Role of ultrasonography in diagnosing early rheumatoid arthritis and remission of rheumatoid arthritis--a systematic review of the literature.
Role of ultrasonography in diagnosing early rheumatoid arthritis and remission of rheumatoid arthritis--a systematic review of the literature.
复制标题
DOI：
10.1186/ar4132
复制
发表时间：
2013-01-08
影响因子：
4.9
通讯作者：
Jacobs JW
中科院分区：
文献类型：
--
作者：
Ten Cate DF;Luime JJ;Swen N;Gerards AH;De Jager MH;Basoski NM;Hazes JM;Haagsma CJ;Jacobs JW
超声检查在类风湿关节炎（RA）的早期诊断和评估RA的缓解方面可能具有临床检查的附加价值。我们的目的是澄清在这些情况下US在RA中的附加值，进行系统性综述。对RA、US、诊断和缓解进行了系统性文献检索。评估了方法学质量;研究设计的广泛差异禁止了结果的合并。发现6篇关于超声诊断早期RA的附加价值的文献，其中至少扫描了双侧掌指关节（MCP）、腕关节和跖趾关节（MTP）。与临床检查相比，US在检测滑膜炎和预测进展为持续性关节炎或RA方面具有上级优势。确定了11篇关于评估缓解的论文，其中至少扫描了优势手的手腕和MCP关节。通常，无论使用何种缓解标准，US都能在临床缓解期患者中检测到炎症。滑膜炎的能量多普勒体征可预测临床缓解患者的X线进展和未来的发作。当至少扫描MCP、腕关节和MTP关节时，以及当评估RA缓解时，至少扫描优势手的腕关节和MCP关节时，US似乎对诊断RA的临床检查具有附加价值。对于这两个目的，主要可以使用功率多普勒US，因为其结果比灰度US的结果更不明确。
Ultrasonography (US) might have an added value to clinical examination in diagnosing early rheumatoid arthritis (RA) and assessing remission of RA. We aimed to clarify the added value of US in RA in these situations performing a systematic review. A systematic literature search was performed for RA, US, diagnosis and remission. Methodological quality was assessed; the wide variability in the design of studies prohibited pooling of results. Six papers on the added value of US diagnosing early RA were found, in which at least bilateral metacarpophalangeal (MCP), wrists and metatarsophalangeal (MTP) joints were scanned. Compared to clinical examination, US was superior with regard to detecting synovitis and predicting progression to persistent arthritis or RA. Eleven papers on assessing remission were identified, in which at least the wrist and the MCP joints of the dominant hand were scanned. Often US detected inflammation in patients clinically in remission, irrespective of the remission criteria used. Power Doppler signs of synovitis predicted X-ray progression and future flare in patients clinically in remission. US appears to have added value to clinical examination for diagnosing of RA when scanning at least MCP, wrist and MTP joints, and, when evaluating remission of RA, scanning at least wrist and MCP joints of the dominant hand. For both purposes primarily power Doppler US might be used since its results are less equivocal than those of greyscale US.
登录
查看更多内容
影响因子：
--
作者：
Saleem, Benazir;Brown, Andrew K.;Emery, Paul
通讯作者：
Emery, Paul
影响因子：
4
作者：
Ozgul, Ahmet;Yasar, Evren;Kalyon, T. Alp
通讯作者：
Kalyon, T. Alp
影响因子：
--
作者：
Sackett, DL;Haynes, RB
通讯作者：
Haynes, RB
类风湿关节炎中掌pophopophanegeal和近端指间关节的超声检查：与磁共振成像，常规放射线照相和临床检查的比较。
影响因子：
4.9
作者：
Szkudlarek, Marcin;Klarlund, Mette;Narvestad, Eva;Court-Payen, Michel;Strandberg, Charlotte;Jensen, Karl E.;Thomsen, Henrik S.;Ostergaard, Mikkel
通讯作者：
Ostergaard, Mikkel
影响因子：
19.7
作者：
Newman, JS;Laing, TJ;Adler, RS
通讯作者：
Adler, RS