Comparison of three ultrasonographic examinations on the synovial membrane vascularity of RA patients

Jin, Xiuli; Li, Fengjuan; Liu, Huanyan; Wang, Hong; Du, Jianwen

doi:10.1007/s13246-020-00862-7

Cited by 4 publications

(6 citation statements)

References 20 publications

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“…Overall, 19 original studies of SMI application in rheumatology were found and 18 [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] of them were analysed because we were not able to obtain the full text of one publication. The majority of the included studies were conducted in Japan [ 11 , 12 , 13 , 14 , 15 ], China [ 16 , 17 , 18 , 19 , 20 ], and Turkey [ 21 , 22 , 23 , 24 ]; single studies were conducted in Australia [ 25 ], Italy [ 26 ], South Korea [ 27 ] and the United Kingdom [ 28 ]. Reference screening provided three additional papers, but only one fulfilled the inclusion criteria and was included for analysis [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…Supplemental Table S1 depicts the baseline characteristics of the identified studies and enrolled patients. The most studied rheumatic disease was RA (52.63% of studies) [ 11 , 12 , 13 , 14 , 16 , 18 , 19 , 20 , 26 ] representing up to 63.15% of the studies when analysed in a mixed sample together with non-RA arthritis [ 15 , 28 ]. The main target of the research was synovial vascularity of the joints (84.21%).…”

Section: Resultsmentioning

confidence: 99%

“…Wrist, knee, and hand (metacarpophalangeal—MCF, and proximal interphalangeal—PIF) joints were the most widely investigated joints. SMI was mostly compared with conventional PD [ 14 , 15 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ], and several studies included colour Doppler in their comparison methods [ 18 , 24 ]. A semi-quantitative scale (four-point 0–3 or 0–III grades by percentage, dots, or linear signals in the part of the synovial area) was adopted widely to assess vascularity using SMI and other Doppler techniques (14 out of 18 analysed studies).…”

Section: Resultsmentioning

confidence: 99%

“…The included 18 studies were published between August 2016 and May 2022. Overall, 19 original studies of SMI application in rheumatology were found and 18 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] of them were analysed because we were not able to obtain the full text of one publication. The The included 18 studies were published between August 2016 and May 2022.…”

Section: Resultsmentioning

confidence: 99%

“…The first applications of SMI in rheumatology were demonstrated by case reports in 2014 [ 7 , 10 ], and according to the number of original studies, the peak was reached in 2020 [ 13 , 18 , 23 , 24 , 25 ]. The use of SMI in the field of rheumatology remains sluggish (only 19 original articles in almost a decade) despite ranking in the top three by field ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

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The Use of Superb Microvascular Imaging in Evaluating Rheumatic Diseases: A Systematic Review

Seskute,

Jasionyte,

Rugiene

et al. 2023

Medicina

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Background and Objectives: Superb microvascular imaging is an advanced Doppler algorithm that seems to be useful in detecting low-velocity blood flow without using a contrast agent. Increasing evidence suggests that SMI is a more sensitive tool than conventional Doppler techniques for evaluating rheumatic diseases, especially inflammatory arthritis. We aimed to assess the use of SMI in evaluating joints and extraarticular structures. Materials and Methods: Two reviewers independently reviewed the literature to provide a global overview of the possibilities of SMI in rheumatology. Original English-language articles published between February 2014 and November 2022 were identified through database (PubMed, Medline, Ebsco, the Cochrane Library, and ScienceDirect) searching, and analysed to summarise existing evidence according to PRISMA methodology. Inclusion criteria covered original research articles reporting applications of SMI on rheumatic diseases and musculoskeletal disorders secondary to rheumatic conditions. Qualitative data synthesis was performed. Results: A total of 18 articles were included. No systematic reviews fulfilled our inclusion criteria. Most studies focused on characterising the synovial vascularity of rheumatoid arthritis. There have been several attempts to demonstrate SMI’s value for evaluating extra-articular soft tissues (fat pads or salivary glands) and large-diameter vessels. The quantitative importance of SMI vascular indices could become a useful non-invasive diagnostic marker. Studies on therapeutic applications are still scarce, and the majority of studies have gaps in reporting the methodology (ultrasound performance technique and settings) of the research. Conclusions: SMI has proved to be useful in characterising low-flow vascularity, and growing evidence indicates that SMI is a non-invasive and lower-cost tool for prognostic assessment, especially in inflammatory arthritis. Preliminary findings also suggest potential interest in evaluating the effect of treatment.

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