Lead and copper isotopes of Roman Imperial copper coins (denominations as and quadrans) were analysed by MC–ICP–MS. We concentrated on well‐dated coins minted at the official mint of Rome under the Emperors Augustus and Tiberius (between 16 bc and ad 37). The lead isotope results were compared with published lead isotope data of ore bodies from the Aegaean, Cyprus, Italy and Spain, in order to fingerprint the sources of Roman copper. During the Augustan period the main copper supply, as judged from the copper coins, is from Sardinia and south‐east Spain, with minor contributions from Tuscany. Except for Tuscany, this continued into the Tiberian period, when Cypriot copper also appears. Augustan quadrantes and late Tiberian asses came solely from the Rio Tinto area in south‐west Spain. Copper isotopes were applied here for the first time to systematic archaeometric studies. They are supplementary to lead isotopes and allow further grouping and classification of the copper coins.
BackgroundRemission is arguably the ultimate therapeutic goal in rheumatoid arthritis (RA). Applying modern strategies, clinical remission can be achieved in a substantial number of patients with early RA (ERA). Even in those patients, the number and scope of erosions can increase. We, therefore, investigated the value of MRI for the detection of radiological progression in patients with DAS28 improvement and/or clinical remission of the German Remission-plus cohort.MethodsData-sets of 80 RA patients (according to 2010 ACR/EULAR criteria) from the Remission-plus study cohort, who fulfilled the following criteria, were retrospectively analysed: availability of two consecutive MRI scans (low-field MRI, follow-up interval 1 year) of the clinically dominant hand and wrist, and the presence of DAS28 (CRP) scores at both time points, which was used to assess disease activity.ResultsSeventy-one of the 80 investigated patients presented a numerical improvement of the DAS28 (CRP) after 12 months (DAS28(CRP) T0 average (Ø) 4.96, SD 1.2; DAS28 T4 (12 month) Ø 2.6, SD 1.0), 73% of them also improved in the RAMRIS-Score, while 24% demonstrated an increase despite DAS28 improvement and 3% showed equal values. 48% of patients who improved in the DAS28 reached EULAR remission. 41% of these patients had an increase in the RAMRIS Erosion-subscore after 12 months. When considering EULAR response criteria (non-response (n = 7), moderate response (n = 19), good response (n = 45)), an increase of erosions was found in 71.4% of non-responders, 52.6% of moderate responders, and 31.1% of good responders after 12 months, all compared to baseline.ConclusionUp to 40% of patients in this study demonstrated a progressive erosive disease detected by MRI despite DAS28 improvement or EULAR remission. Future studies are needed to determine the prognostic clinical impact of disease progression in MRI despite clinical remission, and to investigate if DAS28 remission may be an insufficient therapeutic goal and should be accompanied by MRI remission criteria.
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