Diagnosis of early-stage rheumatoid arthritis: usefulness of unenhanced and gadolinium-enhanced MR images at 3 T

被引：11

作者：

Aoki, Takatoshi ^{[1
]}

Yamashita, Yoshiko ^{[1
]}

Saito, Kazuyoshi ^{[2
]}

Tanaka, Yoshiya ^{[2
]}

Korogi, Yukunori ^{[1
]}

机构：

[1] Univ Occupat & Environm Hlth, Dept Radiol, Kitakyushu, Fukuoka 8078555, Japan

[2] Univ Occupat & Environm Hlth, Dept Internal Med 1, Kitakyushu, Fukuoka 8078555, Japan

来源：

CLINICAL IMAGING | 2013年 / 37卷 / 02期

关键词：

3 T MRI; Rheumatoid arthritis (RA); Arthritis; DEFINING REMISSION; IMAGING FINDINGS; FINGER JOINTS; WRIST; HANDS; EROSIONS; CRITERIA; EDEMA;

D O I：

10.1016/j.clinimag.2012.07.004

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Forty-one consecutive unclassified arthritis patients with polyarthralgia including wrist joint were evaluated with 3-T MRI as possible early-stage rheumatoid arthritis (RA). After prospective follow-up, 21 of 41 patients fulfilled the American College of Rheumatology (ACR) criteria. Synovitis was detected in all 21 RA patients (sensitivity=100%) with postcontrast MRI and in 14 patients (67%) with unenhanced MRI when none of them fulfilled ACR diagnostic criteria. Fat-suppressed intermediate-weighted fast spin-echo (FSE) image showed high detection rate of synovitis and bone erosion, whereas FIESTA image clearly delineated joint fluid and bone trabeculae. MRI at 3 T is a potentially powerful tool for discriminating and managing early-stage RA patients. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：348 / 353

页数：6

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