Sensitivität und Bedeutung kernspintomographischer Befunde an den Fingergelenken der Rheumatoiden Arthritis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-04

AUTHORS

R. Peters, B. Ostendorf, A. Scherer, A. Becker, P. Dann, H. Merk, Ulrich Mödder, M. Schneider

ABSTRACT

Summary Evaluation of the sensitivity and value of magnetic resonance imaging (MRI) findings and miniarthroscopic investigations (mini-/needle-arthroscopy=MA) of metacarpophalangeal (MCP) joints in patients with rheumatoid arthritis (RA). 30 patients with RA (21 female, 9 male), disease duration 2 months to 22 years and mean disease activity score (DAS) of 3.90 (range: 2.00–7.67) were examined by MRI of the hand (MCP region) and following MA of the MCP-II joints. MRI parameters for arthritis (synovial enhancement, synovial extension, cortical alterations, joint gap width) and corresponding macroscopic items (synovial extension, synovial hyperemia and vascularity, cortical alterations) by MA, scored semiquantitatively for synovitis (graduated from 0–III degree), were correlated. Additionally, normal radiographs of the hands were performed and compared with MRI findings concerning the detection of bony lesions. Evaluation of the 30 MRI and MA examination revealed highly significant correlations (p<0.0001) for the parameters of synovial extension (MRI/MA), cortical alterations (MRI/MA) and synovial enhancement (MRI) compared to synovial hyperemia and vascularity (MA). We found significant correlations for parameters of activity and chronicity of RA pathology as assessed by MRI and MA. The detection rate of cortical lesions by MRI was two and a half times higher than by X-ray. MRI findings of MCP-II joints compared to those of MCP III–V showed that the MCP-II joint was more strongly involved. More... »

PAGES

130-138

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s003930200021

DOI

http://dx.doi.org/10.1007/s003930200021

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041083786

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12056290


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