Document Detail


The accuracy of magnetic resonance imaging of the hands and feet in the diagnosis of early rheumatoid arthritis.
MedLine Citation:
PMID:  17602844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To analyze MRI findings of early RA in the hand and foot joints and to determine any discrepancies between MRI findings in the hands and feet. METHODS: Twenty one patients who fulfilled the 1987 American College of Rheumatology (ACR) criteria for the diagnosis of RA at the onset underwent MRI of both hands and feet. RESULTS: In 18 out of 21 patients, rheumatoid changes were observed in the hand and foot joints. However, rheumatoid changes were observed only in the hand joints of the three remaining patients. MRI revealed pathologic findings suggested RA in the hands of 21 of 21 patients. In the feet, MRI findings suggested RA in 18 of 21 patients. Bone erosions were seen in the hands of 14 patients (67%). Observers found as many bony changes in the hands as in the foot joints. MRI detected active synovitis in 17 patients (81%) in the hands and in 15 patients (71%) in the feet. MRI findings suggested bone edema in the hand and foot joints in 14 (63%) and 11 patients (52%), respectively. There was no significant difference between the MCP and MTP joints with respect to RA-based changes obtained in the MRI (p>0.05). CONCLUSION: Evidence of foot involvement is a frequent occurrence in early RA.
Authors:
Cuneyt Calisir; Ali Ilker Murat Aynaci; Cengiz Korkmaz
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Publication Detail:
Type:  Journal Article     Date:  2007-05-30
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  74     ISSN:  1778-7254     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-09-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  362-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Osmangazi University, Medical Faculty, Eskisehir, Turkey. aynaci@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis, Rheumatoid / diagnosis*
Chi-Square Distribution
Cohort Studies
Early Diagnosis
Female
Foot Joints / pathology*
Hand Joints / pathology*
Humans
Magnetic Resonance Imaging*
Male
Middle Aged
Pain Measurement
Probability
Sensitivity and Specificity
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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