Magnetic resonance imaging of the wrist in rheumatoid arthritis: comparison with other inflammatory joint diseases and control subjects

The aim of this study was to evaluate magnetic resonance images (MRI) of the wrist of rheumatoid arthritis (RA) patients. MRI and plain X-ray of the wrists were performed in 15 patients with RA, 7 patients with another chronic inflammatory joint disease (CIJD), and 10 control subjects. Patients had...

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Veröffentlicht in:Clinical rheumatology 1996-03, Vol.15 (2), p.137-142
Hauptverfasser: Tonolli-Serabian, I, Poet, J L, Dufour, M, Carasset, S, Mattei, J P, Roux, H
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container_end_page 142
container_issue 2
container_start_page 137
container_title Clinical rheumatology
container_volume 15
creator Tonolli-Serabian, I
Poet, J L
Dufour, M
Carasset, S
Mattei, J P
Roux, H
description The aim of this study was to evaluate magnetic resonance images (MRI) of the wrist of rheumatoid arthritis (RA) patients. MRI and plain X-ray of the wrists were performed in 15 patients with RA, 7 patients with another chronic inflammatory joint disease (CIJD), and 10 control subjects. Patients had only minor changes on plain X-ray. Coronal T1 weighted spin echo sequences were performed before and after an intravenous pulse of gadolinium (GD). Contiguous 3 mm thick slices were obtained. Synovitis was frequently objectivized in the two groups of patients. MRI detected far more erosions and central bone geodes than plain X-ray. Geodes were frequent among controls while cortical bone erosions were frequent in patients. Most of the erosions were enhanced after GD injection in the RA patients but not in the 2 other groups. Thus MRI is not only useful in diagnosing inflammatory changes of the wrist but also in distinguishing early stage RA from other CIJD.
doi_str_mv 10.1007/BF02230330
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MRI and plain X-ray of the wrists were performed in 15 patients with RA, 7 patients with another chronic inflammatory joint disease (CIJD), and 10 control subjects. Patients had only minor changes on plain X-ray. Coronal T1 weighted spin echo sequences were performed before and after an intravenous pulse of gadolinium (GD). Contiguous 3 mm thick slices were obtained. Synovitis was frequently objectivized in the two groups of patients. MRI detected far more erosions and central bone geodes than plain X-ray. Geodes were frequent among controls while cortical bone erosions were frequent in patients. Most of the erosions were enhanced after GD injection in the RA patients but not in the 2 other groups. 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subjects Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid - diagnosis
Chronic Disease
Data Interpretation, Statistical
Female
Gadolinium
Humans
Infusions, Intravenous
Magnetic Resonance Imaging
Male
Middle Aged
Osteoporosis - diagnosis
Radiography
Retrospective Studies
Sensitivity and Specificity
Synovitis - diagnosis
Wrist - diagnostic imaging
Wrist - pathology
title Magnetic resonance imaging of the wrist in rheumatoid arthritis: comparison with other inflammatory joint diseases and control subjects
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