Ultrasound Techniques in Rheumatoid Arthritis
Tóm tắt
Ultrasound is a frontline tool for evaluating, diagnosing, and monitoring rheumatoid arthritis. This article looks at the typical manifestations of rheumatoid arthritis on ultrasound, and why ultrasound is a useful tool in evaluating patients with rheumatoid arthritis. The sonographic manifestations of rheumatoid arthritis are seen much earlier than those on radiographs. Recent scoring systems by the American College of Rheumatology and the European League Against Rheumatism have provided a standardized system of grading and diagnosing rheumatoid arthritis based on ultrasound findings. These scoring systems are useful in aiding treatment decisions to improve diagnosis in cases of clinical uncertainty. Rheumatoid arthritis is a debilitating disease, which should be diagnosed and treated early to prevent permanent disabling arthritis. Ultrasound is a useful and relatively inexpensive tool that aids in the diagnosis and evaluation of the disease. Ultrasound is very sensitive for detecting the early manifestations of synovitis and erosion, which will be occult on radiographs. It is important to recognize the imaging manifestations of the disease to diagnosis, grade, and guide treatment.
Tài liệu tham khảo
Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315–24.
•• Colebatch AN, Edwards CJ, Ostergaard M et al. EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis. Ann Rheum Dis 2013;72(6): 804–814. This article looks at EULAR’s criteria for ultrasound diagnosis of RA and post therapy responses.
Rowbotham EL, Grainger AJ. Rheumatoid arthritis: ultrasound versus MRI. AJR. 2011;197:541–6.
Peluso G, Bosello SL, Gremese E, et al. Detection of bone erosions in early rheumatoid arthritis: 3D ultrasonography versus computed tomography. Clin Rheumatol. 2015;34:1181–6.
Tan YK, Ostergaard M, Conaghan PG. Imaging tools in rheumatoid arthritis: US vs MRI. Rheumatology. 2012;51:vii36–42.
Reiche BE, Ohrndorf S, Feist E, Messerschmidt J, Burmester GR, Backhaus M. Usefulness of PDUS of re-therapy with Rituximab in RA: a prospective study of longstanding RA patients. Arthritis Care Res. 2014;66(2):204–16.
Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification criteria. Arthritis Rheum. 2010;62(9):2569–81.
Bruyn GA, Hanova P, Iagnocco A. Ultrasound definition of tendon damage in patients with rheumatoid arthritis. Ann Rheum Dis. 2013;73(11):1929–34.
Cheung PP, Dougados M, Gossec L. Reliability of ultrasonography to detect synovitis in rheumatoid arthritis: a systemic literature review of 35 studies. Arthritis Care Res. 2010;62:323–34.
Mandl P, Naredo E, Wakefield R, Conaghan P. A systemic literature review analysis of US joint count and scoring systems to assess synovitis in RA according to the OMERACT Filter. J Rheum. 2011;38:2055–62.
Aoki T, Fujii M, Yamashita Y, et al. Tomosynthesis of the wrist and hand in patients with rheumatoid arthritis: comparison with radiography and MRI. Am J Roentgenol. 2014;202(2):386–90.
• D’Agostino M-A, Wakefield RJ, Berner-Hammer H et al. Value of ultrasonography as a marker of early response to abatacept in patients with rheumatoid arthritis and an inadequate response to methotrexate: results from the APPRAISE study. Ann Rheum Dis 2015;1–7. This article looks at OMERACT group’s ultrasound rating of synoviits.
Witt MN, Mueller F, Weinert P, et al. Ultrasound of synovitis in rheumatoid arthritis: advantages of the dorsal over the palmar approach to finger joints. J Rheum. 2014;41(3):422–8.
Wakefield RJ, Balint PV, Szkudlarek M, et al. Musculoskeletal ultrasound including definitiaons for US pathology. J Rheumatol. 2005;32:2485–7.
Sommer OJ, Kladosek A, Weiler V, Czembirek H, Boeck M, Stiskal M. Rheumatoid arthritis: a practical guide to state-of-the-art imaging, image interpretation, and clinical implications. Radiographics. 2005;25(2):381–98.
Koski JM, Alasaarela E, Soini I, et al. Ability of ultrasound imaging to detect erosions in a bone model phantom. Ann Rheum Dis. 2010;69:1618–22.
Tămaş M-M, Filippucci E, Becciolini A, et al. Bone erosions in rheumatoid arthritis: ultrasound findings in the early stage of the disease. Rheumatology. 2014;53(6):1100–7.
Sheane BJ, Beddy P, O’Connor M, et al. Targeted ultrasound of the fifth MTP joint in an early inflammatory arthritis cohort. Arthritis Rheum. 2009;61:1004–8.
Hammer HB, Haavardsholm EA, Boyesen P, et al. Bone erosions at the distal ulna detected by ultrasonography are associated with structural damage assessed by conventional radiography and MRI: a study of patients with recent onset rheumatoid arthritis. Rheumatology. 2009;48:1530–2.
Zayat AS, Ellegaard K, Conaghan PG, et al. The specificity of ultrasound-detected bone erosions for rheumatoid arthritis. Ann Rheum Dis. 2015;74:897–903.
Foltz V, Gandjbakhch F, Etchepare F, et al. Power Doppler ultrasound, but not low-field magnetic resonance imaging, predicts relapse and radiographic disease progression in rheumatoid arthritis patients with low levels of disease activity. Arthritis Rheum. 2012;64(1):67–76.
Naredo E, D’Agostino MA, Wakefield RJ, et al. Reliability of a consensus-based ultrasound score for tenosynovitis in rheumatoid arthritis. Ann Rheum Dis. 2013;72:1328–34.
Robinson P. Sonography of common tendon injuries. Am J Roentgenol. 2009;193(3):607–18.
Humby F, Kelly S, Bugatti S, et al. Evaluation of minimally invasive, ultrasound-guided synovial biopsy techniques by the OMERACT filter—determining validation requirements. J Rheumatol. 2016;43(1):208–13.
Dale J, Purves D, McConnachie A, McInnes I, Porter D. Tightening up? Impact of musculoskeletal ultrasound disease activity assessment on early RA pateitns treated using a treat to target strategy. Arthritis Care Res. 2014;66(1):19–26.
Fransen J, Van Riel P. Outcome measures in inflammatory rheumatic diseases. Arthritis Res Ther. 2009;11:244.
Anadarajah A, Thiele R, Giampoli E, et al. Patients with RA in clinical remission manifest persistent joint inflammation on histology and imaging studies. J Rheum. 2014;41:2153–60.
Brown AK, Conaghan PG, Karim Z, et al. An explanation for the apparent disassociation between clinical remission and continued structural deterioration in RA. Arthritis Rheum. 2008;58:2958–67.
Szkudlarek M, Terslev L, Wakefield RJ, et al. Summary findings of a systemic literature review of the US assessment of one erosions in RA. J Rheumatol. 2016;43:12–21.