Ultrasound in the evaluation of enthesitis: status and perspectives
| Autor: | Gandjbakhch, F1, Terslev, L, Joshua, F, Wakefield, Rj, Naredo, E, D'Agostino, Ma, OMERACT Ultrasound Task Force, Aegerter, P, Aydin, S, Backhaus, M, Balint, Pv, Bong, D, Bruyn, Ga, Chary Valckenaere, I, Collado, P, De Miguel, E, Filippucci, E, Freeston, Je, Grassi, W, Gutierrez, M, Iagnocco, Annamaria, Jousse Joulin, S, Kane, D, Keen, Hi, Loeuille, D, Moller, I, Mandl, P, Pineda, C, Schmidt, Wa, Szkudlarek, M, Ziswiler, Hr |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Scoring system Settore MED/16 - REUMATOLOGIA Bursitis Immunology Power doppler Rheumatology Rheumatic Diseases Spondylarthritis ankylosing spondylitis medicine Immunology and Allergy Humans Ultrasonography Ankylosing spondylitis Enthesitis Enthesopathy Omeract filter Spondyloarthritis Systematic literature review Ultrasound Reproducibility of Results Research Design Ultrasonography Doppler Medicine (all) business.industry ultrasound enthesitis Doppler scoring system OMERACT filter spondyloarthritis medicine.disease Physical therapy Radiology power Doppler medicine.symptom business enthesopathy Research Article |
| Zdroj: | Arthritis Research & Therapy |
| ISSN: | 1478-6362 |
| Popis: | Introduction An increasing number of studies have applied ultrasound to the evaluation of entheses in spondyloarthritis patients. However, no clear agreement exists on the definition of enthesitis, on the number and choice of entheses to examine and on ultrasound technique, which may all affect the results of the examination. The objectives of this study were to first determine the level of homogeneity in the ultrasound definitions for the principal lesions of enthesitis in the published literature and second, to evaluate the metric properties of ultrasound for detecting enthesitis according to the OMERACT filter. Methods Search was performed in PUBMED and EMBASE. Both grey-scale and Doppler definitions of enthesitis, including describing features of enthesitis, were collected and metrological qualities of studies were assessed. Results After selection, 48 articles were analyzed. The definition of ultrasound enthesitis and elementary features varied among authors. Grey-scale enthesitis was characterized by increasing thickness (94% of studies), hypoechogenicity (83%), enthesophytes (69%), erosions (67%), calcifications (52%), associated bursitis (46%) and cortical irregularities (29%). Only 46% of studies reported the use of Doppler. High discrepancies were observed on frequency, type of probe and Doppler mode used. Face and content validity were the most frequently evaluated criteria (43%) followed by reliability (29%) and responsiveness (19%). Conclusions Ultrasound has evidence to support face, content validity and reliability for the evaluation of enthesitis, though there is a lack of well-reported methodology in most of the studies. Consensus on elementary lesions and standardization of exam is needed to determine the ultrasound definition of enthesitis in grey-scale and in Doppler for future applications. |
| Databáze: | OpenAIRE |
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