The comparison of ultrasonographic and scintigraphic findings of early arthritis in revealing rheumatoid arthritis according to criteria of American College of Rheumatology
The comparison of ultrasonographic and scintigraphic findings of early arthritis in revealing rheumatoid arthritis according to criteria of American College of Rheumatology
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DOI：
10.1007/s00296-008-0765-7
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发表时间：
2009-05-01
影响因子：
4
通讯作者：
Kalyon, T. Alp
中科院分区：
文献类型：
--
作者：
Ozgul, Ahmet;Yasar, Evren;Kalyon, T. Alp
本研究旨在探讨高频超声(USG)的诊断意义，并将其与骨显像、临床分期进行比较。51名早期有炎症性关节炎症状但不符合ACR类风湿性关节炎(RA)诊断标准的患者被纳入本研究。采用超声和骨显像对滑膜关节进行检查。随访至少2年，每3个月就诊一次，符合ACR类风湿性关节炎诊断标准者为对照组。采用Kappa统计方法对各指标的一致性水平进行评价。早期USG对炎性关节炎的诊断与ACR标准诊断结果基本一致。然而，早期骨显像对炎性关节炎的诊断与ACR标准的诊断有统计学上的不一致。
We aimed to investigate the diagnostic significance of high frequency ultrasonography (USG), comparing the findings in USG, bone scintigraphy and clinical stuation. Fifty-one patients who had early symptoms of inflammatory arthritis, but not fulfilling the ACR diagnostic criteria for rheumatoid arthritis (RA) were included in this study. They were referred to USG and bone scintigraphy for examination of the synovial joints. After following at least 2 years with visits at every 3 months, those who fulfilled the ACR criteria for the diagnosis of RA were defined as reference group. The concordance levels were assessed with Kappa statistic among them. The diagnosis of inflammatory arthritis that was made with USG in early time showed average agreement with the diagnosis according to ACR criteria. However, there was statistically discordance between the diagnosis of inflammatory arthritis that was made with bone scintigraphy in early time and the diagnosis according to ACR criteria.