Value of High Frequency Sonography in Rheumatoid Arthritis | ||||
Egyptian Journal of Rheumatology and Clinical Immunology | ||||
Article 6, Volume 3, Issue 1, January 2015, Page 23-32 PDF (893.11 K) | ||||
Document Type: Review articles | ||||
DOI: 10.21608/ejrci.2015.9311 | ||||
View on SCiNiTO | ||||
Authors | ||||
Andrea Klauser1; Mohamed Bedewi2; Mihra Taljanovic3; Johann Gruber4; Silvia Strobl1; Thomas Auer1; Stefan Rauch1; Werner Jaschke1; Erich Mur3 | ||||
1Departments of Diagnostic Radiology, Medical University Innsbruck, Austria. | ||||
2Radiology, Salman Bin Abdulaziz University, Kingdom of Saudi Arabia | ||||
3Medical Imaging, The University of Arizona Health Network. | ||||
4Internal Medicine, Medical University Innsbruck, Austria | ||||
Abstract | ||||
Rheumatoid arthritis is a chronic inflammatory arthritis with the incidence reaching up to 1% of the population. The treatment of rheumatoid arthritis (RA) has improved dramatically over the last years with the introduction of TNF (tumor necrosis factor) alpha inhibitors. Joint damage and functional impairment are highly important adverse outcomes of rheumatoid arthritis. They have been repeatedly shown to be associated with clinical disease activity, in particular with swollen joint counts and acute-phase reactant levels, as well as composite measures of disease activity in which these variables are included as components. OMERACT outcome measures in rheumatology group published consensus US definitions for common pathologic lesions observed in patients affected by RA, each of them is discussed, effusion, synovitis, bone erosion, hypervascularity and tenosynovitis. The use of musculoskeletal ultrasound (MSK-US)is growing more and more between radiologists and rheumatologists for the early diagnosis and therapeutic follow up of rheumatoid arthritis and US scores are used for monitoring RA disease activity; US findings can be scored using quantitative or semiquantitative scoring systems to estimate the degree of synovial/tenosynovial and erosive processes.. New technologies such as elastography, three dimensional sonography, fusion imaging and contrast enhanced ultrasound can add further powerful information in the imaging of RA. | ||||
Keywords | ||||
sonography; Rheumatoid Arthritis; erosions; synovitis, erosion | ||||
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