Efetividade da infiltração intra-articular guiada por imagem: comparação entre fluoroscopia e ultrassom

Furtado, Rita Nely Vilar; Pereira, Daniele Freitas; Luz, Karine Rodrigues da; Santos, Marco Aurélio Rocha; Konai, Monique Sayuri; Mitraud, Sônia de Aguiar Vilela; Rosenfeld, André; Fernandes, Artur da Rocha Corrêa; Natour, Jamil

doi:10.1016/j.rbr.2013.07.001

Cited by 13 publications

(5 citation statements)

References 35 publications

(39 reference statements)

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“…While it has been shown that no significant difference in terms of effectiveness between fluoroscopy and ultrasound-guided corticosteroid hip injection [19], Byrd, et al [20] reported that ultrasound-guided injections were less painful and preferred by patients.…”

Section: Ultrasound-guided Injection For Specific Anatomic Hip and Grmentioning

confidence: 99%

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin

Yeap

Robinson

2017

Journal of the Belgian Society of Radiology

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Hip and groin pain often presents a diagnostic and therapeutic challenge. The differential diagnosis is extensive, comprising intra-articular and extra-articular pathology and referred pain from lumbar spine, knee and elsewhere in the pelvis. Various ultrasound-guided techniques have been described in the hip and groin region for diagnostic and therapeutic purposes. Ultrasound has many advantages over other imaging modalities, including portability, lack of ionising radiation and real-time visualisation of soft tissues and neurovascular structures. Many studies have demonstrated the safety, accuracy and efficacy of ultrasound-guided techniques, although there is lack of standardisation regarding the injectates used and long-term benefit remains uncertain.

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Section: Ultrasound-guided Injection For Specific Anatomic Hip and Grmentioning

confidence: 99%

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin

Yeap

Robinson

2017

Journal of the Belgian Society of Radiology

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“…The accuracy of the needle injection reaches 26.8%, even by a skilled operator under optimal conditions without an imaging guide [3]. Fluoroscopy (FL) or ultrasonography (US) can be helpful in determining the needle position in the tissue, and it has been seen that the accuracy of image-guided needle injection is better than blind injection [5,6,7,8,9]. However, FL-guided injection is accompanied with radiation exposure, and the visualization of soft tissues such as nerves or blood vessels is limited [10].…”

Section: Introductionmentioning

confidence: 99%

Lock-in Amplifier-Based Impedance Detection of Tissue Type Using a Monopolar Injection Needle

Kim

Abbasi

Kim

et al. 2019

Sensors

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For successful intra-articular injection therapy, it is essential to accurately position the tip of the injection needle into the target joint area while administering the drug into the affected tissue. In this study, we investigated the feasibility of a monopolar injection needle and lock-in amplifier (LIA)-based impedance measurement system for detecting the tissue type where the needle tip is located. After positioning the monopolar injection needle tip into the dermis, hypodermis, or muscle layer of pork tissue, the electrical impedance was measured in the frequency range of 10 Hz to 10 kHz. We observed a difference in the results based on the tissue type where the needle was positioned (p-value < 0.01). Therefore, the monopolar injection needle with electrical impedance measurement can be used to improve intra-articular injection therapy through non-destructive and real-time monitoring of the needle position in the tissues.

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“…The use of ultrasound is non-invasive and does not cause discomfort to patients, it is cheap, and widely accessible [ 7 ]. Also, ultrasound can assess of synovitis by quantifying the thickening of the synovial membrane [ 8 ], including targeted tendon sheaths, bursae, and joints [ 9 ] by B-mode (grey-scale) ultrasound [ 10 ]. Ultrasound has site-specific sensitivity [ 11 ], and has been reported to have 44% sensitivity and 99% specificity, which compare favorably with magnetic resonance imaging (MRI), which is considered to be the ‘gold-standard’ method for evaluating tenosynovitis in RA [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Ultrasound, Radiography, and Clinical Investigations in the Diagnosis of Early Rheumatoid Synovitis in Patients with Nonspecific Musculoskeletal Symptoms: A Multicenter Cross-Sectional Study

Zhang

Xiao

et al. 2018

Med Sci Monit

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BackgroundEarly diagnosis and treatment of rheumatoid synovitis can reduce the progression of rheumatoid arthritis (RA). However, in the early stages of rheumatoid synovitis, patients may only have non-specific musculoskeletal symptoms, and plain film radiographs may not detect early synovial changes. The aim of this study was to compare the sensitivity and specificity of ultrasound with radiography, and clinical investigations in the detection of rheumatoid synovitis in patients presenting with nonspecific musculoskeletal symptoms.Material/MethodsThis was a non-randomized, cross-sectional, clinical study that included 189 patients who had nonspecific musculoskeletal symptoms. All patients underwent clinical investigations, postero-anterior and dorsal radiographic imaging, and bilateral grey-scale ultrasound examinations of the third and second metacarpophalangeal (MCP) joints, the third and the second proximal interphalangeal (PIP) joints, the second and the fifth metatarsophalangeal (MTP) joints, and the wrist.ResultsThere was no clear predictive value for detection of early synovitis by clinical investigations alone. Plain film radiography of patients only provided accurate information of joint erosions but less information for synovitis. Grey-scale ultrasound was more effective at detecting early synovitis compared with clinical investigations (p=0.00015; q=4.548) and compared with plain film radiography (p=0.0002; q=4.537), and quantified the synovial changes. The predictive values of plain film radiography and clinical investigations had 0.43 and 0.24 sensitivity and 0 specificity compared with ultrasound.ConclusionsThe findings of this study support the use of grey-scale ultrasound in the detection of early rheumatoid synovitis of the fingers and the wrist.

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Efetividade da infiltração intra-articular guiada por imagem: comparação entre fluoroscopia e ultrassom

Abstract: Imaging-guided IAI improves regional pain in patients with various types of synovitis in the short term. For the vast majority of variables, no significant difference in terms of effectiveness was observed between fluoroscopy and ultrasound guided IAI.

Cited by 13 publications

References 35 publications

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin

Lock-in Amplifier-Based Impedance Detection of Tissue Type Using a Monopolar Injection Needle

Comparison of Ultrasound, Radiography, and Clinical Investigations in the Diagnosis of Early Rheumatoid Synovitis in Patients with Nonspecific Musculoskeletal Symptoms: A Multicenter Cross-Sectional Study

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