Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis
Objective The objective was to perform detailed analysis of the involved soft tissues, tendons, joints, and bones in the hands and wrists of patients with psoriatic arthritis (PsA). Materials and methods We reviewed 23 contrast-enhanced MR imaging studies (13 hands and 10 wrists) in 10 patients with...
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| Veröffentlicht in: | Skeletal radiology 2008-05, Vol.37 (5), p.433-442 |
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| creator | Tehranzadeh, Jamshid Ashikyan, Oganes Anavim, Arash Shin, John |
| description | Objective
The objective was to perform detailed analysis of the involved soft tissues, tendons, joints, and bones in the hands and wrists of patients with psoriatic arthritis (PsA).
Materials and methods
We reviewed 23 contrast-enhanced MR imaging studies (13 hands and 10 wrists) in 10 patients with the clinical diagnosis of PsA. We obtained clinical information from medical records and evaluated images for the presence of erosions, bone marrow edema, joint synovitis, tenosynovitis, carpal tunnel, and soft tissue involvement. Two board-certified musculoskeletal radiologists reviewed all images independently. Differences were resolved during a subsequent joint session.
Results
The average duration of disease was 71.3 months, ranging from 1 month to 25 years. Eight of the 10 wrists (80%) and 6 of the 13 hands demonstrated bone erosions. Bone marrow abnormalities were shown in 5 of the 10 wrists (50%) and 4 of the 14 hands (31%). Triangular fibrocartilage tears were seen in 6 of the 10 wrists (60%). Wrist and hand joint synovitis were present in all studies (67 wrist joints and 101 hand joints). Wrist soft tissue involvement was detected in 9 of the 10 wrists (90%) and hand soft tissue involvement was present in 12 of the 13 wrists (92%). Findings adjacent to the region of soft tissue involvement included synovitis (4 wrists) and tenosynovitis (3 wrists). Bone marrow edema adjacent to the region of soft tissue involvement was seen in one wrist. Bulge of the flexor retinaculum was seen in 4 of the 10 wrists (40%) and median nerve enhancement was seen in 8 of the 10 wrists (80%). Tenosynovitis was seen in all studies (all 10 of the hands and all 13 of the wrists). The “rheumatoid” type of distribution of bony lesions was common in our study. Interobserver agreement for various findings ranged from 83% to 100%.
Conclusion
Contrast-enhanced MRI unequivocally demonstrated bone marrow edema, erosions, tendon and soft-tissue disease, and median nerve involvement, with good interobserver reliability in patients with PsA of the hands and wrists. Disease was more extensive in the wrists than in the hands. |
| doi_str_mv | 10.1007/s00256-008-0451-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70422340</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70422340</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-de7fcf90009e886031597c4f9aebe23a1f6d86fbf55fde0073a98dc2e6dc0bb43</originalsourceid><addsrcrecordid>eNp1kF1rFDEUhoModlv9Ad7IINi76Ekyk8lcSm210FIQvQ6Z5MRNmZ1Zc7KU_nuz7mJB8Cof73NOch7G3gj4IAD6jwQgO80BDIe2E1w_YyvRKsml0OI5W4HSLZeqNSfslOgeQPR9p1-yE2Gk0dLIFfOfsbg0YWjc7KZHStQssfHLXLKjwnFeu9nX9Pbb9T6op0AVDc1DTlSoSXOzdSXhXPcPqaybLS051RvfuFzWOZVEr9iL6CbC18f1jP24uvx-8ZXf3H25vvh0w70ahsID9tHHAQAGNEaDEt3Q-zYODkeUyomog9FxjF0XA9b5lRtM8BJ18DCOrTpj54e-27z82iEVu0nkcZrcjMuObA-trDaggu_-Ae-XXa7zk5VghDZC7SFxgHxeiDJGu81p4_KjFWD3-u1Bv6367V6_1bXm7bHxbtxgeKo4-q7A-yPgyLsp5mo30V9OgpRa_-HkgaMazT8xP_3w_6__Bj5kna8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>208168130</pqid></control><display><type>article</type><title>Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Tehranzadeh, Jamshid ; Ashikyan, Oganes ; Anavim, Arash ; Shin, John</creator><creatorcontrib>Tehranzadeh, Jamshid ; Ashikyan, Oganes ; Anavim, Arash ; Shin, John</creatorcontrib><description>Objective
The objective was to perform detailed analysis of the involved soft tissues, tendons, joints, and bones in the hands and wrists of patients with psoriatic arthritis (PsA).
Materials and methods
We reviewed 23 contrast-enhanced MR imaging studies (13 hands and 10 wrists) in 10 patients with the clinical diagnosis of PsA. We obtained clinical information from medical records and evaluated images for the presence of erosions, bone marrow edema, joint synovitis, tenosynovitis, carpal tunnel, and soft tissue involvement. Two board-certified musculoskeletal radiologists reviewed all images independently. Differences were resolved during a subsequent joint session.
Results
The average duration of disease was 71.3 months, ranging from 1 month to 25 years. Eight of the 10 wrists (80%) and 6 of the 13 hands demonstrated bone erosions. Bone marrow abnormalities were shown in 5 of the 10 wrists (50%) and 4 of the 14 hands (31%). Triangular fibrocartilage tears were seen in 6 of the 10 wrists (60%). Wrist and hand joint synovitis were present in all studies (67 wrist joints and 101 hand joints). Wrist soft tissue involvement was detected in 9 of the 10 wrists (90%) and hand soft tissue involvement was present in 12 of the 13 wrists (92%). Findings adjacent to the region of soft tissue involvement included synovitis (4 wrists) and tenosynovitis (3 wrists). Bone marrow edema adjacent to the region of soft tissue involvement was seen in one wrist. Bulge of the flexor retinaculum was seen in 4 of the 10 wrists (40%) and median nerve enhancement was seen in 8 of the 10 wrists (80%). Tenosynovitis was seen in all studies (all 10 of the hands and all 13 of the wrists). The “rheumatoid” type of distribution of bony lesions was common in our study. Interobserver agreement for various findings ranged from 83% to 100%.
Conclusion
Contrast-enhanced MRI unequivocally demonstrated bone marrow edema, erosions, tendon and soft-tissue disease, and median nerve involvement, with good interobserver reliability in patients with PsA of the hands and wrists. Disease was more extensive in the wrists than in the hands.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-008-0451-6</identifier><identifier>PMID: 18286282</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arthritis, Psoriatic - complications ; Arthritis, Psoriatic - pathology ; Biological and medical sciences ; Cohort Studies ; Contrast Media ; Dermatology ; Diseases of the osteoarticular system ; Female ; Gadolinium DTPA ; Hand ; Humans ; Imaging ; Inflammatory joint diseases ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Observer Variation ; Orthopedics ; Osteoarticular system. Muscles ; Pathology ; Psoriasis. Parapsoriasis. Lichen ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Scientific Article ; Severity of Illness Index</subject><ispartof>Skeletal radiology, 2008-05, Vol.37 (5), p.433-442</ispartof><rights>ISS 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-de7fcf90009e886031597c4f9aebe23a1f6d86fbf55fde0073a98dc2e6dc0bb43</citedby><cites>FETCH-LOGICAL-c399t-de7fcf90009e886031597c4f9aebe23a1f6d86fbf55fde0073a98dc2e6dc0bb43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-008-0451-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-008-0451-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20226682$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18286282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tehranzadeh, Jamshid</creatorcontrib><creatorcontrib>Ashikyan, Oganes</creatorcontrib><creatorcontrib>Anavim, Arash</creatorcontrib><creatorcontrib>Shin, John</creatorcontrib><title>Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Objective
The objective was to perform detailed analysis of the involved soft tissues, tendons, joints, and bones in the hands and wrists of patients with psoriatic arthritis (PsA).
Materials and methods
We reviewed 23 contrast-enhanced MR imaging studies (13 hands and 10 wrists) in 10 patients with the clinical diagnosis of PsA. We obtained clinical information from medical records and evaluated images for the presence of erosions, bone marrow edema, joint synovitis, tenosynovitis, carpal tunnel, and soft tissue involvement. Two board-certified musculoskeletal radiologists reviewed all images independently. Differences were resolved during a subsequent joint session.
Results
The average duration of disease was 71.3 months, ranging from 1 month to 25 years. Eight of the 10 wrists (80%) and 6 of the 13 hands demonstrated bone erosions. Bone marrow abnormalities were shown in 5 of the 10 wrists (50%) and 4 of the 14 hands (31%). Triangular fibrocartilage tears were seen in 6 of the 10 wrists (60%). Wrist and hand joint synovitis were present in all studies (67 wrist joints and 101 hand joints). Wrist soft tissue involvement was detected in 9 of the 10 wrists (90%) and hand soft tissue involvement was present in 12 of the 13 wrists (92%). Findings adjacent to the region of soft tissue involvement included synovitis (4 wrists) and tenosynovitis (3 wrists). Bone marrow edema adjacent to the region of soft tissue involvement was seen in one wrist. Bulge of the flexor retinaculum was seen in 4 of the 10 wrists (40%) and median nerve enhancement was seen in 8 of the 10 wrists (80%). Tenosynovitis was seen in all studies (all 10 of the hands and all 13 of the wrists). The “rheumatoid” type of distribution of bony lesions was common in our study. Interobserver agreement for various findings ranged from 83% to 100%.
Conclusion
Contrast-enhanced MRI unequivocally demonstrated bone marrow edema, erosions, tendon and soft-tissue disease, and median nerve involvement, with good interobserver reliability in patients with PsA of the hands and wrists. Disease was more extensive in the wrists than in the hands.</description><subject>Adult</subject><subject>Arthritis, Psoriatic - complications</subject><subject>Arthritis, Psoriatic - pathology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Contrast Media</subject><subject>Dermatology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Hand</subject><subject>Humans</subject><subject>Imaging</subject><subject>Inflammatory joint diseases</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Observer Variation</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology</subject><subject>Psoriasis. Parapsoriasis. Lichen</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Scientific Article</subject><subject>Severity of Illness Index</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kF1rFDEUhoModlv9Ad7IINi76Ekyk8lcSm210FIQvQ6Z5MRNmZ1Zc7KU_nuz7mJB8Cof73NOch7G3gj4IAD6jwQgO80BDIe2E1w_YyvRKsml0OI5W4HSLZeqNSfslOgeQPR9p1-yE2Gk0dLIFfOfsbg0YWjc7KZHStQssfHLXLKjwnFeu9nX9Pbb9T6op0AVDc1DTlSoSXOzdSXhXPcPqaybLS051RvfuFzWOZVEr9iL6CbC18f1jP24uvx-8ZXf3H25vvh0w70ahsID9tHHAQAGNEaDEt3Q-zYODkeUyomog9FxjF0XA9b5lRtM8BJ18DCOrTpj54e-27z82iEVu0nkcZrcjMuObA-trDaggu_-Ae-XXa7zk5VghDZC7SFxgHxeiDJGu81p4_KjFWD3-u1Bv6367V6_1bXm7bHxbtxgeKo4-q7A-yPgyLsp5mo30V9OgpRa_-HkgaMazT8xP_3w_6__Bj5kna8</recordid><startdate>20080501</startdate><enddate>20080501</enddate><creator>Tehranzadeh, Jamshid</creator><creator>Ashikyan, Oganes</creator><creator>Anavim, Arash</creator><creator>Shin, John</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080501</creationdate><title>Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis</title><author>Tehranzadeh, Jamshid ; Ashikyan, Oganes ; Anavim, Arash ; Shin, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-de7fcf90009e886031597c4f9aebe23a1f6d86fbf55fde0073a98dc2e6dc0bb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Arthritis, Psoriatic - complications</topic><topic>Arthritis, Psoriatic - pathology</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Contrast Media</topic><topic>Dermatology</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Hand</topic><topic>Humans</topic><topic>Imaging</topic><topic>Inflammatory joint diseases</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Observer Variation</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Pathology</topic><topic>Psoriasis. Parapsoriasis. Lichen</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Scientific Article</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tehranzadeh, Jamshid</creatorcontrib><creatorcontrib>Ashikyan, Oganes</creatorcontrib><creatorcontrib>Anavim, Arash</creatorcontrib><creatorcontrib>Shin, John</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>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology 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>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</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>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tehranzadeh, Jamshid</au><au>Ashikyan, Oganes</au><au>Anavim, Arash</au><au>Shin, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2008-05-01</date><risdate>2008</risdate><volume>37</volume><issue>5</issue><spage>433</spage><epage>442</epage><pages>433-442</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><coden>SKRADI</coden><abstract>Objective
The objective was to perform detailed analysis of the involved soft tissues, tendons, joints, and bones in the hands and wrists of patients with psoriatic arthritis (PsA).
Materials and methods
We reviewed 23 contrast-enhanced MR imaging studies (13 hands and 10 wrists) in 10 patients with the clinical diagnosis of PsA. We obtained clinical information from medical records and evaluated images for the presence of erosions, bone marrow edema, joint synovitis, tenosynovitis, carpal tunnel, and soft tissue involvement. Two board-certified musculoskeletal radiologists reviewed all images independently. Differences were resolved during a subsequent joint session.
Results
The average duration of disease was 71.3 months, ranging from 1 month to 25 years. Eight of the 10 wrists (80%) and 6 of the 13 hands demonstrated bone erosions. Bone marrow abnormalities were shown in 5 of the 10 wrists (50%) and 4 of the 14 hands (31%). Triangular fibrocartilage tears were seen in 6 of the 10 wrists (60%). Wrist and hand joint synovitis were present in all studies (67 wrist joints and 101 hand joints). Wrist soft tissue involvement was detected in 9 of the 10 wrists (90%) and hand soft tissue involvement was present in 12 of the 13 wrists (92%). Findings adjacent to the region of soft tissue involvement included synovitis (4 wrists) and tenosynovitis (3 wrists). Bone marrow edema adjacent to the region of soft tissue involvement was seen in one wrist. Bulge of the flexor retinaculum was seen in 4 of the 10 wrists (40%) and median nerve enhancement was seen in 8 of the 10 wrists (80%). Tenosynovitis was seen in all studies (all 10 of the hands and all 13 of the wrists). The “rheumatoid” type of distribution of bony lesions was common in our study. Interobserver agreement for various findings ranged from 83% to 100%.
Conclusion
Contrast-enhanced MRI unequivocally demonstrated bone marrow edema, erosions, tendon and soft-tissue disease, and median nerve involvement, with good interobserver reliability in patients with PsA of the hands and wrists. Disease was more extensive in the wrists than in the hands.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>18286282</pmid><doi>10.1007/s00256-008-0451-6</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Arthritis, Psoriatic - complications Arthritis, Psoriatic - pathology Biological and medical sciences Cohort Studies Contrast Media Dermatology Diseases of the osteoarticular system Female Gadolinium DTPA Hand Humans Imaging Inflammatory joint diseases Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Male Medical sciences Medicine & Public Health Middle Aged Nuclear Medicine Observer Variation Orthopedics Osteoarticular system. Muscles Pathology Psoriasis. Parapsoriasis. Lichen Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiology Reproducibility of Results Retrospective Studies Scientific Article Severity of Illness Index |
| title | Detailed analysis of contrast-enhanced MRI of hands and wrists in patients with psoriatic arthritis |
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