Imaging of facet joint diseases

Kwee, Robert M.; Kwee, Thomas C.

doi:10.1016/j.clinimag.2021.07.005

Cited by 11 publications

(6 citation statements)

References 38 publications

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“…[ 16 ] Another finding suggested that facet joint involvements were associated with RA. [ 17 ] As to whether large joint involvement was associated with the diagnosis of ERA, this study suggested that knee involvement was of great value with ERA and had higher scores than morning stiffness and RA33. Previous studies have suggested that knee joint of Native North American patients with RA was significantly more involved than white patients (53% vs 34%; P < .001) and had a greater disease burden in terms of prognosis.…”

Section: Discussionmentioning

confidence: 96%

Development and assessment of a predictive model for early diagnosis of rheumatoid arthritis in southwest China: A new nomogram

Zhang

Bao

et al. 2023

Medicine

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Rheumatoid arthritis (RA) is a disease complicated with inflammatory synovitis, which seriously affects the life quality of patients. Early diagnosis is important for prognosis of RA. Here, we aimed to develop and assess a model for early diagnosis of RA in southwest China. A nomogram including 44 patients with an early diagnosis of RA was developed. Variables were filtered by least absolute contraction selection operator and multiple logistic regression. The efficiency and clinical application range were evaluated. This nomogram showed that rheumatoid factor, erythrocyte sedimentation rate, RA33, facet joint and knee joint had high positive predictive value for RA. The area under curve was 0.920 [95% confidence interval (CI): 0.865–0.975]. In the validation model, area under curve was 0.942 (95% CI: 0.893–0.991). Calibration and decision curve suggested that this nomogram was helpful within the threshold probability range of 0.02 to 1.00. Using this nomogram will help clinicians in the early diagnosis of RA. Laboratory indicators such as rheumatoid factor, erythrocyte sedimentation rate, RA33, and clinical symptoms such as morning stiffness, facet joint and knee joint are very important, which deserves the attention of clinicians.

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Section: Discussionmentioning

confidence: 96%

Development and assessment of a predictive model for early diagnosis of rheumatoid arthritis in southwest China: A new nomogram

Zhang

Bao

et al. 2023

Medicine

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“…However, it has limited sensitivity for detecting subtle changes in the posterior elements. 1,4 The multiplanar cross sections obtained from computed tomography (CT) and magnetic resonance imaging (MRI) provide more detailed information about the morphology of the posterior elements. CT is more accurate than MRI to detect bony pathology and particularly useful to evaluate fractures and malformations of the posterior elements.…”

Section: Imaging Modalitiesmentioning

confidence: 99%

“…MRI is preferred for evaluating soft tissue elements, such as the ligaments, muscles, cartilage, and spinal cord, and it can also detect signs of activation of degenerative changes of the facet joints, such as effusions, subchondral bone marrow edema, and adjacent soft tissue edema. 1,4 Fat-suppressed T2-weighted and fat-suppressed, contrast-enhanced T1-weighted sequences can improve the visualization of facet joint effusions, subchondral bone marrow edema, and paraspinal soft tissue inflammation that may be overlooked with conventional non-fat-suppressed MRI techniques. Several fat suppression methods can be used to increase the conspicuity of edema and inflammation on MRI, such as the short tau inversion recovery (STIR) sequence, fat-saturated or water excitation T2-weighted or contrast-enhanced T1-weighted sequences, or Dixon-based fat separation methods.…”

Section: Imaging Modalitiesmentioning

confidence: 99%

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Imaging the Posterior Elements of the Spine

Eede,

Friedrich,

Hauwe

2023

Semin Musculoskelet Radiol

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The posterior elements of the spine consist of the pedicles, laminae, facets (articular processes), transverse processes, and the spinous process. They are essential for spinal stability, protecting the spinal cord and nerve roots, and enabling movement of the spine. Pathologies affecting the posterior elements can cause significant pain and disability. Imaging techniques, such as conventional radiography, computed tomography, and magnetic resonance imaging, are crucial for the diagnosis and evaluation of pathology, enabling accurate localization, characterization, and staging of the disease.

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“…Отсюда ясно, что для подтверждения причинной роли ОА ФС в развитии ХНБС требуются более веские доказательства. Например, метод прецизионного введения местных анестетиков (МА) в пораженный ФС: быстрое и максимально полное устранение боли после этой процедуры с высокой степенью точности указывает на роль ОА ФС в развитии ХНБС [16,17]. Весьма показательным является классическое исследование L. Manchikanti и соавт.…”

Section: хнбс: поиск морфологического источникаunclassified

Chronic back pain as a spinal osteoarthritis manifestation: rationale and practice of symptomatic slow acting drugs for osteoarthritis use

Karateev¹

2022

Sovremennaâ revmatologiâ

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Chronic non-specific back pain (CNBP) is the most common pathology of the musculoskeletal system, affecting from 10 to 60% of the adult population in the world, causing severe suffering, disability and a significant deterioration in the quality of life. Osteoarthritis (OA) should be considered as one of the main reasons of the development of CNBP – inflammatory and degenerative changes in the facet and sacroiliac joints, as well as the spinal column itself (in particular, osteitis of the Modic 1 type). Spinal OA is accompanied by biomechanical disturbances, nociplastic (peripheral and central sensitization) and psycho-emotional changes that form a complete picture and various CNBP phenotypes.Recognizing the leading role of OA as the cause of CNBP, it is advisable to use the same therapeutic approaches in this syndrome as in OA of peripheral joints. In particular, it is necessary to consider the use of symptomatic slow acting drugs for osteoarthritis (SYSADOA) in CNBP as the main pathogenetic therapy.Alflutop is one of the most popular parenteral SYSADOA widely used in Russian practice. This drug has a good evidence base: this review presents data from 12 clinical trials of Alflutop in CNBP (n=1479), which confirmed its efficacy and safety.

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Imaging of facet joint diseases

Cited by 11 publications

References 38 publications

Development and assessment of a predictive model for early diagnosis of rheumatoid arthritis in southwest China: A new nomogram

Development and assessment of a predictive model for early diagnosis of rheumatoid arthritis in southwest China: A new nomogram

Imaging the Posterior Elements of the Spine

Chronic back pain as a spinal osteoarthritis manifestation: rationale and practice of symptomatic slow acting drugs for osteoarthritis use

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