Ultrasonography of synovium in rheumatological diseases

The use of X-ray radiation has been a basic method in radiological estimation of joint degeneration for many years. However, conventional X-ray radiography does not reveal early changes. Changes in soft tissues and synovium are also invisible in the X-ray radiograph. During the last years ultrasonographic examination of joints has been considered by rheumatologists and radiologists as the first examination in early diagnostics of rheumatological diseases, especially in diagnosis of rheumatoid arthritis and monitoring of progress of the disease. It has become possible due to growing availability of ultrasonographic machines as well as improvement of frequency of linear transducers up to 16-18 MHz and improvement of modern software. Due to these changes it is currently possible to observe effusion in the joints and tendon sheath, inflammatory changes in the synovium and presence of inflammatory granulation in periarticular tissue. Modern ultrasonographic machines also allow one to observe changes of the bone surface such as erosion or irregularity of the periosteum. Under ultrasonographic control uptake of biological material and application of medicine are also possible.

REFERENCES (12)

Kane D, Grassi W, Sturrock R, Balint PV. A brief history of musculoskeletal ultrasound: 'From bats and chips to babies and hips'. Rheumatology 2004; 43: 931-933. .

Google Scholar

Korkosz M, Wojciechowski W, Kapuścińska K i wsp. Niskopolowy rezonans magnetyczny i ultrasonografia wysokiej rozdzielczości nadgarstka, stawów śródręczno-paliczkowych i międzypaliczkowych bliższych rąk oraz przeciwciała antycytrulinowe i czynniki reumatoidalne w rozpoznawaniu reumatoidalnego zapalenia stawów u pacjentów z niezróżnicowanym zapaleniem wielostawowym. Reumatologia 2009; 47: 51-59. .

Google Scholar

Bedi TH, Bagga RN. Ultrasound in rheumatology. Musculoskeletal ultrasound symposium. Indian J Radiol Imag 2007; 17: 299-305. .

Google Scholar

Fiocco U, Ferro F, Vezzu M, et al. Rheumatoid and psoriatic knee synovitis: clinical, grey scale, and power Doppler ultrasound assessment of the response to etanercept. Ann Rheum Dis 2005; 64: 899-905. .

Google Scholar

Filippucci E, Farina A, Carotti M, et al. Grey scale and power Doppler sonographic changes induced by intra-articular steroid treatment. Ann Rheum Dis 2004; 63: 740-743. .

Google Scholar

Weinblatt ME, Keystone EC, Furst DE, et al. Long term efficacy and safety of adalimumab plus methotrexate in patients with rheumatoid arthritis: ARMADA 4 year extended study. Ann Rheum Dis 2006; 65: 753-759. .

Google Scholar

Ikari K, Momohara S. Images in clinical medicine. Bone changes in rheumatoid arthritis. N Engl J Med 2005; 353: e13. .

Google Scholar

Haruko I, Shigeru O, Hideaki H, et al. Bone erosions in RA can be repaired through reduction in disease activity with conventional disease-modifying antirheumatic drug. Arthritis Res Ther 2006: R76. .

Google Scholar

Rau R. Is remission in rheumatoid arthritis associated with radiographic healing? Clin Exp Rheumatol 2006; 24 (Suppl 43): S41-S44. .

Google Scholar

10.

Mo/ller Do/hn U, Boonen A, Hetland ML, et al. Erosive progression is minimal, but erosion healing rare, in patients with rheumatoid arthritis treated with adalimumab. A 1 year investigator-initiated follow-up study using high-resolution computed tomography as the primary outcome measure. Ann Rheum Dis 2009; 68: 1585-1590. .

Google Scholar

11.

Grassi W, Filippucci E, Farina A, Cervini C. Ultrasonography in evaluation of bone erosions. Ann Rheum Dis 2001; 60: 98-104. .

Google Scholar

12.

Mc Gonagle D, Gibbon W, O'Connor P, et al. A preliminary study of ultrasound aspiration of bone erosion in early RA. Rheumatology 1999; 38: 329-331.

Google Scholar

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