Sonography and NMR Imaging in Rheumatoid Gonarthritis

Hammer, Michael; Mielke, H.; Wagener, P.; Schwarzrock, R.; Giebel, G.

doi:10.3109/03009748609102083

Cited by 35 publications

(18 citation statements)

References 11 publications

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“…Compression with the transducer or the free hand enables mobilization of fluid and thus differentiation between effusion and synovial thickening. 1 If thickening of the synovial membrane is detected sonographically, measurement is possible ( Figure 1); sonographic measurements are highly correlated with those obtained by MRI. 2 Disease activity may be suspected if power Doppler sonography shows hypervascularization of the synovial membrane.…”

Section: Inflammatory Joint Disease (Arthritis)mentioning

confidence: 99%

Sonography of the knee: Intra‐articular pathology

Court‐Payen

2004

J of Clinical Ultrasound

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MRI is the gold-standard imaging technique for evaluation of the intra-articular structures of the knee, and the use of sonography remains controversial. Sonography nevertheless is a useful alternative in several conditions: Inflammatory joint diseases, where it is appropriate for early diagnosis and follow-up of joint effusion and synovitis; peri-articular masses, where it is the best modality for guidance of needle puncture or biopsy; suspected meniscus or ligament lesion, where it may provide a positive diagnosis but is not sufficient to exclude intra-articular lesions; and loose bodies, where it is an outstanding modality for diagnosing lesions not evident on radiographs.

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Section: Inflammatory Joint Disease (Arthritis)mentioning

confidence: 99%

Sonography of the knee: Intra‐articular pathology

Court‐Payen

2004

J of Clinical Ultrasound

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“…Ultrasound showed joint swelling in all cases. In case 1, synovial thickening could be seen through the presence of villosities of the posterior salience, as described by Wyld et al (5) and Hammer et al (6) . additionally, we probed the possibility of measuring synovial membrane thickness and found values ranging from 7 to 100 mm, consistent with those found by Bessmeltsev et al (7) : 6 to 8 mm and by Wyld et al (5) : 12 and 19 mm.…”

Section: Discussionmentioning

confidence: 65%

O ultra-som na artropatia hemofílica subaguda do joelho

Bellegard

Caetano

2006

Acta ortop. bras.

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São apresentados 4 casos de Artropatia Hemofílica Subaguda de Joelho em seus aspectos clínicos, radiográficos e ultra-sonográficos. A radiografia tem alterações discretas nas fases iniciais da Artropatia Hemofílica (AH). São enfatizados os aspectos do ultra-som, que proporcionou imagem direta da membrana sinovial no recesso capsular anterior do joelho. Discutimos a possibilidade de utilização da ultra-sonografia como marcador de atividade inflamatória.

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“…The US analysis reliably detects both abnormalities and it is thus considered an accurate imaging method for the study of synovitis [19,[27][28][29]. Previous studies demonstrated that magnetic resonance analysis of a single sagittal slice and US measurements of synovial thickness in the suprapatellar bursa are reliable and accurate methods for the quantification of the severity of the inflammatory process in RA and in Sj6gren's syndrome patients [19,30,31].…”

Section: Resultsmentioning

confidence: 99%

Intra-articular methotrexate in the treatment of rheumatoid arthritis and psoriatic arthritis: a clinical and sonographic study

et al. 2006

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The aim of our study was to evaluate the effects of intra-articular methotrexate (MTX) in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA). Twenty-three consecutive patients, 10 with RA and 13 with PsA, with prevalent or unique arthritic involvement of one knee, were treated with intra-articular injections of MTX 10 mg every 7 days for 8 weeks. Before the beginning of the treatment and after 9 and 17 weeks, the patients underwent a clinical evaluation measuring maximal knee flexion angle, visual analog scale (VAS) and erythrocyte sedimentation rate (ESR). On the same days, an ultrasonographic examination of the involved knee was performed by two independent experienced operators. Synovial thickness in the suprapatellar bursa and the presence of joint effusion and Baker's cyst were assessed. An increase of the mean value of maximal knee flexion angle and a reduction of the mean values of ESR and VAS between TO, T9 and T17 were demonstrated. Ultrasonographic evaluation showed significant reduction of synovial thickness and joint effusion. No differences were detected for the presence of Baker's cyst. We may conclude that repeated intra-articular injections of MTX resulted in a decrease of local as well as systemic inflammatory signs. As far as we know, this is the first study that explores the effects of intra-articular MTX in RA and PsA both clinically and by ultrasonography.

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Sonography and NMR Imaging in Rheumatoid Gonarthritis

Cited by 35 publications

References 11 publications

Sonography of the knee: Intra‐articular pathology

Sonography of the knee: Intra‐articular pathology

O ultra-som na artropatia hemofílica subaguda do joelho

Intra-articular methotrexate in the treatment of rheumatoid arthritis and psoriatic arthritis: a clinical and sonographic study

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