| Monitoring anti-interleukin 6 receptor antibody treatment for rheumatoid arthritis by quantitative magnetic resonance imaging of the hand and power Doppler ultrasonography of the finger. | |
| | |
MedLine Citation:
|
PMID: 21076827 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVES: To compare quantitative magnetic resonance imaging (MRI) and power Doppler ultrasonography (PDUS) with conventional measures of disease activity in rheumatoid arthritis (RA) patients treated with the anti-interleukin 6 (anti-IL 6) receptor antibody tocilizumab in terms of responsiveness at a few months to disease activity and ability to predict structural damage at 1 year. METHODS: A cohort of patients with RA (n = 29) was evaluated clinically including disease activity score 28 (DAS28) and by semiquantitative (SQ-) and quantitative (Q-) PDUS (bilateral metacarpophalangeal joints) and MRI (one hand and wrist) at initiation of treatment with anti-IL 6 receptor antibody agents and after 2 and 5 months. Conventional radiography for both hands and wrists was performed at baseline and at 12 months. Responsiveness was assessed by standardized response means (SRM). Areas under the curve (AUC) for measures at baseline, 2 and 5 months were correlated with structural damage at 1 year. RESULTS: Among the laboratory and clinical parameters, DAS28-ESR was the most responsive with a large effect size of SRM. Structural damage progressions for radiography and MR erosion were correlated with AUC of MR bone erosion and Q-PDUS, respectively. CONCLUSIONS: In the evaluation of disease activity in RA patients in the first few months after starting anti-IL 6 receptor antibody tocilizumab treatment, the semiquantitative MR bone erosion score of the hand and quantitative value for power Doppler signal in the finger joint were both responsive and predictive of structural damage progression at 1 year. |
| | |
Authors:
|
Tamotsu Kamishima; Kazuhide Tanimura; Masato Shimizu; Megumi Matsuhashi; Jun Fukae; Yujiro Kon; Hiromi Hagiwara; Akihiro Narita; Yuko Aoki; Naoki Kosaka; Tatsuya Atsumi; Hiroki Shirato; Satoshi Terae |
Related Documents
:
|
20524737 - Analysis techniques for congruence of the patellofemoral joint. 3497237 - Comparison of high-resolution mri and spect bone scintigraphy for noninvasive imaging o... 10981977 - Magnetic resonance arthrography of the temporomandibular joint. 3652547 - Sacroiliitis in seronegative polyarthritis: ct analysis. 424907 - Complementary roles of radionuclide scintigraphy and transmission computed tomography i... 2787837 - Systemic biodistribution of radioiodinated interleukin-2 in the rat. |
Publication Detail:
|
Type: Journal Article Date: 2010-11-14 |
Journal Detail:
|
Title: Skeletal radiology Volume: 40 ISSN: 1432-2161 ISO Abbreviation: Skeletal Radiol. Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-04-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7701953 Medline TA: Skeletal Radiol Country: Germany |
Other Details:
|
Languages: eng Pagination: 745-55 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Hokkaido University Hospital, N15 W7, Kita-Ku, Sapporo, 0600815, Japan, ktamotamo2@yahoo.co.jp. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Raine syndrome: expanding the radiological spectrum.
Next Document: Development of a successful antitumor therapeutic model combining in vivo dendritic cell vaccination...