Evaluation of Bone Erosions in Rheumatoid Arthritis: The Ultrasound Score for Erosions Versus the Modified Sharp/van der Heijde Score for Erosions

被引:4
作者
Grosse, Julien [1 ]
Allado, Edem [1 ]
Albuisson, Eliane [2 ]
Pierreisnard, Audrey [3 ]
Couderc, Marion [4 ]
Chary-Valckenaere, Isabelle [1 ,5 ]
Loeuille, Damien [1 ,5 ]
机构
[1] Univ Hosp Nancy, Dept Rheumatol, F-54500 Vandoeuvre Les Nancy, France
[2] Univ Hosp Nancy, MDS Unity, Platform Clin Res Support PARC, Vandoeuvre Les Nancy, France
[3] Acad Hosp Pitie Salpetriere, Dept Rheumatol, Paris, France
[4] Univ Hosp Clermont Ferrand, Dept Rheumatol, Clermont Ferrand, France
[5] Univ Lorraine, CNRS, UMR 7365, Ingn Mol & Physiopathol Articulaire IMoPA, Vandoeuvre Les Nancy, France
关键词
joint erosions; radiography; rheumatoid arthritis; ultrasonography; MUSCULOSKELETAL ULTRASOUND; CONVENTIONAL RADIOGRAPHY; ULTRASONOGRAPHY; FINGER; JOINTS; RELIABILITY; SONOGRAPHY; HANDS;
D O I
10.3899/jrheum.200286
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To evaluate the relationship between the UltraSound Score for Erosions (USSe) and the modified Sharp/van der Heijde score for erosions (SHSe). Methods. One hundred eight patients with rheumatoid arthritis (RA) were included. On radiography, SHSe was evaluated by 2 or 3 blinded readers (in case of discordance). On ultrasonography, erosions were scored on 6 bilateral joints (metacarpophalangeal joints 2,3,5; metatarsophalangeal joints 2,3,5) with a 4-point scale to calculate the USSe. Results. The Pearson correlation was good (r = 0.68,P < 0.001) and the agreement illustrated by a Bland-Altman plot was excellent (91%) between the 2 scores, which were complementary in detecting erosions. Conclusion. The USSe seems to be a valuable tool for assessing erosive damage in RA.
引用
收藏
页码:335 / 338
页数:4
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