Ultrasound Versus Contrast-Enhanced Magnetic Resonance Imaging for Subclinical Synovitis and Tenosynovitis: A Diagnostic Performance Study

Bao, Zhongtao; Zhao, Yue; Chen, Shuqiang; Chen, Xiaoyu; Xu, Xiang; Wei, Linglin; Xiong, Meilian

doi:10.6061/clinics/2020/e1500

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…This cohort was evaluated with both HRUS and MRI, and these imaging studies were conducted on the same day, followed by a radiologist's interpretation, in a single anonymized manner. Females appeared to be predominately affected in the study cohort and these findings were also reported by Singh et al, 16 Salama, 17 Malla et al, 18 Bao et al 19 and El-Shereef et al 20 when they compared HRUS to MRI, among RA patients. The mean age of the current study cohort was also found to be comparable with a study reported by Malla et al, 18 in which the ages varied from 19 to 65 years.…”

Section: Discussionsupporting

confidence: 84%

Comparison of High-Resolution Ultrasonography With Magnetic Resonance Imaging in Rheumatoid Arthritis

Jain

Malhotra

Chandak

et al. 2022

Journal of Diagnostic Medical Sonography

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Objective: The aim of this study was to examine whether high-resolution ultrasonography (HRUS) can provide information, on signs of inflammation and destruction, due to rheumatoid arthritis (RA). The focus was on the wrist joint, during early and late disease and compared the findings to those with magnetic resonance imaging (MRI). Materials and Methods: The study was based on 31 RA patients, with joint involvements, who were selected from those attending the outpatient rheumatology clinic. The patients completed both HRUS and MRI examinations, and their results were compared. Results: The HRUS and MRI images had near-perfect agreement, for detecting joint anomalies, in those RA patients. While comparing the overall performance of the HRUS and MRI studies, it was observed that HRUS was equal or nearly equal, demonstrating 90.83%, 100.0% and 94.93%, diagnostic sensitivity, specificity, and accuracy, respectively, for diagnosing RA pathologies. Conclusion: The early diagnosis of RA with HRUS and MRI examinations is very important, in the early treatment of RA. The HRUS examinations demonstrated a sensitive and reliable diagnostic method for assessing inflammatory activity and destructive changes in the joints of these RA patients, with HRUS findings comparable to those of MRI.

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Section: Discussionsupporting

confidence: 84%

Comparison of High-Resolution Ultrasonography With Magnetic Resonance Imaging in Rheumatoid Arthritis

Jain

Malhotra

Chandak

et al. 2022

Journal of Diagnostic Medical Sonography

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“…Statistical analysis of these results showed good agreement between the two modalities in the assessment of total MCP activity score. Bao et al, [8] study also showed that ultrasound and contrast-enhanced MRI had the sensitivities of 0.795 and 0.855 and accuracies of 0.769 and 0.823, respectively, in assessment inflammatory activity and thickened synovial sheath. The two imaging modalities were equally competitive for detecting synovitis and tenosynovitis (p = 0.055).…”

Section: Discussionmentioning

confidence: 87%

The feasibility of high-resolution ultrasonography and MRI in diagnosing finger lesions

Hashem

Kalaawy

2021

J Ultrasound

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Purpose To evaluate the diagnostic performance of both ultrasonography and MRI findings in finger lesions. Methods This study was carried out on seventy symptomatic patients (53 females and 17 males). Their ages ranged from 6 to 64 years. All patients were referred to the diagnostic radiology department from various outpatient clinics of general, orthopedic, cosmetic surgeries and rheumatology. All patients were subjected to history taking, clinical examination, laboratory investigations for rheumatoid arthritis patients and radiological investigations. Whenever we had a surgical and pathological final diagnosis, it was considered the gold standard of the results. When only ultrasound and MRI were correlated, MRI was considered the gold standard. ResultsIn our study, we found that ultrasonography is useful for evaluating a variety of lesions of the finger. Its widespread availability, relatively low cost, and high spatial resolution make it an excellent tool for investigating finger disorders. MR is the best imaging modality for lesion characterization. By systematically using clinical history, lesion location, findings on radiographs and MR imaging features, the radiologist can differentiate between determinate and indeterminate lesions. Conclusion We concluded that ultrasonography and MRI are complementary to reach a correct diagnosis in different etiologies of finger lesions.

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“…4,5,10 In patients with clinical features of early RA such as joint stiffness and pain, there is good agreement between US and MRI, with MRI showing marginally higher sensitivity and accuracy for detecting subclinical synovitis. 11 Diagnostic accuracy of US has been validated for synovitis in the wrist and hand joints in a systematic review by Takase-Minegishi et al 12 and it is considered competitive to MRI in routine evaluation of RA. Another study by Navalho et al 13 in patients with new onset polyarthritis demonstrated that MRI outperformed US in detecting early synovitis and tenosynovitis in patients, although both modalities had good diagnostic yield.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound and magnetic resonance imaging of hands in systemic sclerosis: A cross-sectional analytical study of prevalence of inflammatory changes in patients with subclinical arthropathy

Vadher

Sinha

Choudhury

et al. 2023

Journal of Scleroderma and Related Disorders

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Objectives: Prevalence of synovitis, tenosynovitis, erosions, acro-osteolysis and bone marrow edema in systemic sclerosis is not extensively reported. We aimed to estimate the prevalence of changes in individual joints of hands in systemic sclerosis patients. Method: A cross-sectional analytical study consisting of 34 adults (females, n = 32) with systemic sclerosis. Patients with clinical synovitis were excluded. All patients underwent ultrasound (US) and magnetic resonance imaging of bilateral hands. Results: On US, synovitis, tenosynovitis, erosions, and acro-osteolysis were detected in 97%, 94%, 97%, and 29% patients. Grade I synovitis observed in 67% joints—first carpometacarpal joint (55%), first metacarpophalangeal joint (54%), distal radioulnar joint (50%), and intercarpal joints (47%) were commonly affected. Erosions were common in distal phalanges (first DP72% to fifth DP39%). On magnetic resonance imaging, synovitis, tenosynovitis, erosions, and bone edema were observed in 91%, 85%, 97%, and 85% patients. Grade I synovitis was seen in 70% joints, affecting intercarpal joint (70.6%) and third metacarpophalangeal joint (52.9%) commonly. Grade I erosions were seen in 61%, affecting distal phalanges (55.8%), capitate (60.3%), and lunate (55.8%). Grade I edema was commonly affecting lunate (39%) and capitate (26%). On magnetic resonance imaging, acro-osteolysis was present in 28% (97/340) distal phalanges. Fair agreement (0.21–0.40) was noted between US and magnetic resonance imaging for synovitis and erosions. Conclusion: High prevalence of low-grade inflammation is found in systemic sclerosis patients on US and magnetic resonance imaging. Distal joint assessment in addition to proximal joints improves accurate estimation of prevalence of early arthropathy.

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Ultrasound Versus Contrast-Enhanced Magnetic Resonance Imaging for Subclinical Synovitis and Tenosynovitis: A Diagnostic Performance Study

Cited by 6 publications

References 23 publications

Comparison of High-Resolution Ultrasonography With Magnetic Resonance Imaging in Rheumatoid Arthritis

Comparison of High-Resolution Ultrasonography With Magnetic Resonance Imaging in Rheumatoid Arthritis

The feasibility of high-resolution ultrasonography and MRI in diagnosing finger lesions

Ultrasound and magnetic resonance imaging of hands in systemic sclerosis: A cross-sectional analytical study of prevalence of inflammatory changes in patients with subclinical arthropathy

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