Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology
Objectives:Ultrasonography (US) is used in rheumatology to assess small joints in inflammatory arthritis. Recently there has been some investigation into the utility of US in osteoarthritis (OA), however there has been little comparison of US to other imaging modalities in OA. This study aimed to co...
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| Veröffentlicht in: | Annals of the rheumatic diseases 2008-08, Vol.67 (8), p.1116-1120 |
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| creator | Keen, H I Wakefield, R J Grainger, A J Hensor, E M A Emery, P Conaghan, P G |
| description | Objectives:Ultrasonography (US) is used in rheumatology to assess small joints in inflammatory arthritis. Recently there has been some investigation into the utility of US in osteoarthritis (OA), however there has been little comparison of US to other imaging modalities in OA. This study aimed to compare the detection of osteophytosis and joint space narrowing (JSN) by US and conventional radiography (CR) in OA of the hand.Methods:Subjects with OA of the hand underwent US and CR examination of the small joints of both hands to identify osteophytosis and joint space narrowing.Results:1106 joints of 37 patients were imaged with US and CR. US detected osteophytosis in 448 joints, compared to CR that detected osteophytosis in 228 joints (approximately 30% fewer joints). Where osteophytosis was detected by US but not CR, this was usually proximal to the joint line. Joint space narrowing was detected in 450 joints by US, but only 261 joints by CR. The distribution of US and CR detected osteoarthritis changes in this cohort was consistent with population studies of radiographic hand OA, although metacarpophalangeal (MCP) involvement was higher than might be expectedConclusions:US detected more osteophytosis and joint space narrowing than CR in OA of the hand. Involvement of MCP joints was more common than would be expected from population radiographic studies. The increased detection of OA structural pathology by US may make this a useful tool for hand OA research. |
| doi_str_mv | 10.1136/ard.2007.079483 |
| format | Article |
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A comparison between radiographic and ultrasonographic detected pathology</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Keen, H I ; Wakefield, R J ; Grainger, A J ; Hensor, E M A ; Emery, P ; Conaghan, P G</creator><creatorcontrib>Keen, H I ; Wakefield, R J ; Grainger, A J ; Hensor, E M A ; Emery, P ; Conaghan, P G</creatorcontrib><description>Objectives:Ultrasonography (US) is used in rheumatology to assess small joints in inflammatory arthritis. Recently there has been some investigation into the utility of US in osteoarthritis (OA), however there has been little comparison of US to other imaging modalities in OA. This study aimed to compare the detection of osteophytosis and joint space narrowing (JSN) by US and conventional radiography (CR) in OA of the hand.Methods:Subjects with OA of the hand underwent US and CR examination of the small joints of both hands to identify osteophytosis and joint space narrowing.Results:1106 joints of 37 patients were imaged with US and CR. US detected osteophytosis in 448 joints, compared to CR that detected osteophytosis in 228 joints (approximately 30% fewer joints). Where osteophytosis was detected by US but not CR, this was usually proximal to the joint line. Joint space narrowing was detected in 450 joints by US, but only 261 joints by CR. The distribution of US and CR detected osteoarthritis changes in this cohort was consistent with population studies of radiographic hand OA, although metacarpophalangeal (MCP) involvement was higher than might be expectedConclusions:US detected more osteophytosis and joint space narrowing than CR in OA of the hand. Involvement of MCP joints was more common than would be expected from population radiographic studies. The increased detection of OA structural pathology by US may make this a useful tool for hand OA research.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.2007.079483</identifier><identifier>PMID: 18037626</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Aged ; Agreements ; Arthritis ; Biological and medical sciences ; Disease ; Diseases of the osteoarticular system ; Female ; Finger Joint - diagnostic imaging ; Humans ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Observer Variation ; Osteoarthritis ; Osteoarthritis - diagnostic imaging ; Osteoarthritis - pathology ; Osteophyte - diagnostic imaging ; Pathology ; Radiography ; Sensitivity and Specificity ; Studies ; Ultrasonography</subject><ispartof>Annals of the rheumatic diseases, 2008-08, Vol.67 (8), p.1116-1120</ispartof><rights>2008 BMJ Publishing Group and European League Against Rheumatism</rights><rights>2008 INIST-CNRS</rights><rights>Copyright: 2008 2008 BMJ Publishing Group and European League Against Rheumatism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b467t-e1829ff56f2935f0220e3f4c31f414aa39797776439d7d9b066612c36e566ea93</citedby><cites>FETCH-LOGICAL-b467t-e1829ff56f2935f0220e3f4c31f414aa39797776439d7d9b066612c36e566ea93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://ard.bmj.com/content/67/8/1116.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://ard.bmj.com/content/67/8/1116.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77569,77600</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20492857$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18037626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keen, H I</creatorcontrib><creatorcontrib>Wakefield, R J</creatorcontrib><creatorcontrib>Grainger, A J</creatorcontrib><creatorcontrib>Hensor, E M A</creatorcontrib><creatorcontrib>Emery, P</creatorcontrib><creatorcontrib>Conaghan, P G</creatorcontrib><title>Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>Objectives:Ultrasonography (US) is used in rheumatology to assess small joints in inflammatory arthritis. Recently there has been some investigation into the utility of US in osteoarthritis (OA), however there has been little comparison of US to other imaging modalities in OA. This study aimed to compare the detection of osteophytosis and joint space narrowing (JSN) by US and conventional radiography (CR) in OA of the hand.Methods:Subjects with OA of the hand underwent US and CR examination of the small joints of both hands to identify osteophytosis and joint space narrowing.Results:1106 joints of 37 patients were imaged with US and CR. US detected osteophytosis in 448 joints, compared to CR that detected osteophytosis in 228 joints (approximately 30% fewer joints). Where osteophytosis was detected by US but not CR, this was usually proximal to the joint line. Joint space narrowing was detected in 450 joints by US, but only 261 joints by CR. The distribution of US and CR detected osteoarthritis changes in this cohort was consistent with population studies of radiographic hand OA, although metacarpophalangeal (MCP) involvement was higher than might be expectedConclusions:US detected more osteophytosis and joint space narrowing than CR in OA of the hand. Involvement of MCP joints was more common than would be expected from population radiographic studies. The increased detection of OA structural pathology by US may make this a useful tool for hand OA research.</description><subject>Aged</subject><subject>Agreements</subject><subject>Arthritis</subject><subject>Biological and medical sciences</subject><subject>Disease</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finger Joint - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Observer Variation</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - diagnostic imaging</subject><subject>Osteoarthritis - pathology</subject><subject>Osteophyte - diagnostic imaging</subject><subject>Pathology</subject><subject>Radiography</subject><subject>Sensitivity and Specificity</subject><subject>Studies</subject><subject>Ultrasonography</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUGL1DAUx4so7uzq2ZsERA9CZ5MmTZrTsgw6KouirOItpO3rNmOb1CRdnW_jRzVLhxXm4inkvV_-74Vflj0jeE0I5efat-sCY7HGQrKKPshWhPEqLzDHD7MVxpjmTHJxkp2GsEtXXJHqcXZCKkwFL_gq-7PRFs1D9Do46268nvo9MuPk3S0gZ5HXrVnKpkE6BAhhBBuRsciFCE772HsTTUCuQ7EH1Gvbhgt0iRo3TtqbFItqiL8AjsNsezQ4FVuI0ERo0aRj7wZ3s3-SPer0EODp4TzLvr59c715l1992r7fXF7lNeMi5kCqQnZdybtC0rLDRYGBdqyhpGOEaU2lkEIIzqhsRStrzDknRUM5lJyDlvQse7Xkpq__nCFENZrQwDBoC24OiktKJKUsgS-OwJ2bvU27KZImVCUnFCfqfKEa70Lw0KnJm1H7vSJY3alTSZ26U6cWdenF80PuXI_Q_uMPrhLw8gDo0Oih89o2JtxzBWayqEqRuHzhTBL0-76v_Q_FBRWl-vhto758_r7FH7ZEXSf-9cLX4-6_W_4FLMLA4A</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Keen, H I</creator><creator>Wakefield, R J</creator><creator>Grainger, A J</creator><creator>Hensor, E M A</creator><creator>Emery, P</creator><creator>Conaghan, P G</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>Elsevier Limited</general><scope>BSCLL</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080801</creationdate><title>Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology</title><author>Keen, H I ; Wakefield, R J ; Grainger, A J ; Hensor, E M A ; Emery, P ; Conaghan, P G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b467t-e1829ff56f2935f0220e3f4c31f414aa39797776439d7d9b066612c36e566ea93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Agreements</topic><topic>Arthritis</topic><topic>Biological and medical sciences</topic><topic>Disease</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finger Joint - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Observer Variation</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - diagnostic imaging</topic><topic>Osteoarthritis - pathology</topic><topic>Osteophyte - diagnostic imaging</topic><topic>Pathology</topic><topic>Radiography</topic><topic>Sensitivity and Specificity</topic><topic>Studies</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keen, H I</creatorcontrib><creatorcontrib>Wakefield, R J</creatorcontrib><creatorcontrib>Grainger, A J</creatorcontrib><creatorcontrib>Hensor, E M A</creatorcontrib><creatorcontrib>Emery, P</creatorcontrib><creatorcontrib>Conaghan, P G</creatorcontrib><collection>Istex</collection><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>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keen, H I</au><au>Wakefield, R J</au><au>Grainger, A J</au><au>Hensor, E M A</au><au>Emery, P</au><au>Conaghan, P G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>67</volume><issue>8</issue><spage>1116</spage><epage>1120</epage><pages>1116-1120</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>Objectives:Ultrasonography (US) is used in rheumatology to assess small joints in inflammatory arthritis. Recently there has been some investigation into the utility of US in osteoarthritis (OA), however there has been little comparison of US to other imaging modalities in OA. This study aimed to compare the detection of osteophytosis and joint space narrowing (JSN) by US and conventional radiography (CR) in OA of the hand.Methods:Subjects with OA of the hand underwent US and CR examination of the small joints of both hands to identify osteophytosis and joint space narrowing.Results:1106 joints of 37 patients were imaged with US and CR. US detected osteophytosis in 448 joints, compared to CR that detected osteophytosis in 228 joints (approximately 30% fewer joints). Where osteophytosis was detected by US but not CR, this was usually proximal to the joint line. Joint space narrowing was detected in 450 joints by US, but only 261 joints by CR. The distribution of US and CR detected osteoarthritis changes in this cohort was consistent with population studies of radiographic hand OA, although metacarpophalangeal (MCP) involvement was higher than might be expectedConclusions:US detected more osteophytosis and joint space narrowing than CR in OA of the hand. Involvement of MCP joints was more common than would be expected from population radiographic studies. The increased detection of OA structural pathology by US may make this a useful tool for hand OA research.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>18037626</pmid><doi>10.1136/ard.2007.079483</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Agreements Arthritis Biological and medical sciences Disease Diseases of the osteoarticular system Female Finger Joint - diagnostic imaging Humans Male Medical imaging Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Observer Variation Osteoarthritis Osteoarthritis - diagnostic imaging Osteoarthritis - pathology Osteophyte - diagnostic imaging Pathology Radiography Sensitivity and Specificity Studies Ultrasonography |
| title | Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology |
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