Patterns of magnetic resonance imaging of the foot in rheumatoid arthritis: which joints are most frequently involved? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-01-03

AUTHORS

Christian Buchbender, Axel Scherer, Falk Miese, Philipp Sewerin, Alexandra Haferkamp, Ralph Brinks, Hans-Joerg Wittsack, Gerald Antoch, Matthias Schneider, Benedikt Ostendorf

ABSTRACT

To investigate patterns of inflammatory MRI pathologies of the fore- and midfoot in rheumatoid arthritis (RA) and early RA (ERA) and their changes under therapy. In this prospective study, MRI data of the foot of 39 RA patients (29 female, 10 male; age: 54 ± 13 years; disease duration: 35 ± 37 months; baseline DAS28: 3.0 ± 2.0; medication: 29 DMARD, 1 biological, 9 symptomatic or non-specific treatment) were evaluated for synovitis in 314 joints, bone marrow edema and erosions according to RAMRIS criteria in a total of 585 joints. The change in joint pathology intensity was evaluated on follow-up MRI (time of follow-up: 8 ± 4 months) in 25 patients. Inflammation was generally more frequent in the metatarsophalangeal (MTP) joints (221/292; 76 %) than in the proximal metatarsal (47/292; 16 %) and tarsal bones (24/292; 8 %). The overall most frequently involved joints of the foot were MTP 5 (51/292; 18 %) and 1 (49/292; 17 %). Change under therapy was most frequently seen in the MTP 1 joint. Progress of inflammation in the MTP 1 was more frequently found in ERA patients than in patients with established RA (disease duration >12 months) (p = 0.002). In RA, the MTP joints, primarily MTP 5 and 1, are the predominant sites of inflammatory MRI pathologies of the foot. A change of inflammatory activity under therapy can be most frequently noted in the MTP 1 joint. This information might be helpful to improve effectiveness of MRI-controlled therapy approaches and clinical trials. More... »

PAGES

1731-1736

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00296-012-2648-1

DOI

http://dx.doi.org/10.1007/s00296-012-2648-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1033330694

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23283542


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49 activity
50 approach
51 arthritis
52 bone
53 bone marrow edema
54 changes
55 clinical trials
56 criteria
57 data
58 early RA
59 early rheumatoid arthritis
60 edema
61 effectiveness
62 effectiveness of MRI
63 erosion
64 follow
65 foot
66 fore
67 imaging
68 inflammation
69 inflammatory activity
70 information
71 intensity
72 joints
73 magnetic resonance imaging
74 marrow edema
75 metatarsal
76 metatarsophalangeal joint
77 midfoot
78 pathology
79 patients
80 patterns
81 predominant site
82 progress
83 progress of inflammation
84 prospective study
85 proximal metatarsal
86 resonance imaging
87 rheumatoid arthritis
88 sites
89 study
90 synovitis
91 tarsal bones
92 therapy
93 therapy approaches
94 total
95 trials
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