From A Formal Training Program In Musculoskeletal Ultrasound (MSUS) To A High Reproducibility for MSUS Ultrasound In Rheumatoid Arthritis

Villota, Orlando; Diaz, Mario; Cerón, Carmen; Möller, Ingrid; Naredo, Esperanza; Saaibi, Diego Luis

doi:10.2174/1573397113666170728125557

Cited by 5 publications

(1 citation statement)

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“…Una de las características de la ecografía musculoesquelética que la sitúa en desventaja respecto a otras modalidades de imagen es su carácter operador dependiente 8,47 . Varios estudios han relacionado que en el escenario de enfermedad articular inflamatoria la concordancia intra e interobservador es buena en general, sin embargo, trabajos que evalúen concordancia en individuos sanos y asintomáticos son escasos, realizados en un bajo número de participantes, y con resultados variables [48][49][50][51][52]…”

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Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

Calderón-Cordero

Narváez-Reyes

Calvo-Páramo

et al. 2019

Revista Colombiana de Reumatología

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Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

Calderón-Cordero

Narváez-Reyes

Calvo-Páramo

et al. 2019

Revista Colombiana de Reumatología

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Tender Joint Count and Inflammatory Activity in Patients With Established Rheumatoid Arthritis: Results From a Longitudinal Study

Hammer

Michelsen

Provan

et al. 2019

Arthritis Care & Research

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ObjectiveThe tender joint count (TJC) is included in composite disease activity scores (CDAS) (the Disease Activity Score in 28 joints, the Clinical Disease Activity Index, and the Simplified Disease Activity Index). The impact of having predominantly tender joints was explored by use of the Tender‐Swollen Joint Count Difference (TSJD), and ultrasound (US) provided a measure of joint inflammation. The current study aimed to explore the cross‐sectional and longitudinal associations between the TSJD and a spectrum of outcome measures, including US scores in patients with established rheumatoid arthritis (RA) during follow‐up and while receiving treatment with biologic disease‐modifying antirheumatic drugs (bDMARDs).MethodsThis was an observational study of 209 patients with established RA consecutively included upon initiation of bDMARD treatment and followed‐up with clinical, laboratory, and comprehensive US examinations at 0, 1, 2, 3, 6, and 12 months. Patients were categorized into 2 groups: those with predominantly tender joints (TSJD >0) and those with predominantly swollen joints (TSJD ≤0). Statistical analyses included Pearson's correlation coefficient, an independent samples t‐test, and regression analyses.ResultsThe TJC had high correlations only with patient‐reported outcomes (PROMs) (P < 0.001). Levels from CDAS and PROMs were significantly higher (P < 0.001) at all visits in patients with TSJD >0 compared to those with TSJD <0. Laboratory markers and assessor's global visual analog scale scores were similar, and US sum scores were significantly lower (P < 0.001–0.03). The baseline TSJD positively predicted levels of all CDAS at 6 months (P < 0.001–0.019) but was a negative predictor of US sum scores (gray‐scale and power Doppler) at 6 and 12 months (P < 0.001).ConclusionPatients with predominantly tender joints had higher CDAS but lower levels of inflammation as defined by US. These findings indicate that inclusion of the TJC in the CDAS may contribute to misleading information about inflammatory activity.

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Ultrasound findings in hand and foot joints of asymptomatic volunteers

Calderón-Cordero

Narváez-Reyes

Calvo-Páramo

et al. 2019

Revista Colombiana de Reumatología (English Edition)

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From A Formal Training Program In Musculoskeletal Ultrasound (MSUS) To A High Reproducibility for MSUS Ultrasound In Rheumatoid Arthritis

Abstract: Formal, structured and continuous training in musculoskeletal ultrasound would bring a good to excellent reproducibility in rheumatological hands with a high reliability in real time acquisition BS, DS and CS modalities for scoring synovitis in patients with active rheumatoid arthritis.

Cited by 5 publications

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Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

Tender Joint Count and Inflammatory Activity in Patients With Established Rheumatoid Arthritis: Results From a Longitudinal Study

Ultrasound findings in hand and foot joints of asymptomatic volunteers

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