The usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritis

dc.contributor.authorKosta, P. E.en
dc.contributor.authorVoulgari, P. V.en
dc.contributor.authorZikou, A. K.en
dc.contributor.authorDrosos, A. A.en
dc.contributor.authorArgyropoulou, M. I.en
dc.date.accessioned2015-11-24T19:20:48Z
dc.date.available2015-11-24T19:20:48Z
dc.identifier.issn1478-6362-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22065
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectArthritis, Rheumatoid/epidemiology/*pathologyen
dc.subjectCarpal Joints/*pathologyen
dc.subjectEarly Diagnosisen
dc.subjectEdema/epidemiology/pathologyen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMagnetic Resonance Imaging/*methodsen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPrevalenceen
dc.subjectSynovitis/epidemiology/*pathologyen
dc.subjectTrapezium Bone/pathologyen
dc.subjectWrist Joint/*pathologyen
dc.subjectYoung Adulten
dc.titleThe usefulness of magnetic resonance imaging of the hand and wrist in very early rheumatoid arthritisen
heal.abstractINTRODUCTION: Magnetic resonance imaging (MRI) was used to study the hand and wrist in very early rheumatoid arthritis (RA), and the results were compared with early and established disease. METHODS: Fifty-seven patients fulfilling the new American College of Rheumatology criteria for RA, 26 with very early RA (VERA), 18 with early RA (ERA), and 13 with established RA (ESTRA), (disease duration < 3 months, < 12 months, and > 12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using fat-suppressed T2-weighted and plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, synovitis, and bone erosions was performed with the OMERACT RA MRI scoring system. RESULTS: Edema, erosions, and synovitis were present in VERA, and the prevalence was 100%, 96.15%, and 92.3%, respectively. Significant differences in edema and erosions were found between VERA and ESTRA (P < 0.05). No significant difference was found in synovitis. CONCLUSIONS: Edema, erosions, and synovitis are findings of very early RA. MRI, by detecting these lesions, may play an important role in the management of these patients.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1186/ar3355-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21658223-
heal.identifier.secondaryhttp://arthritis-research.com/content/pdf/ar3355.pdf-
heal.journalNameArthritis Res Theren
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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