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Role of ultrasonography in the diagnosis of rheumatic diseases in light of ACR/EULAR guidelines.

Płaza M, Nowakowska-Płaza A, Pracoń G, Sudoł-Szopińska I - J Ultrason (2016)

Bottom Line: These criteria have become the basis for recommendations prepared by experts from the European League Against Rheumatism concerning medical imaging in rheumatoid arthritis.In the new criteria concerning polymyalgia rheumatica from 2012, an ultrasound scan of the shoulder and pelvic girdle was considered an alternative to clinical assessment.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

ABSTRACT
In the past years, ultrasound imaging has become an integral element of the diagnostic process in rheumatic diseases. It enables the identification of a range of inflammatory changes in joint cavities, sheaths and bursae, and allows their activity to be assessed. In 2012, experts of the European Society of Musculoskeletal Radiology prepared recommendations concerning the role of ultrasonography in the diagnosis of musculoskeletal diseases. Ultrasound was considered the method of choice in imaging peripheral synovitis. Moreover, ultrasound imaging has been popularized thanks to the new classification criteria for rheumatoid arthritis issued by the American College of Rheumatology and European League Against Rheumatism in 2010. They underline the role of ultrasound imaging in the detection of articular inflammatory changes that are difficult to assess unambiguously in the clinical examination. These criteria have become the basis for recommendations prepared by experts from the European League Against Rheumatism concerning medical imaging in rheumatoid arthritis. Nine of ten recommendations concern ultrasonography which is relevant in detecting diseases, predicting their progression and treatment response, monitoring disease activity and identifying remission. In the new criteria concerning polymyalgia rheumatica from 2012, an ultrasound scan of the shoulder and pelvic girdle was considered an alternative to clinical assessment. Moreover, the relevance of ultrasonography in the diagnosis and monitoring of peripheral spondyloarthropathies was widely discussed in 2014 during the meeting of the European League Against Rheumatism in Paris.

No MeSH data available.


Related in: MedlinePlus

Grey-scale US (A) and color Doppler (B) of the wrist: effusion, synovial hypertrophy in the radiocarpal joint (synovitis) and tenosynovitis of the extensor carpi ulnaris
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Figure 0001: Grey-scale US (A) and color Doppler (B) of the wrist: effusion, synovial hypertrophy in the radiocarpal joint (synovitis) and tenosynovitis of the extensor carpi ulnaris

Mentions: The crucial role in preventing joint damage belongs to early diagnosis and initiation of treatment modifying the course of the disease. That is why, in 2013, a group of 19 EULAR experts from 13 countries prepared recommendations concerning medical imaging in RA in order to make a diagnosis in patients with at least one joint bearing clinical signs of inflammation, detect structural joint damage, predict the course of the disease and treatment response, monitor progression and determine remission. Each of 10 recommendations has its specific strength (expressed in the visual analogue scale, VAS 0–10: 0 – not recommended at all, 10 – fully recommended) and evidence level (I – randomized controlled trials; II at least one controlled study without randomization; III non-experimental descriptive studies; IV, evidence from expert opinions). Although the level of evidence of the recommendations is III and IV, their strength is relatively high (7.8–9.4). Below, the said recommendations are listed(11), nine of which concern the usage of ultrasonography as a recommended but not obligatory tool (Fig. 1 A, B).


Role of ultrasonography in the diagnosis of rheumatic diseases in light of ACR/EULAR guidelines.

Płaza M, Nowakowska-Płaza A, Pracoń G, Sudoł-Szopińska I - J Ultrason (2016)

Grey-scale US (A) and color Doppler (B) of the wrist: effusion, synovial hypertrophy in the radiocarpal joint (synovitis) and tenosynovitis of the extensor carpi ulnaris
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834371&req=5

Figure 0001: Grey-scale US (A) and color Doppler (B) of the wrist: effusion, synovial hypertrophy in the radiocarpal joint (synovitis) and tenosynovitis of the extensor carpi ulnaris
Mentions: The crucial role in preventing joint damage belongs to early diagnosis and initiation of treatment modifying the course of the disease. That is why, in 2013, a group of 19 EULAR experts from 13 countries prepared recommendations concerning medical imaging in RA in order to make a diagnosis in patients with at least one joint bearing clinical signs of inflammation, detect structural joint damage, predict the course of the disease and treatment response, monitor progression and determine remission. Each of 10 recommendations has its specific strength (expressed in the visual analogue scale, VAS 0–10: 0 – not recommended at all, 10 – fully recommended) and evidence level (I – randomized controlled trials; II at least one controlled study without randomization; III non-experimental descriptive studies; IV, evidence from expert opinions). Although the level of evidence of the recommendations is III and IV, their strength is relatively high (7.8–9.4). Below, the said recommendations are listed(11), nine of which concern the usage of ultrasonography as a recommended but not obligatory tool (Fig. 1 A, B).

Bottom Line: These criteria have become the basis for recommendations prepared by experts from the European League Against Rheumatism concerning medical imaging in rheumatoid arthritis.In the new criteria concerning polymyalgia rheumatica from 2012, an ultrasound scan of the shoulder and pelvic girdle was considered an alternative to clinical assessment.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

ABSTRACT
In the past years, ultrasound imaging has become an integral element of the diagnostic process in rheumatic diseases. It enables the identification of a range of inflammatory changes in joint cavities, sheaths and bursae, and allows their activity to be assessed. In 2012, experts of the European Society of Musculoskeletal Radiology prepared recommendations concerning the role of ultrasonography in the diagnosis of musculoskeletal diseases. Ultrasound was considered the method of choice in imaging peripheral synovitis. Moreover, ultrasound imaging has been popularized thanks to the new classification criteria for rheumatoid arthritis issued by the American College of Rheumatology and European League Against Rheumatism in 2010. They underline the role of ultrasound imaging in the detection of articular inflammatory changes that are difficult to assess unambiguously in the clinical examination. These criteria have become the basis for recommendations prepared by experts from the European League Against Rheumatism concerning medical imaging in rheumatoid arthritis. Nine of ten recommendations concern ultrasonography which is relevant in detecting diseases, predicting their progression and treatment response, monitoring disease activity and identifying remission. In the new criteria concerning polymyalgia rheumatica from 2012, an ultrasound scan of the shoulder and pelvic girdle was considered an alternative to clinical assessment. Moreover, the relevance of ultrasonography in the diagnosis and monitoring of peripheral spondyloarthropathies was widely discussed in 2014 during the meeting of the European League Against Rheumatism in Paris.

No MeSH data available.


Related in: MedlinePlus