Evaluation of humeral head erosions in rheumatoid arthritis: a comparison of ultrasonography, magnetic resonance imaging, computed tomography and plain radiography

Alasaarela, Esko; Suramo, I; Tervonen, Osmo; Lähde, S; Takalo, Reijo; Hakala, M

doi:10.1093/rheumatology/37.11.1152

Cited by 104 publications

(55 citation statements)

References 2 publications

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“…The selected papers were then divided among the group members and assessed according to an agreed scoring sheet (for results of Evaluation score, see Table 1) 4,5,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55]…”

Section: Resultsmentioning

confidence: 99%

Summary Findings of a Systematic Literature Review of the Ultrasound Assessment of Bone Erosions in Rheumatoid Arthritis

et al. 2015

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Section: Resultsmentioning

confidence: 99%

Summary Findings of a Systematic Literature Review of the Ultrasound Assessment of Bone Erosions in Rheumatoid Arthritis

et al. 2015

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“…A number of comparative imaging studies that have included US have been performed (3,(5)(6)(7)(22)(23)(24)(25). However, US scoring methods with quantitative assessment of joint inflammation have yet not been standardized or appropriately validated (26,27).…”

mentioning

confidence: 99%

A novel ultrasonographic synovitis scoring system suitable for analyzing finger joint inflammation in rheumatoid arthritis

Scheel¹,

Hermann²,

Kahler³

et al. 2005

Arthritis & Rheumatism

236

187

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Objective. To develop an ultrasonographic (US) synovitis scoring system suitable for evaluation of finger joint inflammation in patients with active rheumatoid arthritis (RA) and to compare semiquantitative US scoring with quantitative US measurements.Methods. US was performed at the palmar and dorsal sides of the second through fifth metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints in 10 healthy subjects and in the clinically more affected hand in 46 RA patients. Ten patients additionally underwent magnetic resonance imaging (MRI). Synovitis was measured, standardized, and scored according to a semiquantitative method. The 2 methods (semiquantitative US scoring, quantitative US) were compared and statistical cutoffs were identified using receiver operating characteristic (ROC) curve analysis. MRI results were compared with semiquantitative US scoring and quantitative US results. The optimal US scoring method from 6 joint combinations was identified (ROC curve analysis).Results. Synovitis was most frequently detected in the palmar proximal area (86% of affected joints). We found no significant differences between individual PIP joints or between individual MCP joints, indicating that all fingers within each of these joint groups should be treated equally for statistical calculations, although each joint group as a whole should be treated separately. The optimal cutoff point to distinguish between "health" and "pathology" was 0.6 mm both for MCP joints (sensitivity 94%, specificity 89%) and for PIP joints (sensitivity 90%, specificity 88%). There was no significant difference between semiquantitative US scores and quantitative US measurements. The best results for joint combinations were achieved using the "sum of 4 fingers" (second through fifth MCP and PIP joints) and "sum of 3 fingers" (second through fourth MCP and PIP joints) methods. Comparison of MRI results with semiquantitative US scores revealed high concordance.Conclusion. US evaluation of finger joint synovitis can be considerably simplified by focusing on the palmar side and by applying semiquantitative grading instead of quantitative measurements. For evaluation of treatment efficacy based on synovitis in RA patients, we recommend using the "sum of 3 fingers" method in longitudinal trials.

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“…One study compared the value of US, MR imaging, CT, and radiography (PR) in detecting bone erosions of the humeral head in 26 patients who had RA. MR imaging depicted erosions in 25 patients (96%), US depicted erosions in 24 patients (92%), CT depicted erosions in 20 patients (77%), and PR detected erosions in 19 patients (73%) [16]. This study also showed that PR frequently missed small erosions.…”

Section: Other Imaging Techniquesmentioning

confidence: 55%

Advanced imaging of early rheumatoid arthritis

Tehranzadeh

Ashikyan

Dascalos

et al. 2004

Magnetic Resonance Imaging Clinics of North America

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Evaluation of humeral head erosions in rheumatoid arthritis: a comparison of ultrasonography, magnetic resonance imaging, computed tomography and plain radiography

Cited by 104 publications

References 2 publications

Summary Findings of a Systematic Literature Review of the Ultrasound Assessment of Bone Erosions in Rheumatoid Arthritis

Summary Findings of a Systematic Literature Review of the Ultrasound Assessment of Bone Erosions in Rheumatoid Arthritis

A novel ultrasonographic synovitis scoring system suitable for analyzing finger joint inflammation in rheumatoid arthritis

Advanced imaging of early rheumatoid arthritis

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