Is entheses ultrasound reliable? A reading Latin American exercise

Ventura‐Ríos, Lucio; Navarro-Compán, Victoria; Aliste, Marta; Linares, Magaly Alva; Areny, Roser Bastida i; Audisio, Marcelo; Bertoli, Ana M.; Cazenave, Tomás; Cerón, Carmen; Diaz, Mario; Gutiérrez, Marwin; Hernandez, Cristina; Navarta, David A.; Pineda, Carlos; Py, Guillermo Enrique; Reginato, A. M.; Rosa, Javier; Saaibi, Diego Luis; Sedano, O.; Solano, Carla; Castillo-Gallego, Concepción; Falcão, Sandra; Miguel, Eugenio de

doi:10.1007/s10067-015-3007-x

Cited by 7 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, the reading reliability was good but with less satisfactory results for acquisition reliability [3,4,23,25,32,34,38,41,44,47,48,51,54,55,61,65,73].…”

Section: Omeract Filter Us Discrimination Capacitymentioning

confidence: 96%

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Micu

Fodor

2016

Med Ultrason

View full text Add to dashboard Cite

Enthesitis is the key pathological lesion in the spondyloarthritides group and an important element for early diagnosis with a predictive and prognostic value. The recognition of enthesitis on a clinical basis alone remains a challenge and creates unnecessary delays in diagnosis and adequate treatment commencement. Musculoskeletal ultrasound is a valid, reliable, and feasible imaging tool valuable for identifying inflammatory and structural lesions at enthesis level, helpful in establishing a diagnosis, evaluating disease activity and therapy monitoring. This paper focuses on the most relevant aspects of current literature regarding enthesitis and highlights the musculoskeletal ultrasound added value in enthesis assessment.

show abstract

“…Generally, the reading reliability was good but with less satisfactory results for acquisition reliability [3,4,23,25,32,34,38,41,44,47,48,51,54,55,61,65,73].…”

Section: Omeract Filter Us Discrimination Capacitymentioning

confidence: 96%

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Micu

Fodor

2016

Med Ultrason

View full text Add to dashboard Cite

show abstract

“…Finally, the inter-reading concordance was excellent. The performance of inter-reader exercise has a great influence to improve reliability and our group has carried out this type of exercise periodically ( 38 , 39 ). The other study has shown excellent inter-observer agreement for quantitative data ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo compare the assessment of entheses in subjects with spondyloarthritis (SpA) with patients with gout by the Madrid Sonographic Enthesis Index (MASEI).MethodThis cross-sectional study includes videos of entheses evaluated by ultrasound (US) of 30 patients with SpA diagnosed according to the ASAS criteria and 30 patients with gout established by the presence of monosodium urate crystals. Entheses were evaluated for MASEI in 2 Institutes located in two different countries. Demographic and clinical data were registered. Total MASEI score, MASEI-inflammatory, and MASEI-chronic damage were analyzed. Comparisons between groups were obtained by chi-square test and Student's t-test. An inter-reading US reliability was realized.ResultsPatients with gout were older and had significantly more comorbidities than those with SpA. The total MASEI score was not significantly different among diseases (p = 0.07). MASEI-inflammatory was significantly more prevalent at the Achilles tendon in SpA, while the proximal patellar tendon was in gout. Power Doppler was higher in SpA compared to gout (p = 0.005). MASEI-chronic damage related to calcification/enthesophytes predominated in gout (p = 0.043), while calcaneal erosions did in SpA (p = 0.008). The inter-reader concordance was excellent (0.93, CI 95% 0.87–0.96, p = 0.001).ConclusionsSpA and gout similarly involve entheses according to MASE, however, some inflammatory and chronic lesions differ significantly depending on the underlying disease and tendon scanned.

show abstract

Tendon involvement in patients with gout: an ultrasound study of prevalence

et al. 2016

View full text Add to dashboard Cite

The objective of the present study is to evaluate, by ultrasonography (US), the prevalence in the quadriceps, patellar, and Achilles tendon involvement of gout compared to that of patients with osteoarthritis and asymptomatic marathon runners. This is a multicenter, multinational, transverse cross-sectional, and comparative study comprising 80 patients with the diagnosis of gout according to the American College of Rheumatology (ACR) criteria, compared with two control groups: 35 patients with generalized osteoarthritis according to the ACR criteria and 35 subjects who were healthy marathon runners. Demographics and clinical characteristics, such as age, gender, comorbidity, disease duration, pain at the enthesis in the knee and ankle, frequency of disease exacerbations, uric acid level more than 7.2 mg at the time of evaluation, and type of treatment, were recorded. All participants were examined by ultrasound at the quadriceps, the patellar at its proximal and distal insertion, and the Achilles tendon to detect intra-tendinous tophus or aggregates according to the OMERACT definitions. Descriptive statistics and differences between groups were analyzed by chi-square test. Sensitivity and specificity by US were calculated. The prevalence of intra-tendinous aggregates and tophi in gout was significant compared with the other groups. Both lesions were the most frequent at the distal patellar insertion, followed by the quadriceps, Achilles, and proximal patellar insertion ones. In patients with osteoarthritis (OA), intra-tendinous hyperechoic aggregates were observed in 20 % of quadriceps tendons and in 11 % of patellar tendons at its proximal insertion, while in the healthy marathon runner group, the Achilles tendon had this kind of lesion in 17 % of the subjects. Neither the OA nor the healthy marathon runners had intra-tendinous tophi. The sensitivity and specificity of US to detect tophi or aggregates were 69.6 and 92 %, respectively, tendon involvement at the lower limbs in gout is very frequent, particularly in the patellar tendon, and US possesses good sensitivity and specificity for detecting intra-tendinous tophi.

show abstract

Is entheses ultrasound reliable? A reading Latin American exercise

Cited by 7 publications

References 11 publications

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study

Tendon involvement in patients with gout: an ultrasound study of prevalence

Contact Info

Product

Resources

About