Should ultrasound be used routinely in the diagnosis of rheumatoid arthritis?

Boylan, Maria

doi:10.1007/s11845-019-02096-3

Cited by 9 publications

(6 citation statements)

References 73 publications

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“…Inclusion criteria: (a) according to the diagnostic criteria for KOA prescribed by the American Rheumatology Association (ACR) in 2001 [ 15 ], as shown in Figure 1 , patients with knee pain were diagnosed as KOA if they had five of the following nine items. (b) All patients were over 50 years old (inclusive).…”

Section: Methodsmentioning

confidence: 99%

Back Propagation Neural Network-Based Ultrasound Image for Diagnosis of Cartilage Lesions in Knee Osteoarthritis

Xiao-ming

Gong

et al. 2021

Journal of Healthcare Engineering

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Objective. To explore the application value of ultrasound image based on back propagation (BP) neural network algorithm in knee osteoarthritis (KOA) and evaluate the application effect and value of ultrasound image technology based on the BP neural network in the diagnosis of knee osteoarthritis cartilage lesions, 98 patients who were admitted to our hospital were diagnosed with KOA and had undergone arthroscopic soft tissue examinations were randomly selected. According to whether image processing was performed, the ultrasound images of all patients were divided into two groups. The control group was image before processing, and the experimental group was image after processing optimization. The consistency of the inspection results of the ultrasound images before and after the processing with the arthroscopy results was compared. The results showed that the staging accuracy of the control group was 68.3% and that of the experimental group was 76.9%. The accuracy of staging cartilage degeneration of the experimental group was higher than that of the control group, and the difference was not remarkable ( P > 0.05 ). The kappa coefficient of the experimental group was 0.61, and that of the control group was 0.40. The kappa coefficient of the experimental group was higher than that of the control group, and the difference was significant ( P < 0.05 ). Conclusion. The inspection effect of the ultrasound image processed by the BP neural network was superior to that of the conventional ultrasound image. It reflected the good adoption prospect of neural networks in image processing.

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Section: Methodsmentioning

confidence: 99%

Back Propagation Neural Network-Based Ultrasound Image for Diagnosis of Cartilage Lesions in Knee Osteoarthritis

Xiao-ming

Gong

et al. 2021

Journal of Healthcare Engineering

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“…American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) guidelines suggest the use of ultrasound in early RA to assess the activity of the inflammation with respect to MRI, that is reserved for a small portion of clinically difficult cases and clinical studies. So, in these patients, the study of ELMSI seems less important than the findings visible with ultrasound [74]. Taking this into consideration, we must however recognize the information that ELMSI can provide once it has been observed in a RA patient: the detection of synovitis and ELMSI allows the aggressive forms of RA to be recognized earlier because bone erosion and joint space narrowing are invariably preceded by these phenomena.…”

Section: Edema-like Marrow Signal Intensity With Known Causementioning

confidence: 99%

Edema-like marrow signal intensity: a narrative review with a pictorial essay

et al. 2020

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The term edema-like marrow signal intensity (ELMSI) represents a general term describing an area of abnormal signal intensity at MRI. Its appearance includes absence of clear margins and the possibility of exceeding well-defined anatomical borders (for example, physeal scars). We can define “ELMSI with unknown cause” an entity where the characteristic MR appearance is associated with the absence of specific signs of an underlying condition. However, it is more often an important finding indicating the presence of an underlying disease, and we describe this case as “ELMSI with known cause.” It presents a dynamic behavior and its evolution can largely vary. It initially corresponds to an acute inflammatory response with edema, before being variably replaced by more permanent marrow remodeling changes such as fibrosis or myxomatous connective tissue that can occur over time. It is important to study ELMSI variations over time in order to evaluate the activity state and therapeutic response of an inflammatory chronic joint disease, the resolution of a trauma, and the severity of an osteoarthritis. We propose a narrative review of the literature dealing with various subjects about this challenging topic that is imaging, temporal evolution, etiology, differential diagnoses, and possible organization, together with a pictorial essay.

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“…5 The integration of this tool as an extension to clinical and biological data may be interesting to assess remission. 6 In that regard, we conducted the present study to investigate the validity of different RA disease activity scores to assess remission using the US as the reference.…”

Section: Introductionmentioning

confidence: 99%

Validity of Remission Criteria in Rheumatoid Arthritis Compared to Ultrasound-Defined Remission

Abdelghani

Miladi

Yasmine

et al. 2022

Sultan Qaboos Univ Med J

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Objectives: Remission is the ultimate purpose of treatment in Rheumatoid Arthritis (RA). However, even when the most stringent composite scores were used, structural damages can occur. For that purpose ultrasonography (US) appears to be the best way to assess real remission. Our principal aim was to investigate the validity of different RA remission scores using the US as the reference. Methods: An analytic diagnostic study of 30 RA patients in remission according to DAS28 and a control group with active RA was conducted between January and October of 2018. Among them, we identified patients in remission according to the SDAI, the CDAI, and the ACR/EULAR remission score. The validity of each activity score for remission was calculated using as a gold standard the absence of PD signal. Results: All patients were in remission according to DAS28 with an average score of 2.03 [1.13-2.6]. US examination showed PD signals in 57% of all patients. Twenty-six patients were in remission according to CDAI, a Doppler signal was detected in 58% of those cases. SDAI remission was accomplished in 19 patients with PD activity in 53% of cases. For the 14 patients in remission according to ACR/EULAR criteria, synovial hyper-vascularization was found in 64%. Considering true remission as the absence of PD signals, the most sensitive and specific score was DAS28 (93% and 68% respectively). Conclusion: Considering remission in RA as the absence of vascularized synovitis, the DAS28 was the most sensitive and the most specific score. Keywords: Rheumatoid Arthritis, remission, ultrasonography, validity

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Should ultrasound be used routinely in the diagnosis of rheumatoid arthritis?

Cited by 9 publications

References 73 publications

Back Propagation Neural Network-Based Ultrasound Image for Diagnosis of Cartilage Lesions in Knee Osteoarthritis

Back Propagation Neural Network-Based Ultrasound Image for Diagnosis of Cartilage Lesions in Knee Osteoarthritis

Edema-like marrow signal intensity: a narrative review with a pictorial essay

Validity of Remission Criteria in Rheumatoid Arthritis Compared to Ultrasound-Defined Remission

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