Ultrasonographic Assessment of Knee in Patients with Rheumatoid Arthritis: Is it an Effective Imaging Method for Initial Evaluation?

Yücesoy, Cüneyt; Genç, Gülsüm Aydan; Bal, Amanjit; Keyik, Bahri; Öztürk, Emine; Tüzün, Meriç; Çakçı, Aytül; Hekįmoğlu, Baki

doi:10.5606/tjr.2011.018

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…Only one study has evaluated the metatarsophalangeal (MTP) joint [ 31 ]. Regarding large joints, ten studies (34%) assessed the knee joint [ 12 – 14 , 19 , 21 , 23 , 28 , 32 , 33 , 37 ]. Other studies included one each for the shoulder [ 22 ], foot [ 37 ], and hip joints [ 15 ], respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Table 3 lists the US evaluation methods used in the studies. US evaluation of the cartilage included 15 studies that measured cartilage thickness [ 3 , 12 , 13 , 18 , 19 , 21 , 23 , 28 , 29 , 32 – 37 ], 10 that assessed it binarily [ 11 , 12 , 14 , 15 , 18 , 22 , 23 , 26 , 27 , 36 ], and 15 that assessed it semi-quantitatively [ 10 – 13 , 16 , 17 , 20 , 24 , 25 , 27 , 30 , 31 , 34 – 36 ]. Ten studies assessed two cartilage evaluation methods [ 11 – 13 , 18 , 23 , 27 , 28 , 34 – 36 ], and three examined the relationship between them [ 34 – 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies assessed two cartilage evaluation methods [ 11 – 13 , 18 , 23 , 27 , 28 , 34 – 36 ], and three examined the relationship between them [ 34 – 36 ].…”

Section: Resultsmentioning

confidence: 99%

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Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review

2023

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Background This study aimed to provide an overview of ultrasonographic cartilage evaluation in patients with rheumatoid arthritis (RA) and identify research gaps in the utilization of cartilage evaluation. Methods The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A systematic literature search of the PubMed, Embase, and Cochrane Library databases was conducted for articles published up to July 2022 using the search term variations of “cartilage,” “ultrasonography,” and “rheumatoid arthritis.” Studies that included patients with RA who underwent cartilage evaluation by ultrasonography were selected. Articles published in languages other than English and about juvenile idiopathic arthritis were excluded. Results Twenty-nine articles were identified. Most were cross-sectional studies (86%), mainly involving the metacarpophalangeal (55%) and knee (34%) joints. Assessments were performed using quantitative, binary, and semi-quantitative methods in 15, 10, and 15 studies, respectively. Reliability assessments were conducted in 10 studies, which showed feasible reliability but were limited to the finger joints. The validity assessment was validated in one study each that compared cartilage thickness measurements with cadaveric specimens and histological and semi-quantitative methods with surgical specimens, respectively. Comparisons with conventional radiography were also performed in six studies, which showed significant correlations. However, there was heterogeneity in the examination and assessment methods, and no adequate longitudinal evaluation was conducted. Conclusion This review highlights the need for further research and validation of ultrasonographic cartilage assessment in patients with RA.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review

2023

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“…Background US detection and quantification of inflammatory findings in the knee have been validated using MRI [129] and histology [130]. US has also shown great value in the detection of crystal deposition in several structures of the knee such as the articular cartilage, menisci, and tendons [131][132][133].…”

Section: Kneementioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

et al. 2021

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The second part of the Guidelines and Recommendations for Musculoskeletal Ultrasound (MSUS), produced under the auspices of EFSUMB, following the same methodology as for Part 1, provides information and recommendations on the use of this imaging modality for joint pathology, pediatric applications, and musculoskeletal ultrasound-guided procedures. Clinical application, practical points, limitations, and artifacts are described and discussed for every joint or procedure. The document is intended to guide clinical users in their daily practice.

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“…Ultrasound is used as a screening tool in the assessment of certain parameters such as synovitis, joint effusion, patellar quadriceps tendonitis and inflammation in the lining of joints in RA. 6,7 Bone scintigraphy is a highly sensitive imaging modality used for evaluating the multiple joint problems, inflammatory synovitis and periarticular bony structure in the clinical assessment of RA. 8 CT is well suited and highly sensitive in detecting the bone erosions of RA.…”

Section: Introductionmentioning

confidence: 99%

Computer-based automated analysis of X-ray and thermal imaging of knee region in evaluation of rheumatoid arthritis

Snekhalatha

Rajalakshmi

Gopikrishnan

et al. 2017

Proc Inst Mech Eng H

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The aim and objectives of the study are as follows: (1) to perform automated segmentation of knee X-ray images using fast greedy snake algorithm and feature extraction using gray level co-occurrence matrix method, (2) to implement automated segmentation of knee thermal image using RGB segmentation method and (3) to compare the features extracted from the segmented knee region of X-ray and thermal images in rheumatoid arthritis patients using a biochemical method as standard. In all, 30 rheumatoid arthritis patients and 30 age- and sex-matched healthy volunteers were included in the study. X-ray and thermography images of knee regions were acquired, and biochemical tests were carried out subsequently. The X-ray images were segmented using fast greedy snake algorithm, and feature extractions were performed using gray level co-occurrence matrix method. The thermal image was segmented using RGB-based segmentation method and statistical features were extracted. Statistical features extracted after segmentation from X-ray and thermal imaging of knee region were correlated with the standard biochemical parameters. The erythrocyte sedimentation rate shows statistically significant correlations (p < 0.01) with the X-ray parameters such as joint space width and % combined cortical thickness. The skin surface temperature measured from knee region of thermal imaging was highly correlated with erythrocyte sedimentation rate. Among all the extracted features namely mean, variance, energy, homogeneity and difference entropy depict statistically significant percentage differences between the rheumatoid arthritis and healthy subjects. From this study, it was observed that thermal infrared imaging technique serves as a potential tool in the evaluation of rheumatoid arthritis at an earlier stage compared to radiography. Hence, it was predicted that thermal imaging method has a competency in the diagnosis of rheumatoid arthritis by automated segmentation methods.

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Ultrasonographic Assessment of Knee in Patients with Rheumatoid Arthritis: Is it an Effective Imaging Method for Initial Evaluation?

Cited by 12 publications

References 17 publications

Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review

Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

Computer-based automated analysis of X-ray and thermal imaging of knee region in evaluation of rheumatoid arthritis

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