The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis
Magnetic resonance imaging (MRI) was used to study the hand and wrist in very early rheumatoid arthritis (RA), and the results were compared with early and established disease. Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18...
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| Veröffentlicht in: | Arthritis research & therapy 2011-06, Vol.13 (3), p.R84-R84, Article R84 |
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| creator | Kosta, Paraskevi E Voulgari, Paraskevi V Zikou, Anastasia K Drosos, Alexandros A Argyropoulou, Maria I |
| description | Magnetic resonance imaging (MRI) was used to study the hand and wrist in very early rheumatoid arthritis (RA), and the results were compared with early and established disease.
Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18 with early RA (ERA), and 13 with established RA (ESTRA), (disease duration < 3 months, < 12 months, and > 12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using fat-suppressed T2-weighted and plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, synovitis, and bone erosions was performed with the OMERACT RA MRI scoring system.
Edema, erosions, and synovitis were present in VERA, and the prevalence was 100%, 96.15%, and 92.3%, respectively. Significant differences in edema and erosions were found between VERA and ESTRA (P < 0.05). No significant difference was found in synovitis.
Edema, erosions, and synovitis are findings of very early RA. MRI, by detecting these lesions, may play an important role in the management of these patients. |
| doi_str_mv | 10.1186/ar3355 |
| format | Article |
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Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18 with early RA (ERA), and 13 with established RA (ESTRA), (disease duration < 3 months, < 12 months, and > 12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using fat-suppressed T2-weighted and plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, synovitis, and bone erosions was performed with the OMERACT RA MRI scoring system.
Edema, erosions, and synovitis were present in VERA, and the prevalence was 100%, 96.15%, and 92.3%, respectively. Significant differences in edema and erosions were found between VERA and ESTRA (P < 0.05). No significant difference was found in synovitis.
Edema, erosions, and synovitis are findings of very early RA. MRI, by detecting these lesions, may play an important role in the management of these patients.</description><identifier>ISSN: 1478-6354</identifier><identifier>EISSN: 1478-6362</identifier><identifier>EISSN: 1478-6354</identifier><identifier>DOI: 10.1186/ar3355</identifier><identifier>PMID: 21658223</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthritis, Rheumatoid - epidemiology ; Arthritis, Rheumatoid - pathology ; Carpal Joints - pathology ; Diagnosis ; Early Diagnosis ; Edema - epidemiology ; Edema - pathology ; Female ; Hand ; Humans ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Physiological aspects ; Prevalence ; Rheumatoid arthritis ; Synovitis - epidemiology ; Synovitis - pathology ; Trapezium Bone - pathology ; Wrist ; Wrist Joint - pathology ; Young Adult</subject><ispartof>Arthritis research & therapy, 2011-06, Vol.13 (3), p.R84-R84, Article R84</ispartof><rights>COPYRIGHT 2011 BioMed Central Ltd.</rights><rights>Copyright ©2011 Drosos et al.; licensee BioMed Central Ltd. 2011 Drosos et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b482t-a6fc38940a3a9193dbfb6ab9e20c4e9be78c72e2844a751bbb19b563e37608543</citedby><cites>FETCH-LOGICAL-b482t-a6fc38940a3a9193dbfb6ab9e20c4e9be78c72e2844a751bbb19b563e37608543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3218898/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3218898/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21658223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kosta, Paraskevi E</creatorcontrib><creatorcontrib>Voulgari, Paraskevi V</creatorcontrib><creatorcontrib>Zikou, Anastasia K</creatorcontrib><creatorcontrib>Drosos, Alexandros A</creatorcontrib><creatorcontrib>Argyropoulou, Maria I</creatorcontrib><title>The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis</title><title>Arthritis research & therapy</title><addtitle>Arthritis Res Ther</addtitle><description>Magnetic resonance imaging (MRI) was used to study the hand and wrist in very early rheumatoid arthritis (RA), and the results were compared with early and established disease.
Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18 with early RA (ERA), and 13 with established RA (ESTRA), (disease duration < 3 months, < 12 months, and > 12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using fat-suppressed T2-weighted and plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, synovitis, and bone erosions was performed with the OMERACT RA MRI scoring system.
Edema, erosions, and synovitis were present in VERA, and the prevalence was 100%, 96.15%, and 92.3%, respectively. Significant differences in edema and erosions were found between VERA and ESTRA (P < 0.05). No significant difference was found in synovitis.
Edema, erosions, and synovitis are findings of very early RA. MRI, by detecting these lesions, may play an important role in the management of these patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Rheumatoid - epidemiology</subject><subject>Arthritis, Rheumatoid - pathology</subject><subject>Carpal Joints - pathology</subject><subject>Diagnosis</subject><subject>Early Diagnosis</subject><subject>Edema - epidemiology</subject><subject>Edema - pathology</subject><subject>Female</subject><subject>Hand</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physiological aspects</subject><subject>Prevalence</subject><subject>Rheumatoid arthritis</subject><subject>Synovitis - epidemiology</subject><subject>Synovitis - pathology</subject><subject>Trapezium Bone - pathology</subject><subject>Wrist</subject><subject>Wrist Joint - pathology</subject><subject>Young Adult</subject><issn>1478-6354</issn><issn>1478-6362</issn><issn>1478-6354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kt9rFDEQx4Motj31T5CAoE_Xbn5sNnkRStFaKPSlPockN3sb2U1qkq3cf2-OracHlRAyzHzmm8lkEHpHmnNCpLgwibG2fYFOCe_kWjBBXx7slp-gs5x_NA2livLX6IQS0UpK2SmC-wHwnKGfxwA549jjyWwDFO9wghyDCQ6wrz4ftvtoqfxgwgbv96_kc8E-4EdIOwwmjTucBpgnU6KvSCpD8sXnN-hVb8YMb5_OFfr-9cv91bf17d31zdXl7dpyScvaiN4xqXhjmFFEsY3trTBWAW0cB2Whk66jQCXnpmuJtZYo2woGrBONbDlboc-L7sNsJ9g4CCWZUT-k-oC009F4fRwJftDb-KgZJVIqWQXUImB9_I_AccTFSS-9r7mfni5P8ecMuejJZwfjaALEOWvVcEoJUaKSHxZya0bQPvSxark9rS-pYISTtn7OCp0_Q9W1gcm7GKD31X-U8HFJcCnmnKA_1E0avZ-Sv5W-_7dNB-zPWLDfDPK5tg</recordid><startdate>20110609</startdate><enddate>20110609</enddate><creator>Kosta, Paraskevi E</creator><creator>Voulgari, Paraskevi V</creator><creator>Zikou, Anastasia K</creator><creator>Drosos, Alexandros A</creator><creator>Argyropoulou, Maria I</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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><scope>5PM</scope></search><sort><creationdate>20110609</creationdate><title>The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis</title><author>Kosta, Paraskevi E ; Voulgari, Paraskevi V ; Zikou, Anastasia K ; Drosos, Alexandros A ; Argyropoulou, Maria I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b482t-a6fc38940a3a9193dbfb6ab9e20c4e9be78c72e2844a751bbb19b563e37608543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Rheumatoid - epidemiology</topic><topic>Arthritis, Rheumatoid - pathology</topic><topic>Carpal Joints - pathology</topic><topic>Diagnosis</topic><topic>Early Diagnosis</topic><topic>Edema - epidemiology</topic><topic>Edema - pathology</topic><topic>Female</topic><topic>Hand</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Physiological aspects</topic><topic>Prevalence</topic><topic>Rheumatoid arthritis</topic><topic>Synovitis - epidemiology</topic><topic>Synovitis - pathology</topic><topic>Trapezium Bone - pathology</topic><topic>Wrist</topic><topic>Wrist Joint - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kosta, Paraskevi E</creatorcontrib><creatorcontrib>Voulgari, Paraskevi V</creatorcontrib><creatorcontrib>Zikou, Anastasia K</creatorcontrib><creatorcontrib>Drosos, Alexandros A</creatorcontrib><creatorcontrib>Argyropoulou, Maria I</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Arthritis research & therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kosta, Paraskevi E</au><au>Voulgari, Paraskevi V</au><au>Zikou, Anastasia K</au><au>Drosos, Alexandros A</au><au>Argyropoulou, Maria I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis</atitle><jtitle>Arthritis research & therapy</jtitle><addtitle>Arthritis Res Ther</addtitle><date>2011-06-09</date><risdate>2011</risdate><volume>13</volume><issue>3</issue><spage>R84</spage><epage>R84</epage><pages>R84-R84</pages><artnum>R84</artnum><issn>1478-6354</issn><eissn>1478-6362</eissn><eissn>1478-6354</eissn><abstract>Magnetic resonance imaging (MRI) was used to study the hand and wrist in very early rheumatoid arthritis (RA), and the results were compared with early and established disease.
Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18 with early RA (ERA), and 13 with established RA (ESTRA), (disease duration < 3 months, < 12 months, and > 12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using fat-suppressed T2-weighted and plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, synovitis, and bone erosions was performed with the OMERACT RA MRI scoring system.
Edema, erosions, and synovitis were present in VERA, and the prevalence was 100%, 96.15%, and 92.3%, respectively. Significant differences in edema and erosions were found between VERA and ESTRA (P < 0.05). No significant difference was found in synovitis.
Edema, erosions, and synovitis are findings of very early RA. MRI, by detecting these lesions, may play an important role in the management of these patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>21658223</pmid><doi>10.1186/ar3355</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Springer Nature OA Free Journals; Springer Nature - Complete Springer Journals; PubMed Central |
| subjects | Adolescent Adult Aged Aged, 80 and over Arthritis, Rheumatoid - epidemiology Arthritis, Rheumatoid - pathology Carpal Joints - pathology Diagnosis Early Diagnosis Edema - epidemiology Edema - pathology Female Hand Humans Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Middle Aged Physiological aspects Prevalence Rheumatoid arthritis Synovitis - epidemiology Synovitis - pathology Trapezium Bone - pathology Wrist Wrist Joint - pathology Young Adult |
| title | The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis |
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