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
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