Bildgebende Verfahren in der Rheumatologie: Bildgebung bei der Psoriasisarthritis (PsA) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-03-01

AUTHORS

R. Rau, S. Wasserberg, M. Backhaus, J. Braun, E. Edelmann, H. Kellner, B. Ostendorf, M. Rudwaleit, D. Sandrock, J. Schalm, A. Scherer, W. Schmidt

ABSTRACT

Conventional radiography is still the standard method of imaging in PsA since it displays many joints at the same time, thereby allowing different types of joint involvement to be recognized. Moreover, thanks to the high resolution of radiography, bony changes in a single joint are depicted in a brilliant way. Several features of psoriatic arthritis allow the distinction from rheumatoid arthritis, including the frequent involvement of the distal interphalangeal joints, asymmetry of joint involvement, axial involvement of finger joints, oligoarticular involvement; however, symmetric polyarthritis is also possible. At the level of the single joint, there are signs of severe destructive changes potentially leading to mutilation and at the same time signs of periostal bone proliferation and ankylosis may be present. Bony proliferation and/or osteolysis are not restricted to the joint region but can affect also the total phalanx with bone apposition or concentric osteolysis which may lead to a complete disappearance of phalanxes. For purposes of quantification of radiographic changes scoring methods are used that were originally developed for rheumatoid arthritis. So far, there is only one validated scoring method that was specifically designed for PsA and that takes into account both features of PsA, damage as well as proliferation of bone.In contrast to conventional radiography, MRI and sonography are able to visualize inflammatory processes within the soft tissue (joint capsules, tendon sheaths, tendon insertions, etc.), allowing an estimation of disease activity. Scintigraphy is nonspecific and can only be used to detect clinically silent inflammatory spots.The relatively frequent spinal (axial) involvement is similar to that seen in ankylosing spondylitis. However, unilateral sacroiliitis, asymmetry of syndesmophytes and development of parsyndesmophytes may distinguish PsA from ankylosing spondylitis. While conventional radiography demonstrates the bony consequences of inflammation in the spine, MRI also shows the active inflammatory changes in sacroiliacal joints and vertebrae. More... »

PAGES

159-167

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00393-005-0005-4

DOI

http://dx.doi.org/10.1007/s00393-005-0005-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1052696260

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16450148


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24 schema:description Conventional radiography is still the standard method of imaging in PsA since it displays many joints at the same time, thereby allowing different types of joint involvement to be recognized. Moreover, thanks to the high resolution of radiography, bony changes in a single joint are depicted in a brilliant way. Several features of psoriatic arthritis allow the distinction from rheumatoid arthritis, including the frequent involvement of the distal interphalangeal joints, asymmetry of joint involvement, axial involvement of finger joints, oligoarticular involvement; however, symmetric polyarthritis is also possible. At the level of the single joint, there are signs of severe destructive changes potentially leading to mutilation and at the same time signs of periostal bone proliferation and ankylosis may be present. Bony proliferation and/or osteolysis are not restricted to the joint region but can affect also the total phalanx with bone apposition or concentric osteolysis which may lead to a complete disappearance of phalanxes. For purposes of quantification of radiographic changes scoring methods are used that were originally developed for rheumatoid arthritis. So far, there is only one validated scoring method that was specifically designed for PsA and that takes into account both features of PsA, damage as well as proliferation of bone.In contrast to conventional radiography, MRI and sonography are able to visualize inflammatory processes within the soft tissue (joint capsules, tendon sheaths, tendon insertions, etc.), allowing an estimation of disease activity. Scintigraphy is nonspecific and can only be used to detect clinically silent inflammatory spots.The relatively frequent spinal (axial) involvement is similar to that seen in ankylosing spondylitis. However, unilateral sacroiliitis, asymmetry of syndesmophytes and development of parsyndesmophytes may distinguish PsA from ankylosing spondylitis. While conventional radiography demonstrates the bony consequences of inflammation in the spine, MRI also shows the active inflammatory changes in sacroiliacal joints and vertebrae.
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32 PSA
33 Verfahren
34 account
35 active inflammatory changes
36 activity
37 ankylosis
38 apposition
39 arthritis
40 asymmetry
41 axial involvement
42 bei
43 bone
44 bone apposition
45 bone proliferation
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47 bony proliferation
48 brilliant way
49 changes
50 complete disappearance
51 consequences
52 contrast
53 conventional radiography
54 damage
55 der Rheumatologie
56 destructive changes
57 development
58 different types
59 disappearance
60 disease activity
61 distal interphalangeal joint
62 distinction
63 estimation
64 features
65 features of PsA
66 finger joints
67 frequent involvement
68 high resolution
69 inflammation
70 inflammatory changes
71 inflammatory process
72 interphalangeal joint
73 involvement
74 joint involvement
75 joint region
76 joints
77 levels
78 method
79 mutilation
80 oligoarticular involvement
81 osteolysis
82 phalanx
83 polyarthritis
84 process
85 proliferation
86 proliferation of bone
87 psoriatic arthritis
88 purpose
89 purpose of quantification
90 quantification
91 radiographic changes
92 radiography
93 region
94 resolution
95 rheumatoid arthritis
96 sacroiliacal joints
97 sacroiliitis
98 same time
99 scintigraphy
100 severe destructive changes
101 signs
102 single joint
103 soft tissue
104 sonography
105 spinal involvement
106 spine
107 spondylitis
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109 standard methods
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