Ultrasound, magnetic resonance imaging and radiography of the finger joints in psoriatic arthritis patients
| Autor: | Sara Borok, Hagit Sarbagil-Maman, Reut Tzemah, David Levartovsky, Daphna Paran, Mark Berman, Adi Broyde, Ilana Kaufman, Iris Eshed, Victoria Furer, Mirna Zureik, Marina Anouk, Ofir Elalouf, Moshe Iluz, Valerie Aloush, Liran Mendel, Sharon Nevo, Lihi Eder, Yael Lahat, Ori Elkayam, Jonathan Wollman, A. Polachek |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Radiography 03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Rheumatology Synovitis Finger Joint medicine Humans Pharmacology (medical) 030212 general & internal medicine Ultrasonography 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Ultrasound Arthritis Psoriatic Reproducibility of Results Magnetic resonance imaging Gold standard (test) Middle Aged medicine.disease Magnetic Resonance Imaging Female Interphalangeal Joint business Nuclear medicine Bone proliferation |
| Zdroj: | Rheumatology (Oxford, England). 61(2) |
| ISSN: | 1462-0332 |
| Popis: | Objectives To report the discrepancies and agreements between US, MRI and radiography of the hand in PsA, and to compare the sensitivity and specificity of US and radiography to MRI as the gold standard imaging study in PsA. Methods All of the 100 prospectively recruited consecutive PsA patients underwent clinical assessment and concomitant radiographic, US and MRI studies of the MCP, PIP and DIP joints of one hand. Synovitis, flexor tenosynovitis, extensor paratenonitis, erosions and bone proliferations were identified and scored. All readers were blinded to clinical data, and agreement was calculated based on prevalence-adjusted bias-adjusted kappa (PABAK). Results The prevalence of synovitis, flexor tenosynovitis, extensor paratenonitis and erosions was similar for US and MRI, while that of bone proliferation was significantly increased in US and radiography compared with MRI (P Conclusion There is very good agreement between US and MRI for the detection of inflammatory changes in finger joints in PsA. US, radiography and MRI have a good-to-very good agreement for destructive changes. |
| Databáze: | OpenAIRE |
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