| Full text | |
| Author(s): |
Machado, Flavia Soares
[1]
;
Vilar Furtado, Rita Nely
[1]
;
Takahashi, Rogerio Diniz
[2]
;
Pirosi de Buosi, Ana Leticia
[1]
;
Natour, Jamil
[1]
Total Authors: 5
|
| Affiliation: | [1] Univ Fed Sao Paulo, Escola Paulista Med UNIFESP EPM, Div Rheumatol, BR-04023900 Sao Paulo, SP - Brazil
[2] Univ Fed Sao Paulo, Escola Paulista Med UNIFESP EPM, Dept Radiol, BR-04023900 Sao Paulo, SP - Brazil
Total Affiliations: 2
|
| Document type: | Journal article |
| Source: | ULTRASOUND IN MEDICINE AND BIOLOGY; v. 41, n. 4, p. 989-998, APR 2015. |
| Web of Science Citations: | 3 |
| Abstract | |
To determine ultrasound measurements indicative of abnormalities in small, medium and large joints, we conducted a cross-sectional study comparing 60 patients with rheumatoid arthritis (RA) and 78 healthy volunteers. A MyLab 60 ultrasound machine (Esaote) and a linear multifrequency probe were used. Quantitative measurements of synovial recesses and semiquantitative measurements of synovial hyperplasia, power Doppler and bone erosion (scores = 0-3) were performed. The cutoff values for synovial recesses indicating RA (receiver operating characteristic curve, area under the curve >0.800) were found to be (radiocarpal) 3.78 mm and (ulnocarpal) 3.07 mm. Those measurements with the greatest chance of indicating RA (logistic regression analysis expressed as odds ratios {[}ORs]) were (p < 0.001) measurements of synovial hyperplasia (ulnocarpal, OR = 100, and radiocarpal, OR = 70); synovial power Doppler (radiocarpal, OR = 66); synovial bone erosion (radiocarpal, OR = 324); fifth metatarsophalangeal joint (OR5100); and second metacarpophalangeal joint (OR = 92). We concluded that for both quantitative and semiquantitative ultrasound measurements, radiocarpal abnormalities increase the chance of detecting RA. (C) 2015 World Federation for Ultrasound in Medicine \& Biology. (AU) | |
| FAPESP's process: | 09/54559-3 - Articular sonography: findings in normal subjets compared with Rheumatoid Arthritis pacients |
| Grantee: | Jamil Natour |
| Support Opportunities: | Regular Research Grants |