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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

MRI of the sacroiliac joints, TIRM sequence (turbo inversion recovery magnitude) (A) and T1FS sequence (T1 fat-suppressed sequence) after contrast agent administration (B): bilateral bone marrow edema in the subchondral layer of the iliac and sacral bone with changes prevailing on the left side undergoes contrast enhancement; and (B) bilateral inflammation of the anterior joint capsule and synovitis
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Figure 0003: MRI of the sacroiliac joints, TIRM sequence (turbo inversion recovery magnitude) (A) and T1FS sequence (T1 fat-suppressed sequence) after contrast agent administration (B): bilateral bone marrow edema in the subchondral layer of the iliac and sacral bone with changes prevailing on the left side undergoes contrast enhancement; and (B) bilateral inflammation of the anterior joint capsule and synovitis

Mentions: The role of imaging in the detection of spondyloarthropathies (SpA) was discussed in 2014 during the latest EULAR congress in Paris. Twenty-one members of the League (rheumatologists and radiologists from 11 countries) worked on 10 recommendations concerning axial and peripheral SpA. Conventional radiography and MRI are the most important imaging tools. They are followed by US and computed tomography. In the clinical practice, imaging is significant in detecting changes, monitoring disease activity and structural progression, determining prognosis and predicting treatment outcome. As for axial SpA, the first choice examination is sacroiliac joint radiography. In cases with a short duration of the disease or in young patients, MRI is the method of choice(20). This examination enables one to detect early active inflammatory changes, mainly bone marrow edema, and structural changes, such as erosions, sclerosis or fatty transformation of the bone marrow. In peripheral SpA, the leading diagnostic methods are MRI and US. They enable to detect and monitor joint synovitis, tenosynovitis and bursitis as well as to identify enthesopathy(21) (Fig. 3 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)

MRI of the sacroiliac joints, TIRM sequence (turbo inversion recovery magnitude) (A) and T1FS sequence (T1 fat-suppressed sequence) after contrast agent administration (B): bilateral bone marrow edema in the subchondral layer of the iliac and sacral bone with changes prevailing on the left side undergoes contrast enhancement; and (B) bilateral inflammation of the anterior joint capsule and synovitis
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: MRI of the sacroiliac joints, TIRM sequence (turbo inversion recovery magnitude) (A) and T1FS sequence (T1 fat-suppressed sequence) after contrast agent administration (B): bilateral bone marrow edema in the subchondral layer of the iliac and sacral bone with changes prevailing on the left side undergoes contrast enhancement; and (B) bilateral inflammation of the anterior joint capsule and synovitis
Mentions: The role of imaging in the detection of spondyloarthropathies (SpA) was discussed in 2014 during the latest EULAR congress in Paris. Twenty-one members of the League (rheumatologists and radiologists from 11 countries) worked on 10 recommendations concerning axial and peripheral SpA. Conventional radiography and MRI are the most important imaging tools. They are followed by US and computed tomography. In the clinical practice, imaging is significant in detecting changes, monitoring disease activity and structural progression, determining prognosis and predicting treatment outcome. As for axial SpA, the first choice examination is sacroiliac joint radiography. In cases with a short duration of the disease or in young patients, MRI is the method of choice(20). This examination enables one to detect early active inflammatory changes, mainly bone marrow edema, and structural changes, such as erosions, sclerosis or fatty transformation of the bone marrow. In peripheral SpA, the leading diagnostic methods are MRI and US. They enable to detect and monitor joint synovitis, tenosynovitis and bursitis as well as to identify enthesopathy(21) (Fig. 3 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