Aiming for a simpler early arthritis MRI protocol: can Gd contrast administration be eliminated?
| Autor: | Tom W J Huizinga, Mikkel Østergaard, Annette H M van der Helm-van Mil, Désirée van der Heijde, W. Stomp, Johan L. Bloem, A. Krabben, Monique Reijnierse |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Wrist Joint medicine.medical_specialty Gadolinium Gadolinium contrast chemistry.chemical_element Contrast Media Sensitivity and Specificity Magnetic resonance imaging Synovitis Medicine Humans Radiology Nuclear Medicine and imaging Rheumatoid arthritis Neuroradiology Observer Variation Tenosynovitis medicine.diagnostic_test business.industry Arthritis Ultrasound food and beverages Reproducibility of Results Interventional radiology General Medicine Middle Aged Wrist medicine.disease Image Enhancement Early Diagnosis chemistry Female Radiology business |
| Zdroj: | European Radiology, 25(5), 1520-1527 |
| Popis: | To evaluate whether intravenous gadolinium (Gd) contrast administration can be eliminated when evaluating synovitis and tenosynovitis in early arthritis patients, thereby decreasing imaging time, cost, and invasiveness.Wrist MRIs of 93 early arthritis patients were evaluated by two readers for synovitis of the radioulnar, radiocarpal, and intercarpal joints, according to the Rheumatoid Arthritis MRI Scoring method (RAMRIS), and for tenosynovitis in ten compartments. Scores of MRI images without Gd contrast enhancement were compared to scores obtained when evaluating all, including contrast-enhanced, MRI images as reference. Subsequently, a literature review and pooled analysis of data from the present and two previous studies were performed.At the individual joint/tendon level, sensitivity to detect synovitis without Gd contrast was 91 % and 72 % for the two readers, respectively, with a specificity of 51 % and 81 %. For tenosynovitis, the sensitivity was 67 % and 54 %, respectively, with a specificity of 87 % and 91 %. Pooled data analysis revealed an overall sensitivity of 81 % and specificity of 50 % for evaluation of synovitis. Variations in tenosynovitis scoring systems hindered pooled analyses.Eliminating Gd contrast administration resulted in low specificity for synovitis and low sensitivity for tenosynovitis, indicating that Gd contrast administration remains essential for an optimal assessment.• Eliminating gadolinium contrast administration results in low specificity for synovitis • For tenosynovitis, sensitivity is low without gadolinium contrast administration • Gadolinium contrast administration remains essential for evaluating synovitis and tenosynovitis in early arthritis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|