Joint swelling in the hand in rheumatoid arthritis: agreement between clinical evaluation, ultrasonography, magnetic resonance imaging and patient self-evaluation.

IF 3.2 3区医学 Q2 RHEUMATOLOGY

Rheumatology International Pub Date : 2024-12-14 DOI:10.1007/s00296-024-05762-7

Lau Brix, Agnete Hedemann-Nielsen, Lise Medrud, Ulrich Fredberg, Torkell Ellingsen

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引用次数: 0

Abstract

Objective: To describe agreement in detection of joint swelling as the mandatory key of the diagnostic algorithm used in rheumatoid arthritis (RA). This was done by comparing clinical examinations, ultrasonography (US), Magnetic Resonance Imaging (MRI) and patient self-evaluation of the joints in the wrist and fingers (metacarpophalangeal joints (MCP) and proximal interphalangeal joints (PIP)) in an early untreated RA cohort.

Methods: 14 patients (8 women and 6 men, mean age ± standard deviation: 54.9 ± 14.5 years, range: 34-81 years) with symptom duration of less than six months, steroid and DMARD naïve at the time of examination and no previous history of arthritis were included in the study. US techniques included B mode and Color Doppler while MRI included a variety of imaging sequences (STIR, T1W TSE and T1W VIBE).

Results: Overall, there was good agreement between clinical evaluation, evaluation by US, by MRI or patients' own evaluation of joint swelling. Patient self-evaluation converged with the clinical evaluation in 12 cases (86%).

Conclusion: Agreement was good among the applied imaging modalities and patient self-evaluation when compared to the clinical evaluations. Adding MRI to the US examination did not provide further diagnostic information.

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类风湿性关节炎患者手部关节肿胀：临床评估、超声波检查、磁共振成像和患者自我评估之间的一致性。

目的关节肿胀是类风湿性关节炎（RA）诊断算法中的必备要素，本文旨在描述关节肿胀检测的一致性。方法：14 名患者（8 名女性和 6 名男性，平均年龄（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁，年龄范围（± 标准差）：54.9 ± 14.5 岁）：方法：14 名患者（8 名女性和 6 名男性，平均年龄 ± 标准偏差：54.9 ± 14.5 岁，范围：34-81 岁），症状持续时间为 1 年：14名患者（8名女性和6名男性，平均年龄（± 标准差）：54.9± 14.5岁，范围：34-81岁）的症状持续时间不足6个月，检查时尚未接受类固醇和DMARD治疗，既往无关节炎病史。US 技术包括 B 模式和彩色多普勒，而 MRI 包括各种成像序列（STIR、T1W TSE 和 T1W VIBE）：总体而言，临床评估、超声评估、核磁共振成像评估或患者自己对关节肿胀的评估之间存在良好的一致性。有 12 例（86%）患者的自我评估与临床评估一致：结论：与临床评估相比，影像学检查和患者自我评估的一致性良好。结论：与临床评估相比，应用的成像模式和患者自我评估之间的一致性良好。在 US 检查的基础上增加 MRI 并不能提供更多的诊断信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rheumatology International 医学-风湿病学

CiteScore

7.30

自引率

5.00%

发文量

191

审稿时长

16. months

期刊介绍： RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.