MRI pattern of arthritis in systemic lupus erythematosus: a comparative study with rheumatoid arthritis and healthy subjects

Tani, Chiara; D'Aniello, D; Possemato, Niccolò; Sedie, Andrea Delle; Caramella, Davide; Bombardieri, Stefano; Mosca, Marta

doi:10.1007/s00256-014-2033-0

Cited by 17 publications

(3 citation statements)

References 16 publications

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“…The lower US sensitivity observed in the present study could be due to poor ability to detect small erosions in patients with non-rhupus SLE, compared to that observed in RA. In magnetic resonance imaging (MRI) studies in SLE, MCP joint erosions have been detected in 47–61 % of patients and wrist joint erosions have been detected in 82 − 99 % of patients [ 9 , 23 – 25 ], which roughly corresponds to our results, with 61.5 % and 80.7 % of patients with CT-detected erosions detected in the MCP and wrist joints, respectively. Compared with CT and MRI, the performance of US was confirmed to be worse for detection of erosions, especially when assessing the wrist.…”

Section: Discussionsupporting

confidence: 88%

“…Moreover, the erosive damage in both JA and NDNE arthritis did not resemble that seen in rhupus syndrome and RA. Previously published studies do not report “hook” erosions in RA [ 15 – 21 , 23 ], which are instead considered a hallmark of JA [ 2 , 24 , 28 ]. Although the analysis of hook erosions in the different subtypes of SLE arthritis was not an objective of this study, we found that only the large erosions detected by US and CT in patients with JA had a well-defined hook-shaped deformity with a sclerotic margin (Fig.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonographic assessment of bone erosions in the different subtypes of systemic lupus erythematosus arthritis: comparison with computed tomography

et al. 2016

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BackgroundThe aim was to determine the accuracy of high-resolution ultrasonography (US) for detecting erosion in the metacarpophalangeal (MCP) and wrist joints of patients with different subtypes of systemic lupus erythematosus (SLE) arthritis, using computed tomography (CT) as the gold-standard reference method.MethodThe ulnar head, radiocarpal and second to fifth MCP joints in 26 patients with SLE - 9 classified as having rhupus syndrome, 10 as having Jaccoud’s arthropathy (JA) and 7 as having non-deforming non-erosive (NDNE) arthritis - were subdivided into areas and bilaterally evaluated for the presence of bone erosion by CT and US. On CT, erosion volume was scored according to the outcome measures in rheumatology-rheumatoid arthritis magnetic resonance imaging (OMERACT-RAMRIS) score. On US, erosions were semi-quantitatively scored 0–3 according to scoring by ultrasound structural erosion (ScUSSe) systems.ResultsErosions were detected by CT in 92/728 areas (12.6 %) and by US in 43/728 areas (5.9 %). Sensitivity, specificity and accuracy of US overall was 36 %, 98 % and 90 % compared with 57 %, 98 % and 93 % in the dorsal and lateral aspects of the second and fifth MCP, which were identified as areas with the best US reliability. Adding wrist joints would capture a larger number of erosions without affecting the accuracy. US detected 90.0 % of CT erosions with bone volume loss >20 % and 51.2 % of erosions with bone volume loss >10 %. Patients with rhupus had a greater number of larger erosions than those with JA or NDNE arthritis, with prevalent involvement of the MCP joints. Overall reliability of US in detecting bone erosions was moderate for rhupus syndrome (0.55) and JA (0.58), but poor for NDNE arthritis (0.10).ConclusionUS had moderate sensitivity and excellent specificity for detection and semi-quantitative assessment of bone erosions in SLE.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Ultrasonographic assessment of bone erosions in the different subtypes of systemic lupus erythematosus arthritis: comparison with computed tomography

et al. 2016

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“…The capitate, lunate, triquetrum, and hamate bones, together with the 2nd MCP joint were most frequently affected by bone erosion and BME. The distribution of the MRI-detected erosion and BME in RA patients in this study was similar to that in previous reports [17,23,24]. Regarding MRI-detected synovitis in the wrist joints, it was most frequently detected in the intercarpal joint, echoing the results of previous reports [23].…”

Section: Discussionsupporting

confidence: 90%

Magnetic resonance imaging-assessed synovial and bone changes in hand and wrist joints of rheumatoid arthritis patients

Lee

Min

Kim

et al. 2019

Korean J Intern Med

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Review article: the differential diagnosis of bone marrow edema on wrist MRI

Lim¹,

Saifuddin

2019

Skeletal Radiol

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MRI pattern of arthritis in systemic lupus erythematosus: a comparative study with rheumatoid arthritis and healthy subjects

Abstract: Joint involvement of the wrist in SLE is similar to RA and is not as rare as expected, as shown by the comparison with healthy subjects. On the contrary, the involvement of the hand in SLE is significantly lower compared to RA.

Cited by 17 publications

References 16 publications

Ultrasonographic assessment of bone erosions in the different subtypes of systemic lupus erythematosus arthritis: comparison with computed tomography

Ultrasonographic assessment of bone erosions in the different subtypes of systemic lupus erythematosus arthritis: comparison with computed tomography

Magnetic resonance imaging-assessed synovial and bone changes in hand and wrist joints of rheumatoid arthritis patients

Review article: the differential diagnosis of bone marrow edema on wrist MRI

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