Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI
Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA). Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced ra...
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Veröffentlicht in: | American journal of roentgenology (1976) 2006-08, Vol.187 (2), p.351-357 |
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container_title | American journal of roentgenology (1976) |
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creator | Schoellnast, Helmut Deutschmann, Hannes A Hermann, Josef Schaffler, Gottfried J Reittner, Pia Kammerhuber, Fritz Szolar, Dieter H Preidler, Klaus W |
description | Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA).
Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis. The distribution of the abnormalities also was evaluated.
Erosions were statistically more frequent in patients with RA (p < 0.05). Periostitis was statistically seen more frequently in patients with PsA (p < 0.05). No statistically significant difference was found in the frequency of synovitis, bone marrow edema, bone cysts, and tenosynovitis between the two groups (p > 0.05). The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p < 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p < 0.05).
Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA. |
doi_str_mv | 10.2214/AJR.04.1798 |
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Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis. The distribution of the abnormalities also was evaluated.
Erosions were statistically more frequent in patients with RA (p < 0.05). Periostitis was statistically seen more frequently in patients with PsA (p < 0.05). No statistically significant difference was found in the frequency of synovitis, bone marrow edema, bone cysts, and tenosynovitis between the two groups (p > 0.05). The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p < 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p < 0.05).
Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/AJR.04.1798</identifier><identifier>PMID: 16861537</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthritis, Psoriatic - diagnosis ; Arthritis, Rheumatoid - diagnosis ; Biological and medical sciences ; Contrast Media ; Dermatology ; Diseases of the osteoarticular system ; Female ; Hand Joints - pathology ; Humans ; Inflammatory joint diseases ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Psoriasis. Parapsoriasis. Lichen ; Retrospective Studies</subject><ispartof>American journal of roentgenology (1976), 2006-08, Vol.187 (2), p.351-357</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-6c876c5502211bc1439859917b5b3a408e04b3d91c1d7b72121d1266a6343d253</citedby><cites>FETCH-LOGICAL-c348t-6c876c5502211bc1439859917b5b3a408e04b3d91c1d7b72121d1266a6343d253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4106,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17971931$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16861537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoellnast, Helmut</creatorcontrib><creatorcontrib>Deutschmann, Hannes A</creatorcontrib><creatorcontrib>Hermann, Josef</creatorcontrib><creatorcontrib>Schaffler, Gottfried J</creatorcontrib><creatorcontrib>Reittner, Pia</creatorcontrib><creatorcontrib>Kammerhuber, Fritz</creatorcontrib><creatorcontrib>Szolar, Dieter H</creatorcontrib><creatorcontrib>Preidler, Klaus W</creatorcontrib><title>Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA).
Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis. The distribution of the abnormalities also was evaluated.
Erosions were statistically more frequent in patients with RA (p < 0.05). Periostitis was statistically seen more frequently in patients with PsA (p < 0.05). No statistically significant difference was found in the frequency of synovitis, bone marrow edema, bone cysts, and tenosynovitis between the two groups (p > 0.05). The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p < 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p < 0.05).
Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Psoriatic - diagnosis</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Contrast Media</subject><subject>Dermatology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hand Joints - pathology</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Psoriasis. Parapsoriasis. Lichen</subject><subject>Retrospective Studies</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotlZP3mUvepGtmU02yXorpWqlohQFbyGbpG5kP2qypfjvjbTQ0xzm4Z15H4QuAY-zDOjd5Hk5xnQMvBBHaAg5ZSkBCsdoiAmDVGDyOUBnIXxjjLko-CkaABMMcsKH6PUtdN6p3ulk4vvKu96FRLUmWVZ206i-c-awuE8eXGtc-xUS1ybTru29Cn06ayvVamuSl-X8HJ2sVB3sxX6O0MfD7H36lC5eH-fTySLVhIo-ZVpwpvMcxwZQaqCkEHlRAC_zkiiKhcW0JKYADYaXPIMMDGSMKUYoMVlORuhml7v23c_Ghl42Lmhb16q13SbIWJBxDEUEb3eg9l0I3q7k2rtG-V8JWP77k9GfxFT--4v01T52UzbWHNi9sAhc7wEVtKpXPjZ34cDxgsejcPivcl_V1nkrQ6PqOsaC3G63ILjMJMmB_AHtCYL9</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Schoellnast, Helmut</creator><creator>Deutschmann, Hannes A</creator><creator>Hermann, Josef</creator><creator>Schaffler, Gottfried J</creator><creator>Reittner, Pia</creator><creator>Kammerhuber, Fritz</creator><creator>Szolar, Dieter H</creator><creator>Preidler, Klaus W</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI</title><author>Schoellnast, Helmut ; Deutschmann, Hannes A ; Hermann, Josef ; Schaffler, Gottfried J ; Reittner, Pia ; Kammerhuber, Fritz ; Szolar, Dieter H ; Preidler, Klaus W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-6c876c5502211bc1439859917b5b3a408e04b3d91c1d7b72121d1266a6343d253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Psoriatic - diagnosis</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Biological and medical sciences</topic><topic>Contrast Media</topic><topic>Dermatology</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hand Joints - pathology</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Psoriasis. Parapsoriasis. Lichen</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schoellnast, Helmut</creatorcontrib><creatorcontrib>Deutschmann, Hannes A</creatorcontrib><creatorcontrib>Hermann, Josef</creatorcontrib><creatorcontrib>Schaffler, Gottfried J</creatorcontrib><creatorcontrib>Reittner, Pia</creatorcontrib><creatorcontrib>Kammerhuber, Fritz</creatorcontrib><creatorcontrib>Szolar, Dieter H</creatorcontrib><creatorcontrib>Preidler, Klaus W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoellnast, Helmut</au><au>Deutschmann, Hannes A</au><au>Hermann, Josef</au><au>Schaffler, Gottfried J</au><au>Reittner, Pia</au><au>Kammerhuber, Fritz</au><au>Szolar, Dieter H</au><au>Preidler, Klaus W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>187</volume><issue>2</issue><spage>351</spage><epage>357</epage><pages>351-357</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA).
Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis. The distribution of the abnormalities also was evaluated.
Erosions were statistically more frequent in patients with RA (p < 0.05). Periostitis was statistically seen more frequently in patients with PsA (p < 0.05). No statistically significant difference was found in the frequency of synovitis, bone marrow edema, bone cysts, and tenosynovitis between the two groups (p > 0.05). The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p < 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p < 0.05).
Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>16861537</pmid><doi>10.2214/AJR.04.1798</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Arthritis, Psoriatic - diagnosis Arthritis, Rheumatoid - diagnosis Biological and medical sciences Contrast Media Dermatology Diseases of the osteoarticular system Female Hand Joints - pathology Humans Inflammatory joint diseases Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Psoriasis. Parapsoriasis. Lichen Retrospective Studies |
title | Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI |
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