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Best Practice & Research in Clinical Rheumatology最新文献

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Education and training in tropical rheumatology 热带风湿病学的教育和培训。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102037
Fredrick Otieno , Ajesh Maharaj , Adewale Adebajo
{"title":"Education and training in tropical rheumatology","authors":"Fredrick Otieno ,&nbsp;Ajesh Maharaj ,&nbsp;Adewale Adebajo","doi":"10.1016/j.berh.2025.102037","DOIUrl":"10.1016/j.berh.2025.102037","url":null,"abstract":"<div><div>Rheumatological and musculoskeletal diseases encompass a vast spectrum of increasingly prevalent conditions, which are associated with significant disability and socioeconomic burden. Their impact is pervasive, especially in tropical countries that are still plagued with a myriad of challenges such as limited healthcare infrastructure, workforce shortages and competing prevailing illnesses. Rheumatology education in these countries has largely lagged. Several initiatives have been undertaken to address these shortfalls in rheumatology healthcare workers. Country-specific initiatives and international collaborative efforts have been undertaken to provide education and training in tropical countries. While there is still much to be achieved, these initiatives have significantly contributed to establishing and strengthening rheumatology services in underserved and resource constrained areas.</div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 2","pages":"Article 102037"},"PeriodicalIF":4.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infection associated Vasculitides 感染相关血管炎。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102056
Ramesh Jois, Radhika Bajaj
{"title":"Infection associated Vasculitides","authors":"Ramesh Jois,&nbsp;Radhika Bajaj","doi":"10.1016/j.berh.2025.102056","DOIUrl":"10.1016/j.berh.2025.102056","url":null,"abstract":"<div><div>Infections can mimic Primary Systemic Vasculitis. Many clinical features and investigations maybe very similar between the two conditions. It is very important for the clinician to be aware of the various infections which mimic vasculitis, since inadvertent immunosuppression in these patients can be fatal. Infections can mimic small, medium or large vessel vasculitis. Infections can produce autoantibodies such as Anti-neutrophil cytoplasmic antibody through molecular mimicry and could confound clinical judgement. In addition to the many infections causing vasculitis, more recently COVID-19 associated vasculitis has been described. The exact pathogenesis of infection associated vasculitis is not clear although direct spread, immune complex deposition and T/B cell activation are proposed. Infection as an etiological agent for primary systemic vasculitis has long been debated but definite evidence for the same is lacking. Many drugs used in daily clinical practice can rarely cause vasculitis. More recently Immune-check point inhibitors-induced vasculitis has been described.</div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 2","pages":"Article 102056"},"PeriodicalIF":4.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interstitial lung disease imaging for autoimmune diseases. 自身免疫性疾病的间质性肺疾病影像学研究
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-24 DOI: 10.1016/j.berh.2025.102065
John P Lichtenberger, Sean Hagaman, Wesley Jong, Sydney Yee, Darwish Alabyad, Nadeem Kandalaft
{"title":"Interstitial lung disease imaging for autoimmune diseases.","authors":"John P Lichtenberger, Sean Hagaman, Wesley Jong, Sydney Yee, Darwish Alabyad, Nadeem Kandalaft","doi":"10.1016/j.berh.2025.102065","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102065","url":null,"abstract":"<p><p>Imaging plays a central role in the diagnosis and surveillance of patients with rheumatic diseases complicated by lung disease. This lung disease ranges from acute lung injury to chronic, diffuse lung disease attributed to their underlying autoimmune condition. Whether screening for lung disease or evaluating respiratory symptoms in patients with rheumatic diseases, chest radiography and computed tomography remain the most common and important diagnostic imaging tests. MRI remains an evolving modality for the evaluation of lung disease, but it is an important test in evaluating vascular disease or involvement of the heart and chest wall. This work aims to illustrate the role of diagnostic imaging in interstitial lung disease and other thoracic manifestations of autoimmune disease.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102065"},"PeriodicalIF":4.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update of imaging in the assessment of axial spondyloarthritis. 轴型脊柱性关节炎影像学评估的最新进展。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-13 DOI: 10.1016/j.berh.2025.102064
Natalya Horbal, Krystel Aouad, Xenofon Baraliakos, Nelly Ziade, Walter P Maksymowych
{"title":"Update of imaging in the assessment of axial spondyloarthritis.","authors":"Natalya Horbal, Krystel Aouad, Xenofon Baraliakos, Nelly Ziade, Walter P Maksymowych","doi":"10.1016/j.berh.2025.102064","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102064","url":null,"abstract":"<p><p>This update addresses new developments in imaging of axial spondyloarthritis from the past 5 years. These have focused mostly on enhanced CT and MRI-based technologies that bring greater precision to the assessment of both inflammatory and structural lesions in the sacroiliac joint. An international consensus has recommended a 4-sequence MRI for routine diagnostic evaluation of the sacroiliac joint aimed at depicting the location and extent of inflammation as well as an erosion-sensitive sequence for structural damage. The latter include high resolution thin slice sequences that accentuate the interface between subchondral bone and the overlying cartilage and joint space as well as synthetic CT, a deep learning-based technique that transforms certain MRI sequences into images resembling CT. Algorithms based on deep learning derived from plain radiographic, CT, and MRI datasets are increasingly more accurate at identifying sacroiliitis and individual lesions observed on images of the sacroiliac joints and spine.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102064"},"PeriodicalIF":4.5,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging of crystal-induced arthropathies in 2025. 2025年晶体诱发关节病的影像学研究。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-08 DOI: 10.1016/j.berh.2025.102063
Silvia Sirotti, Tristan Pascart, Ralf Thiele, Georgios Filippou
{"title":"Imaging of crystal-induced arthropathies in 2025.","authors":"Silvia Sirotti, Tristan Pascart, Ralf Thiele, Georgios Filippou","doi":"10.1016/j.berh.2025.102063","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102063","url":null,"abstract":"<p><p>In recent years, imaging has become an essential tool in the assessment of crystal-induced arthropathies (CIAs), including gout, calcium pyrophosphate deposition disease, and basic calcium phosphate crystal deposition. Advances in imaging have improved diagnosis and disease monitoring, leading to its integration into classification criteria and clinical guidelines. Ultrasound (US), conventional radiography (CR), and dual-energy computed tomography (DECT) each offer unique advantages. US is a widely accessible, cost-effective, and dynamic tool, while DECT provides crystal-specific images, aiding particularly in gout diagnosis. CR, though less sensitive to early crystal deposition, remains valuable for evaluating structural damage and chronic changes. Despite these advances, challenges remain. The specificity and sensitivity of imaging findings need further validation, and the clinical relevance of certain imaging features is debated. This review summarizes recent developments, highlights key strengths, and discusses unresolved issues, emphasizing areas where future research is needed to optimize imaging use in CIAs.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102063"},"PeriodicalIF":4.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging in the diagnosis and management of peripheral psoriatic arthritis: Update and recent advances. 周围性银屑病关节炎的影像学诊断和治疗：最新进展。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-03 DOI: 10.1016/j.berh.2025.102061
Ashish J Mathew, Alan L Zhou, Mikkel Østergaard, Sahil Koppikar
{"title":"Imaging in the diagnosis and management of peripheral psoriatic arthritis: Update and recent advances.","authors":"Ashish J Mathew, Alan L Zhou, Mikkel Østergaard, Sahil Koppikar","doi":"10.1016/j.berh.2025.102061","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102061","url":null,"abstract":"<p><p>Psoriatic arthritis is an immune-mediated inflammatory disease characterized by inflammatory and structural changes in multiple clinical domains, including peripheral and axial arthritis, enthesitis, and dactylitis. Early diagnosis and initiation of targeted therapies in patients with PsA lead to a better quality of life. Conventional radiography continues to be the most frequently used imaging modality in routine care, given its easy accessibility and low cost. Advanced imaging techniques, such as ultrasound and magnetic resonance imaging, with their ability to assess both inflammatory and structural pathologies simultaneously, have facilitated a better understanding of disease pathogenesis, early diagnosis leading to early initiation of therapy, sensitive outcome measurement in clinical trials, and close monitoring of the disease process, enabling practical switching of therapies. Novel imaging techniques still seeking broad applicability have demonstrated encouraging results but require further testing before clinical use. This review focuses on the progress in imaging techniques for peripheral psoriatic disease.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102061"},"PeriodicalIF":4.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update in imaging for large vessel vasculitis. 大血管炎的最新成像技术。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-02 DOI: 10.1016/j.berh.2025.102060
Berit D Nielsen, Luca Seitz, Wolfgang A Schmidt
{"title":"Update in imaging for large vessel vasculitis.","authors":"Berit D Nielsen, Luca Seitz, Wolfgang A Schmidt","doi":"10.1016/j.berh.2025.102060","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102060","url":null,"abstract":"<p><p>Diagnostic imaging is recommended to confirm suspected giant cell arteritis (GCA) or Takayasu arteritis (TAK), and may, in the follow-up of these patients, be used to assess vascular damage. Ultrasound, magnetic resonance imaging (MRI) and 18F-Fluorodeoxyglucose (<sup>18</sup>F-FDG) positron emission tomography (PET)/computed tomography (CT) can all visualise inflammation in vascular regions affected. Ultrasound and MRI are recommended first line diagnostic test in GCA and TAK, respectively, but local expertise, availability and potential differential diagnoses are important prerequisites for the choice of imaging modality. Ultrasound, MR- and CT-angiography may also be used to assess morphologic changes. Further research is necessary on the role of imaging for monitoring disease activity and guide treatment decisions. Advantages and limitations apply to all modalities separately. This review will discuss the pros and cons, the application and pitfalls of each of these imaging modalities in the diagnosis and management of GCA and TAK.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102060"},"PeriodicalIF":4.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging in sarcoid disease. 结节病的影像学。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-03-14 DOI: 10.1016/j.berh.2025.102054
Sherief Ghozy, Jonathan W Revels, Aakanksha Sriwastwa, Lily L Wang, Jennifer S Weaver, Sherry S Wang
{"title":"Imaging in sarcoid disease.","authors":"Sherief Ghozy, Jonathan W Revels, Aakanksha Sriwastwa, Lily L Wang, Jennifer S Weaver, Sherry S Wang","doi":"10.1016/j.berh.2025.102054","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102054","url":null,"abstract":"<p><p>Sarcoidosis is a complex multisystem inflammatory disease characterized by noncaseating granulomas and variable clinical manifestations, most commonly affecting the lungs, skin, heart, and nervous system. Imaging is central in its diagnosis, staging, and management, providing essential insights into organ involvement and disease activity. Pulmonary manifestations remain the hallmark, with modalities such as high-resolution chest computed tomography (CT) and chest radiography offering critical diagnostic clues. Imaging techniques, including Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) and cardiac magnetic resonance imaging, are invaluable for identifying cardiac and systemic involvement, including cutaneous and musculoskeletal, while abdominal MRI and ultrasound help delineate hepatic and splenic manifestations. Neurosarcoidosis requires MRI for precise evaluation, supplemented by FDG-PET to guide biopsy and monitor treatment response. This chapter synthesizes the imaging features of sarcoidosis across organ systems, emphasizing practical approaches to diagnosis and management while identifying key areas for future research.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102054"},"PeriodicalIF":4.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practical utilization of sonography for the assessment of muscle diseases in rheumatology. 超声在风湿病中评估肌肉疾病的实际应用。
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-03-13 DOI: 10.1016/j.berh.2025.102055
Takeshi Yoshida, Jemima Albayda
{"title":"Practical utilization of sonography for the assessment of muscle diseases in rheumatology.","authors":"Takeshi Yoshida, Jemima Albayda","doi":"10.1016/j.berh.2025.102055","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102055","url":null,"abstract":"<p><p>Muscular manifestations are common complaints encountered in daily rheumatology practice. Magnetic resonance imaging and electromyography are employed to evaluate muscular manifestations associated with myositis and other rheumatologic diseases, but both have limitations that hinder their universal applicability. Ultrasound, on the other hand, has been increasingly used given its utility as a point-of-care tool. There is increasing data that show it is a safe and sensitive tool for screening for myositis. Changes in ultrasound images differ between acute and chronic myositis, and echo intensity has been shown to correlate with muscle strength as well as the number of inflammatory cell infiltrates observed in histopathological analysis. Additionally, it can evaluate non-inflammatory muscular conditions, such as muscular dystrophy, sarcopenia, and certain neurologic disorders that mimic myositis. Despite its potential, its use in clinical practice remains limited due to a lack of physician experience and challenges associated with standardizing and optimizing muscle assessment. This review provides updated knowledge on muscle ultrasound as a practical imaging modality for the evaluation of myositis and other rheumatologic diseases. It discusses settings, techniques, and different assessment methods that will aid in its deployment in clinical practice.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102055"},"PeriodicalIF":4.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of rheumatoid arthritis registries worldwide: What have they taught us? 全球类风湿关节炎登记处的作用：它们教会了我们什么？
IF 4.5 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2025-03-01 DOI: 10.1016/j.berh.2024.102017
Paul Studenic , Yvette Meissner , Lianne Kearsley-Fleet , Diederik De Cock
{"title":"Role of rheumatoid arthritis registries worldwide: What have they taught us?","authors":"Paul Studenic ,&nbsp;Yvette Meissner ,&nbsp;Lianne Kearsley-Fleet ,&nbsp;Diederik De Cock","doi":"10.1016/j.berh.2024.102017","DOIUrl":"10.1016/j.berh.2024.102017","url":null,"abstract":"<div><div>Rheumatoid arthritis (RA) is one of the most common rheumatic conditions, impacting quality of life on several domains. Major breakthroughs have been achieved over the past three decades in the management benefitting the patients’ lives. With increasing as well as novel treatment options, clinical registries have been established and continuously evolve to portray patient characteristics, monitor disease activity of RA, effectiveness and safety of the novel compounds. The greatest insights derived from registries is our current knowledge on the risks for malignancies and infections but also extending our knowledge collected in clinical trials on comparative effectiveness, long-term drug utilisation and under-represented populations. Moreover, the possible evolution of registries involving Big Data and AI, and the increased focus on patient centredness is discussed.</div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 1","pages":"Article 102017"},"PeriodicalIF":4.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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