Early Rheumatoid Arthritis without Radiographic Erosions: MRI Diagnostic Capabilities
Journal Title: Біль. Суглоби. Хребет - Year 2015, Vol 2, Issue 18
Abstract
The results of clinical and radiological examination of 65 patients with early rheumatoid arthritis with joint syndrome duration up to 12 months were presented in the article. The incidence of radiographic erosions in conventional X-ray and magnetic resonance imaging (MRI) depending on the clinical and laboratory features was analyzed. A standard protocol of examination and a sequence of images evaluation were developed. MRI is more informative method for topical diagnosis of early arthritis compared to conventional radiography. MRI made it possible to diagnose erosive changes in the joints of 36 patients out of 65 in early rheumatoid arthritis that is significantly greater than with conventional X-ray examination (in 2 patients out of 65). Using MRI, erosive changes in the hand joints were diagnosed 12 months prior to their detection on radiograms, the most significant differences in the definition of destructive changes occur in the carpal bones and heads of metacarpal bones. The rate of wrist erosions detection on MRI correlated with seropositivity for antibodies to cyclic citrullinated peptides and did not depend on the process activity by DAS28.
Authors and Affiliations
D. V. Vershynina
Keywords
Related Articles
- EP ID EP215347
- DOI -
- Views 64
- Downloads 0
Алгоритми лікування системної склеродермії за умов переважного ураження шкіри та суглобів, при синдромі Рейно та дигітальних виразках згідно з сучасними рекомендаціями
Systemic scleroderma (SSD) (systemic sclerosis) is a unique rheumatic disease because it presents the challenge of managing a chronic multisystem autoimmune disease with a widespread obliterative vasculopathy of small a...
Early Rheumatoid Arthritis without Radiographic Erosions: MRI Diagnostic Capabilities
The results of clinical and radiological examination of 65 patients with early rheumatoid arthritis with joint syndrome duration up to 12 months were presented in the article. The incidence of radiographic erosions in co...
Electromyographic Study of the Bioelectrical Activity of Lower Extremity Muscles in Patients with Degenerative Stenosis Complicated by Syndrome of Neurogenic Intermittent Claudication
The article deals with the research and evaluation of the functional state of neuromuscular system by the method of interferential electromyography in patients with degenerative lumbar spine stenosis complicated by neuro...
Long-Term Use of Bonviva® for the Treatment of Postmenopausal Osteoporosis: New Evidence
Osteoporosis is a disease of great social importance. Its treatment is a complicated problem and is associated with low compliance and a risk for adverse reactions. Ibandronate belongs to a group of bisphosphonates. The...
Efficiency of Quality of Life Assessment in Children with Articular Syndrome in the Practice of Family Doctor
The purpose of the study was to examine the quality of life in children with articular syndrome, and justify the importance of introduction of the quality of life research methodology in daily practice of the family doct...