Juvenile idiopathic arthritis - the role of imaging from a rheumatologist's perspective

Pediatric Radiology
Clara MalattiaSilvia Magni-Manzoni

Abstract

Alongside recent advances in treatment strategies for juvenile idiopathic arthritis (JIA), paediatric rheumatologists have taken increasing interest in the use of imaging. Magnetic resonance imaging (MRI) and musculoskeletal ultrasound, by providing more detailed information on disease activity than clinical examination and conventional radiography (CR), have become helpful diagnostic and managerial tools. The growing skeleton, however, with changing appearances over time, is still challenging in the establishment of valid scoring systems for pathological changes. Defining child- and age-specific reference standards is therefore a highly prioritized issue. The aim of this article is to raise awareness among radiologists of the substantial role that imaging can play to optimize the management of JIA patients and to describe the state-of-the-art validation process of imaging as an outcome measure. A closer collaboration between radiologists and pediatric rheumatologists is crucial to define a scheduled workflow for imaging in JIA.

References

Sep 6, 2005·Arthritis and Rheumatism·Marion A J van RossumUNKNOWN Dutch Juvenile Idiopathic Arthritis Study Group
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Oct 18, 2016·Arthritis Care & Research·Johannes RothUNKNOWN OMERACT Ultrasound Group

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Citations

Jul 17, 2019·Antimicrobial Agents and Chemotherapy·Jesse HwangErol Fikrig
Apr 16, 2020·Current Rheumatology Reports·Johannes Roth
Apr 29, 2020·Rheumatic Diseases Clinics of North America·Pamela F Weiss, Johannes Roth

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