The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis
نویسندگان
چکیده
INTRODUCTION 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. METHODS 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. RESULTS 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. CONCLUSIONS 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.
منابع مشابه
Diffusion-weighted magnetic resonance imaging (MRI) of wrist and hands in patients with rheumatoid arthritis - reproducibility and correlation with conventional MRI
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OBJECTIVES MRI has been proposed as the imaging method of choice to evaluate the long-term outcome in patients with early arthritis. The role of dynamic MRI, performed at presentation, in predicting the outcome of patients with early arthritis has been addressed in the present study. METHODS 39 patients with early arthritis, involving at least one wrist, were studied with clinical visits and ...
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et al. Combined high-resolution magnetic resonance imaging and histological examination to explore the role of ligaments and tendons in the phenotypic expression of early hand osteoarthritis. studies to define factors that may predict the topography of periarticular erosion formation in arthritis. Arthritis Rheum. In press. 8 Sugimoto H, Takeda A, Masuyama J, Furuse M. Early-stage rheumatoid ar...
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