Benefits of ultrasonography in the management of early arthritis: a cross-sectional study of baseline data from the ESPOIR cohort

Abstract

US on six joints detected 1.4-fold more patients with erosions (3.3-fold more with the usual reading). In clinical practice, US combined with X-rays is of helpful diagnostic value in EA.

Significance of arthrosonography in the diagnosis of metatarsophalangeal joint injury in patients with rheumatoid arthritis

“…Ана-логичные данные относительно диссоциации УЗ-и клинической оценок синовита были получены в ранее О р и г и н а л ь н ы е и с с л е д о в а н и я проведенном многоцентровом французском исследова-нии [13], в котором изучались возможности УЗИ у боль-ных РРА (n=126) и было выявлено, что сонографиче-ские признаки синовита наблюдались только в полови-не припухших суставов. По-видимому, клиническая ги-пердиагностика отчасти может быть объяснена наличи-ем припухлости в области суставов за счет воспалитель-ного процесса в периартикулярных мягких тканях (те-носиновита).…”

Prediction of Radiographic Damage in Early Arthritis by Sonographic Erosions and Power Doppler Signal: A Longitudinal Observational Study

“…It provides clinical, biologic, and imaging data for patients with early arthritis, without restriction to RA. In a cross-sectional study of the ESPOIR data, US demonstrated high sensitivity for both synovitis and detection of erosions (5). The present study aimed to further evaluate the prognostic value of US in early arthritis.…”

“…Treatment was reevaluated at each visit by the investigators and was not standardized. We used the 2010 data set of the ESPOIR cohort, in which 1 extra patient with a US evaluation was included, compared to the cross-sectional study (5).…”

“…Color gain was set just below the level at which color noise appeared underlying bone (no flow should be visualized at the bony surface). The examiners agreed on definitions of synovitis and bone erosions before the beginning of the study, as previously described (5). These definitions fulfilled the actual US Outcome Measures in Rheumatology criteria (17).…”

“…New techniques such as magnetic resonance imaging and ultrasonography (US) have been sensitive in the earliest stages of arthritis in detecting both synovitis and erosions (3)(4)(5)(6)(7)(8). However, only a few longitudinal studies have investigated the prognostic value of US for the evaluation of disease severity in the long-term outcome of patients with early and established RA (9 -13).…”