The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis
The purpose of this study was to evaluate the role of MRI in the assessment of hip joint involvement in clinical subtypes of juvenile idiopathic arthritis (JIA). 28 patients (mean age 12.5 years) with JIA (oligoarthritis 8, polyarthritis 13, systemic arthritis 7) were examined with T(2) weighted tur...
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| Veröffentlicht in: | British journal of radiology 2002-03, Vol.75 (891), p.229-233 |
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| creator | ARGYROPOULOU, M. I FANIS, S. L XENAKIS, T EFREMIDIS, S. C SIAMOPOULOU, A |
| description | The purpose of this study was to evaluate the role of MRI in the assessment of hip joint involvement in clinical subtypes of juvenile idiopathic arthritis (JIA). 28 patients (mean age 12.5 years) with JIA (oligoarthritis 8, polyarthritis 13, systemic arthritis 7) were examined with T(2) weighted turbo spin echo and T(1) weighted spin echo (plain and contrast enhanced) sequences. The severity of joint involvement was evaluated using an MR grading score: grade 1=no contrast enhancement; grade 2=focal synovial contrast enhancement; grade 3=diffuse synovial contrast enhancement; grade 4=grade 3+diffuse synovial thickening; grade 5=grade 4+villonodular synovial thickening; and grade 6=grade 5+cartilage and subchondral bone erosions. MRI was abnormal in 57.1% of cases (25% of oligoarthritis, 53.8% of polyarthritis and 100% of systemic arthritis). Clinical examination was positive in 32.1% of cases and was associated with higher MR grades (mean 4.6, SD 1.34) compared with a negative clinical examination, which was associated with lower MR grades (mean 1.78, SD 1.13) (p |
| doi_str_mv | 10.1259/bjr.75.891.750229 |
| format | Article |
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I ; FANIS, S. L ; XENAKIS, T ; EFREMIDIS, S. C ; SIAMOPOULOU, A</creator><creatorcontrib>ARGYROPOULOU, M. I ; FANIS, S. L ; XENAKIS, T ; EFREMIDIS, S. C ; SIAMOPOULOU, A</creatorcontrib><description>The purpose of this study was to evaluate the role of MRI in the assessment of hip joint involvement in clinical subtypes of juvenile idiopathic arthritis (JIA). 28 patients (mean age 12.5 years) with JIA (oligoarthritis 8, polyarthritis 13, systemic arthritis 7) were examined with T(2) weighted turbo spin echo and T(1) weighted spin echo (plain and contrast enhanced) sequences. The severity of joint involvement was evaluated using an MR grading score: grade 1=no contrast enhancement; grade 2=focal synovial contrast enhancement; grade 3=diffuse synovial contrast enhancement; grade 4=grade 3+diffuse synovial thickening; grade 5=grade 4+villonodular synovial thickening; and grade 6=grade 5+cartilage and subchondral bone erosions. MRI was abnormal in 57.1% of cases (25% of oligoarthritis, 53.8% of polyarthritis and 100% of systemic arthritis). Clinical examination was positive in 32.1% of cases and was associated with higher MR grades (mean 4.6, SD 1.34) compared with a negative clinical examination, which was associated with lower MR grades (mean 1.78, SD 1.13) (p<0.001). Patients with active disease (mean grade 3.9, SD 2) had higher MR grades than those with inactive disease (mean grade 2.1, SD 1.4) (p<0.01). The MR grades were different in the three clinical subtypes: oligoarticular (mean 1.5, SD 1.06); polyarticular (mean 2.38, SD 1.55); and systemic (mean 4.85, SD 1.21) (F:12.3, p<0.001), with a significant difference between systemic arthritis and oligoarthritis, and between systemic arthritis and polyarthritis (p<0.001). MRI of the hip might be considered for inclusion in the study protocol of patients with JIA since it reveals joint involvement at early stages and provides a detailed evaluation of the extent of joint disease.</description><identifier>ISSN: 0007-1285</identifier><identifier>EISSN: 1748-880X</identifier><identifier>DOI: 10.1259/bjr.75.891.750229</identifier><identifier>PMID: 11932215</identifier><identifier>CODEN: BJRAAP</identifier><language>eng</language><publisher>London: British Institute of Radiology</publisher><subject>Adolescent ; Adult ; Analysis of Variance ; Arthritis, Juvenile - diagnosis ; Biological and medical sciences ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Female ; Hip Joint ; Humans ; Inflammatory joint diseases ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Severity of Illness Index</subject><ispartof>British journal of radiology, 2002-03, Vol.75 (891), p.229-233</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-18555864100fe58b2333107399deed6fc6d6aaaa0284326cd0ac1e3091f862a43</citedby><cites>FETCH-LOGICAL-c393t-18555864100fe58b2333107399deed6fc6d6aaaa0284326cd0ac1e3091f862a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13597002$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11932215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ARGYROPOULOU, M. I</creatorcontrib><creatorcontrib>FANIS, S. L</creatorcontrib><creatorcontrib>XENAKIS, T</creatorcontrib><creatorcontrib>EFREMIDIS, S. C</creatorcontrib><creatorcontrib>SIAMOPOULOU, A</creatorcontrib><title>The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis</title><title>British journal of radiology</title><addtitle>Br J Radiol</addtitle><description>The purpose of this study was to evaluate the role of MRI in the assessment of hip joint involvement in clinical subtypes of juvenile idiopathic arthritis (JIA). 28 patients (mean age 12.5 years) with JIA (oligoarthritis 8, polyarthritis 13, systemic arthritis 7) were examined with T(2) weighted turbo spin echo and T(1) weighted spin echo (plain and contrast enhanced) sequences. The severity of joint involvement was evaluated using an MR grading score: grade 1=no contrast enhancement; grade 2=focal synovial contrast enhancement; grade 3=diffuse synovial contrast enhancement; grade 4=grade 3+diffuse synovial thickening; grade 5=grade 4+villonodular synovial thickening; and grade 6=grade 5+cartilage and subchondral bone erosions. MRI was abnormal in 57.1% of cases (25% of oligoarthritis, 53.8% of polyarthritis and 100% of systemic arthritis). Clinical examination was positive in 32.1% of cases and was associated with higher MR grades (mean 4.6, SD 1.34) compared with a negative clinical examination, which was associated with lower MR grades (mean 1.78, SD 1.13) (p<0.001). Patients with active disease (mean grade 3.9, SD 2) had higher MR grades than those with inactive disease (mean grade 2.1, SD 1.4) (p<0.01). The MR grades were different in the three clinical subtypes: oligoarticular (mean 1.5, SD 1.06); polyarticular (mean 2.38, SD 1.55); and systemic (mean 4.85, SD 1.21) (F:12.3, p<0.001), with a significant difference between systemic arthritis and oligoarthritis, and between systemic arthritis and polyarthritis (p<0.001). MRI of the hip might be considered for inclusion in the study protocol of patients with JIA since it reveals joint involvement at early stages and provides a detailed evaluation of the extent of joint disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Arthritis, Juvenile - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hip Joint</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Severity of Illness Index</subject><issn>0007-1285</issn><issn>1748-880X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotlZ_gBfJRW9b89HsJkcpfhQqglTwFtLsLE3Z7q5JttB_b5YWOpdhZp55Dw9C95RMKRPqeb3100JMpaKpEcbUBRrTYiYzKcnvJRoTQoqMMilG6CaE7TAKRa7RiFLFGaNijOrVBrBva8BthT-_F9g1OKYV7E3dm-jaZjhsXIe3rWsiLl0AE2DAbO0aZ02NQ7-Ohw7CQG77PTQuxbnStZ2JG2ex8XHjXXThFl1Vpg5wd-oT9PP2upp_ZMuv98X8ZZlZrnjMqBRCyHxGCalAyDXjnFNScKVKgDKvbF7mJhVhcsZZbktiLAVOFK1kzsyMT9DTMbfz7V8PIeqdCxbq2jTQ9kEXNE8wkwmkR9D6NgQPle682xl_0JToQbFOinUhdFKsj4rTz8MpvF_voDx_nJwm4PEEmJD0VN401oUzx4UqCGH8H86nhOw</recordid><startdate>20020301</startdate><enddate>20020301</enddate><creator>ARGYROPOULOU, M. I</creator><creator>FANIS, S. L</creator><creator>XENAKIS, T</creator><creator>EFREMIDIS, S. C</creator><creator>SIAMOPOULOU, A</creator><general>British Institute of Radiology</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>20020301</creationdate><title>The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis</title><author>ARGYROPOULOU, M. I ; FANIS, S. L ; XENAKIS, T ; EFREMIDIS, S. C ; SIAMOPOULOU, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-18555864100fe58b2333107399deed6fc6d6aaaa0284326cd0ac1e3091f862a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Arthritis, Juvenile - diagnosis</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hip Joint</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ARGYROPOULOU, M. I</creatorcontrib><creatorcontrib>FANIS, S. L</creatorcontrib><creatorcontrib>XENAKIS, T</creatorcontrib><creatorcontrib>EFREMIDIS, S. C</creatorcontrib><creatorcontrib>SIAMOPOULOU, A</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>British journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ARGYROPOULOU, M. I</au><au>FANIS, S. L</au><au>XENAKIS, T</au><au>EFREMIDIS, S. C</au><au>SIAMOPOULOU, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis</atitle><jtitle>British journal of radiology</jtitle><addtitle>Br J Radiol</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>75</volume><issue>891</issue><spage>229</spage><epage>233</epage><pages>229-233</pages><issn>0007-1285</issn><eissn>1748-880X</eissn><coden>BJRAAP</coden><abstract>The purpose of this study was to evaluate the role of MRI in the assessment of hip joint involvement in clinical subtypes of juvenile idiopathic arthritis (JIA). 28 patients (mean age 12.5 years) with JIA (oligoarthritis 8, polyarthritis 13, systemic arthritis 7) were examined with T(2) weighted turbo spin echo and T(1) weighted spin echo (plain and contrast enhanced) sequences. The severity of joint involvement was evaluated using an MR grading score: grade 1=no contrast enhancement; grade 2=focal synovial contrast enhancement; grade 3=diffuse synovial contrast enhancement; grade 4=grade 3+diffuse synovial thickening; grade 5=grade 4+villonodular synovial thickening; and grade 6=grade 5+cartilage and subchondral bone erosions. MRI was abnormal in 57.1% of cases (25% of oligoarthritis, 53.8% of polyarthritis and 100% of systemic arthritis). Clinical examination was positive in 32.1% of cases and was associated with higher MR grades (mean 4.6, SD 1.34) compared with a negative clinical examination, which was associated with lower MR grades (mean 1.78, SD 1.13) (p<0.001). Patients with active disease (mean grade 3.9, SD 2) had higher MR grades than those with inactive disease (mean grade 2.1, SD 1.4) (p<0.01). The MR grades were different in the three clinical subtypes: oligoarticular (mean 1.5, SD 1.06); polyarticular (mean 2.38, SD 1.55); and systemic (mean 4.85, SD 1.21) (F:12.3, p<0.001), with a significant difference between systemic arthritis and oligoarthritis, and between systemic arthritis and polyarthritis (p<0.001). MRI of the hip might be considered for inclusion in the study protocol of patients with JIA since it reveals joint involvement at early stages and provides a detailed evaluation of the extent of joint disease.</abstract><cop>London</cop><pub>British Institute of Radiology</pub><pmid>11932215</pmid><doi>10.1259/bjr.75.891.750229</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Analysis of Variance Arthritis, Juvenile - diagnosis Biological and medical sciences Child Child, Preschool Diseases of the osteoarticular system Female Hip Joint Humans Inflammatory joint diseases Magnetic Resonance Imaging - methods Male Medical sciences Severity of Illness Index |
| title | The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis |
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