint counts in the prediction of rheumatoid arthritis in patients with very early synovitis [J].
Filer, Andrew ;
de Pablo, Paola ;
Allen, Gina ;
Nightingale, Peter ;
Jordan, Alison ;
Jobanputra, Paresh ;
Bowman, Simon ;
Buckley, Christopher D. ;
Raza, Karim .
ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (03) :500-507
[9]   A diagnostic algorithm for persistence of very early inflammatory arthritis: the utility of power Doppler ultrasound when added to conventional assessment tools [J].
Freeston, J. E. ;
Wakefield, R. J. ;
Conaghan, P. G. ;
Hensor, E. M. A. ;
Stewart, S. P. ;
Emery, P. .
ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (02) :417-419
[10]   Power Doppler ultrasound in musculoskeletal disease: A systematic review [J].
Joshua, Fredrick ;
Edmonds, John ;
Lassere, Marissa .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2006, 36 (02) :99-108