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Advances in sonographic scoring of rheumatoid arthritis

Accurate assessment of disease activity and joint damage in rheumatoid arthritis (RA) is important for monitoring treatment efficiency and for prediction of the outcome of the disease. Therefore, a reliable imaging method needs to be used. Musculoskeletal ultrasound (US) is a sensitive method for th... Full description

Journal Title: Annals of the Rheumatic Diseases 19 April 2013, Vol.72(suppl 2), p.ii69
Main Author: Ohrndorf, Sarah
Other Authors: Backhaus, Marina
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: BMJ Publishing Group Ltd and European League Against Rheumatism
ID: ISSN: 0003-4967 ; E-ISSN: 1468-2060 ; DOI: 10.1136/annrheumdis-2012-202197 ; PMID: 23253922
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recordid: bmj_journals10.1136/annrheumdis-2012-202197
title: Advances in sonographic scoring of rheumatoid arthritis
format: Article
creator:
  • Ohrndorf, Sarah
  • Backhaus, Marina
subjects:
  • Ultrasonography
  • Synovitis
  • Tendinitis
  • Rheumatoid Arthritis
ispartof: Annals of the Rheumatic Diseases, 19 April 2013, Vol.72(suppl 2), p.ii69
description: Accurate assessment of disease activity and joint damage in rheumatoid arthritis (RA) is important for monitoring treatment efficiency and for prediction of the outcome of the disease. Therefore, a reliable imaging method needs to be used. Musculoskeletal ultrasound (US) is a sensitive method for the detection of both early inflammatory soft tissue lesions (eg, synovitis, tenosynovitis, and bursitis) and early bone lesions (eg, erosions) in arthritic joint diseases and correlates well with MRI. Several musculoskeletal US scores are used for monitoring RA disease activity. Different qualitative (0/1) and semiquantitative (0–3) systems and quantitative measurements are used. The semiquantitative four-grade system developed by Skudlarek , which evaluates joint effusion, synovial thickening, bone erosion and power Doppler activity, is used most often. The new seven-joint ultrasound (US7) score is the first US sum score system which combines soft tissue (synovitis and tenosynovitis/paratenonitis) and destructive lesions (erosions) in a composite scoring system. The US7 score provides a fast overview of disease activity in daily rheumatological practice. This article reviews different US scores and sum scoring systems and current and proposed activity in this field.
language: eng
source:
identifier: ISSN: 0003-4967 ; E-ISSN: 1468-2060 ; DOI: 10.1136/annrheumdis-2012-202197 ; PMID: 23253922
fulltext: fulltext
issn:
  • 00034967
  • 14682060
  • 0003-4967
  • 1468-2060
url: Link


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subjectUltrasonography ; Synovitis ; Tendinitis ; Rheumatoid Arthritis
descriptionAccurate assessment of disease activity and joint damage in rheumatoid arthritis (RA) is important for monitoring treatment efficiency and for prediction of the outcome of the disease. Therefore, a reliable imaging method needs to be used. Musculoskeletal ultrasound (US) is a sensitive method for the detection of both early inflammatory soft tissue lesions (eg, synovitis, tenosynovitis, and bursitis) and early bone lesions (eg, erosions) in arthritic joint diseases and correlates well with MRI. Several musculoskeletal US scores are used for monitoring RA disease activity. Different qualitative (0/1) and semiquantitative (0–3) systems and quantitative measurements are used. The semiquantitative four-grade system developed by Skudlarek , which evaluates joint effusion, synovial thickening, bone erosion and power Doppler activity, is used most often. The new seven-joint ultrasound (US7) score is the first US sum score system which combines soft tissue (synovitis and tenosynovitis/paratenonitis) and destructive lesions (erosions) in a composite scoring system. The US7 score provides a fast overview of disease activity in daily rheumatological practice. This article reviews different US scores and sum scoring systems and current and proposed activity in this field.
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abstractAccurate assessment of disease activity and joint damage in rheumatoid arthritis (RA) is important for monitoring treatment efficiency and for prediction of the outcome of the disease. Therefore, a reliable imaging method needs to be used. Musculoskeletal ultrasound (US) is a sensitive method for the detection of both early inflammatory soft tissue lesions (eg, synovitis, tenosynovitis, and bursitis) and early bone lesions (eg, erosions) in arthritic joint diseases and correlates well with MRI. Several musculoskeletal US scores are used for monitoring RA disease activity. Different qualitative (0/1) and semiquantitative (0–3) systems and quantitative measurements are used. The semiquantitative four-grade system developed by Skudlarek , which evaluates joint effusion, synovial thickening, bone erosion and power Doppler activity, is used most often. The new seven-joint ultrasound (US7) score is the first US sum score system which combines soft tissue (synovitis and tenosynovitis/paratenonitis) and destructive lesions (erosions) in a composite scoring system. The US7 score provides a fast overview of disease activity in daily rheumatological practice. This article reviews different US scores and sum scoring systems and current and proposed activity in this field.
pubBMJ Publishing Group Ltd and European League Against Rheumatism
doi10.1136/annrheumdis-2012-202197
urlhttp://ard.bmj.com/content/72/suppl_2/ii69.full.pdf
pmid23253922
pagesii69-75
date2013-04-19