Autofeedback from Ultrasound Images Provides Rapid Improvement in Palpation Skills for Identifying Joint Swelling in Rheumatoid Arthritis

Ogasawara, Michihiro; Murayama, Go; Yamada, Yusuke; Nemoto, Takuya; Kageyama, Michiaki; Toyama, Shoko; Kusaoi, Makio; Onuma, Shin; Kon, Takayuki; Sekiya, Fumio; Sugimoto, Keiko; Matsudaira, Ran; Matsushita, Masakazu; Tada, Kurisu; Kempe, Kazuo; Yamaji, Katsuhiko; Tamura, Naoto; Takasaki, Yoshinari

doi:10.3899/jrheum.111433

Cited by 18 publications

(13 citation statements)

References 22 publications

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“…We have previously reported that clinical examination skills improve through feedback learning by comparing the results of conventional clinical joint examination with those of articular US 4) . To improve the clinical examination skills and treatment quality, it is important to identify highly valid and effective methods in order to use articular US as a learning and treatment tool.…”

Section: Assessment With Palpation and Self-learningmentioning

confidence: 99%

Advantage of the Use of Articular Ultrasonography in Routine Medical Care

Ogasawara

2020

Juntendo Medical Journal

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Articular ultrasonography (US) is an essential examination tool for medical treatment of rheumatic diseases. By supplementing the physical examination findings and the blood test results with articular US, it is possible to accurately judge the diagnosis and disease state. Immediate point-of-care ultrasonography (POCUS) contributes to earlier problem solving, and the picture-based explanation is also effective for deep understanding of the patient and relief of anxiety (picture superiority effect). It is thought that the further development of articular US devices and the spread of utilization skills will contribute to the improvement of patientsʼ outcomes.

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Section: Assessment With Palpation and Self-learningmentioning

confidence: 99%

Advantage of the Use of Articular Ultrasonography in Routine Medical Care

Ogasawara

2020

Juntendo Medical Journal

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“…Cases in which US detected a PD signal progresses at high probability to persistent arthritis requiring antirheumatic agents such as methotrexate 4) . It led to the improvement of palpation techniques with which physicians can independently confirm the correctness of their examination findings through anatomical understanding of the lesion using US 13) . Moreover, in our experience, the patient developed an understanding of the pathological conditions through US images, facilitating understanding of the necessary changes in the treatment strategy.…”

Section: Usefulness Of Us In Early and Differential Diagnosesmentioning

confidence: 99%

Usefulness of Joint Ultrasonography in Medical Care for Rheumatoid Arthritis

Ogasawara

2014

Juntendo Medical Journal

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“…A number of studies have shown that ultrasound detects synovial inflammation more sensitively than does clinical joint examination [2][3][4][5] and ultrasound-detected synovitis correlates well with magnetic resonance imaging (MRI) [4,[6][7][8] and histopathological findings [9,10]. As synovial inflammation is the most characteristic pathophysiology of rheumatoid arthritis (RA), sonographic assessment of synovial inflammation has been shown to improve the accuracy of diagnosis [11][12][13][14][15][16], optimize the assessment of disease activity [15,[17][18][19][20][21][22], predict relapse after discontinuation of biological treatment [23], and also improve the physicians' joint examination skill [24] in the management of RA. Therefore, a rapidly increasing number of rheumatologists now use ultrasound for the assessment of synovial inflammation in daily practice, training, and education [25].…”

Section: Introductionmentioning

confidence: 99%