Rheumatoid Arthritis

被引:17
作者
Grainger, Andrew J. [1 ,2 ]
Rowbotham, Emma L. [3 ]
机构
[1] Chapel Allerton Hosp, Leeds Teaching Hosp, Dept Radiol, Leeds LS7 4SA, W Yorkshire, England
[2] Chapel Allerton Hosp, Leeds Teaching Hosp, Leeds Musculoskeletal Biomed Res Unit, Leeds LS7 4SA, W Yorkshire, England
[3] Royal United Hosp, Dept Radiol, Bath BA1 3NG, Avon, England
关键词
ultrasound; rheumatoid arthritis; synovitis; POWER DOPPLER ULTRASONOGRAPHY; METACARPOPHALANGEAL JOINTS; MUSCULOSKELETAL ULTRASOUND; CONVENTIONAL RADIOGRAPHY; SYNOVIAL PERFUSION; FINGER JOINTS; GRAY-SCALE; SONOGRAPHY; QUANTIFICATION; VASCULARITY;
D O I
10.1055/s-0033-1333939
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
Since the advent of disease-modifying antirheumatic drugs for the treatment of rheumatoid arthritis, there has been an increasing emphasis on the early diagnosis and monitoring of this condition. This has led to the greater involvement of advanced imaging techniques such as ultrasound and MRI. Ultrasound appearances of common findings in rheumatoid arthritis are discussed in this review. Comparison of ultrasound in terms of sensitivity and specificity with other imaging modalities and with clinical examination is also made. Quantification is also discussed as a tool to allow assessment of response to drug therapy, an area that is likely to progress further as techniques become increasingly reproducible. Finally, as ultrasound techniques continue to develop, its involvement in the management of patients with rheumatoid arthritis is increasing. New techniques such as fusion imaging and sonoelastography, while at present still largely research-based entities, may offer increasingly improved diagnostic benefits in the field of inflammatory arthropathy.
引用
收藏
页码:69 / 73
页数:5
相关论文
共 36 条
[1]  
Backhaus M, 1999, ARTHRITIS RHEUM-US, V42, P1232, DOI 10.1002/1529-0131(199906)42:6<1232::AID-ANR21>3.0.CO
[2]  
2-3
[3]   Metacarpophalangeal joints at US in asymptomatic volunteers and cadaveric specimens [J].
Boutry, N ;
Lardé, A ;
Demondion, X ;
Cortet, B ;
Cotten, H ;
Cotten, A .
RADIOLOGY, 2004, 232 (03) :716-724
[4]   EULAR recommendations for the management of early arthritis: report of a task force of the European Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) [J].
Combe, B. ;
Landewe, R. ;
Lukas, C. ;
Bolosiu, H. D. ;
Breedveld, F. ;
Dougados, M. ;
Emery, P. ;
Ferraccioli, G. ;
Hazes, J. M. W. ;
Klareskog, L. ;
Machold, K. ;
Martin-Mola, E. ;
Nielsen, H. ;
Silman, A. ;
Smolen, J. ;
Yazici, H. .
ANNALS OF THE RHEUMATIC DISEASES, 2007, 66 (01) :34-45
[5]   Power Doppler sonography monitoring of synovial perfusion at the wrist joints in patients with rheumatoid arthritis treated with adalimumab [J].
Filippucci, E. ;
Iagnocco, A. ;
Salaffi, F. ;
Cerioni, A. ;
Valesini, G. ;
Grassi, W. .
ANNALS OF THE RHEUMATIC DISEASES, 2006, 65 (11) :1433-1437
[6]   A Detailed Comparative Study of High-Resolution Ultrasound and Micro-Computed Tomography for Detection of Arthritic Bone Erosions [J].
Finzel, Stephanie ;
Ohrndorf, Sarah ;
Englbrecht, Matthias ;
Stach, Christian ;
Messerschmidt, Janin ;
Schett, Georg ;
Backhaus, Marina .
ARTHRITIS AND RHEUMATISM, 2011, 63 (05) :1231-1236
[7]  
Grassi W, 2011, EUR MUSCULOSKELET RE, V6, P148
[8]   A 1-year follow-up study of dynamic magnetic resonance imaging in early rheumatoid arthritis reveals synovitis to be increased in shared epitope-positive patients and predictive of erosions at 1 year [J].
Huang, J ;
Stewart, N ;
Crabbe, J ;
Robinson, E ;
McLean, L ;
Yeoman, S ;
Tan, PLJ ;
McQueen, FM .
RHEUMATOLOGY, 2000, 39 (04) :407-416
[9]   The power Doppler ultrasonography score from 24 synovial sites or 6 simplified synovial sites, including the metacarpophalangeal joints, reflects the clinical disease activity and level of serum biomarkers in patients with rheumatoid arthritis [J].
Kawashiri, Shin-ya ;
Kawakami, Atsushi ;
Iwamoto, Naoki ;
Fujikawa, Keita ;
Satoh, Katsuya ;
Tamai, Mami ;
Nakamura, Hideki ;
Okada, Akitomo ;
Koga, Tomohiro ;
Yamasaki, Satoshi ;
Ida, Hiroaki ;
Origuchi, Tomoki ;
Eguchi, Katsumi .
RHEUMATOLOGY, 2011, 50 (05) :962-965
[10]   Contrast enhanced gray-scale sonography in assessment of joint vascularity in rheumatoid arthritis: results from the IACUS study group [J].
Klauser, A ;
Demharter, J ;
De Marchi, A ;
Sureda, D ;
Barile, A ;
Masciocchi, C ;
Faletti, C ;
Schirmer, M ;
Kleffel, T ;
Bohndorf, K .
EUROPEAN RADIOLOGY, 2005, 15 (12) :2404-2410