Rheumatoid arthritis and its variants: analysis of scintiphotographic, radiographic, and clinical examinations

Weissberg, DL; Resnick, Donald; Taylor, Audrey; Becker, M.; Np, Alazraki

doi:10.2214/ajr.131.4.665

Cited by 54 publications

(10 citation statements)

References 9 publications

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“…In many cases the presence of a positive scan was associated with healing of an erosion rather than radiological deterioration as previously suggested. 13 Although erosions are a hallmark of rheumatoid arthritis, the bone scan only detects some metabolically active erosions and may also reflect more transient vascular and inflammatory changes in bone.…”

Section: Discussionmentioning

confidence: 99%

Metabolic activity of erosions in rheumatoid arthritis.

Pitt¹,

Berry²,

Clarke³

et al. 1986

Annals of the Rheumatic Diseases

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SUMMARYThe hands of 10 patients with rheumatoid arthritis were investigated with diphosphonate scanning and radiology. Increased uptake of isotope can be associated with some erosions but not all and also reflects other processes more linked to acute inflammatory areas unassociated with the development of erosions. If the latter are the hallmark of active rheumatoid arthritis then bone scans are not.

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Section: Discussionmentioning

confidence: 99%

Metabolic activity of erosions in rheumatoid arthritis.

Pitt¹,

Berry²,

Clarke³

et al. 1986

Annals of the Rheumatic Diseases

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“…30,41 The incidence of fractures reportedly increases with disease duration and is typically associated with minor trauma such as groundlevel falls. 18,64 Even relatively minor trauma can result in major structural deformity and neurological deficit. Consequent pain can lead to disability, especially if the deformity or pain interferes with physical function.…”

Section: Acute Traumatic Fracturesmentioning

confidence: 99%

“…Chronic inflammatory AS, unlike fracture, typically does not demonstrate an increased uptake. 64 Although increased radionuclide uptake in cases of acute AS is common, such a finding in chronic AS should alert the physician to possible fracture. With the combination of a positive bone scan and symptoms localized to one segment of the spine, the diagnosis of fracture is easier to make.…”

Section: Differentiation Among Inflammatory Lesions Fractures and Imentioning

confidence: 99%

Complications of the spine in ankylosing spondylitis with a focus on deformity correction

Mundwiler

Siddique

Dym

et al. 2008

FOC

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“…In some cases, skeletal scintigraphy may help in establishing a diagnosis of AS in which radiographic and CT findings are equivocal. Pathologic radionuclide uptake in the SI joints has been shown in active psoriatic arthritis and may be present before radiologic changes are demonstrable [21].…”

Section: Scintigraphymentioning

confidence: 99%

Imaging in spondyloarthropathies

Grigoryan¹,

Roemer²,

Mohr³

et al. 2004

Curr Rheumatol Rep

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Seronegative spondyloarthropathies comprise a group of inflammatory arthritides, which consists of ankylosing spondylitis, psoriatic arthritis, reactive arthritis (Reiter's syndrome), enteropathic arthritis, and undifferentiated spondyloarthropathy. All of them share common laboratory, clinical, and imaging findings, with characteristic involvement of the sacroiliac joints, spine, and, to various degrees, peripheral joints. For many years, conventional radiography was the mainstay for definitive diagnosis of sacroiliitis and for follow-up of the anatomic changes in the spine, peripheral joints, and entheses. Conventional radiographs remain the imaging investigation of choice; however, they are unable to detect early inflammatory changes of sacroiliitis, which are important for establishing a diagnosis without delay. Other imaging modalities, such as computed tomography, bone scintigraphy, magnetic resonance imaging, and ultrasonography have improved the capabilities of detecting early disease and became useful adjuncts to plain films. In addition, they also have enabled more accurate detection of pathology at various anatomic sites of the musculoskeletal system predominantly involved in spondyloarthropathies. This article will review and highlight the role of each of these modalities in the assessment of the axial and peripheral skeleton in seronegative spondyloarthropathies.

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Rheumatoid arthritis and its variants: analysis of scintiphotographic, radiographic, and clinical examinations

Cited by 54 publications

References 9 publications

Metabolic activity of erosions in rheumatoid arthritis.

Metabolic activity of erosions in rheumatoid arthritis.

Complications of the spine in ankylosing spondylitis with a focus on deformity correction

Imaging in spondyloarthropathies

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