2007
DOI: 10.1007/s00247-007-0449-6
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Quantitative MR characterization of disease activity in the knee in children with juvenile idiopathic arthritis: a longitudinal pilot study

Abstract: A decrease in PK parameter values obtained from DCE-MRI in children with JIA likely reflects diminution of disease activity. This technique may be used as an objective follow-up measure of therapeutic efficacy in patients with JIA. MR imaging can detect persistent synovitis in patients considered to be in clinical remission.

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Cited by 39 publications
(9 citation statements)
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“…Automated segmentation methods have been proposed to provide a quicker and more pragmatic alternative, but the accurate identification of enhancing synovial membrane requires a trained observer and this task cannot be performed by a computer (35, 36). Newer technology is being developed to make quantitative analysis of synovial activity easier to implement clinically (34, 37, 38), though these techniques remain research tools at present.…”
Section: Discussionmentioning
confidence: 99%
“…Automated segmentation methods have been proposed to provide a quicker and more pragmatic alternative, but the accurate identification of enhancing synovial membrane requires a trained observer and this task cannot be performed by a computer (35, 36). Newer technology is being developed to make quantitative analysis of synovial activity easier to implement clinically (34, 37, 38), though these techniques remain research tools at present.…”
Section: Discussionmentioning
confidence: 99%
“…The exact value of advanced MRI techniques in children with JIA has to be determined in larger prospective studies. To be viable in daily practice, these imaging techniques should be sensitive to change on which evidence is limited [ 45 ]. It is important to further develop and implement advanced imaging techniques in clinical practice.…”
Section: Future Workmentioning
confidence: 99%
“…The rate of contrast enhancement and measurements of dynamic synovial enhancement may be used to assess the degree of infl ammatory response, but this is not routinely performed in clinical practice. Quantitative MRI assessment of synovial volumes also assesses response to therapy [ 17 ].…”
Section: Juvenile Idiopathic Arthritismentioning
confidence: 99%