[Magnetic resonance imaging of the hand in rheumatoid arthritis. New scientific insights and practical application].

Der Radiologe
K-G A Hermann

Abstract

Magnetic resonance imaging (MRI) is a sensitive diagnostic modality for the detection of inflammatory changes in peripheral joints. Nevertheless, the widespread clinical use of MRI in assessing patients with early rheumatoid arthritis is still hampered by the technical complexity and higher cost of MRI compared with conventional radiography. This overview summarizes the results of recent research and gives practical tips on how to perform MRI of the hands. The authors present an MR protocol for hand imaging, discuss the pros and cons of low-field MR scanners, and outline pitfalls and artifacts. The MRI changes associated with rheumatoid arthritis such as synovitis, tenosynovitis, erosions, and bone marrow edema are described including their prognostic significance. The proven facts on the validation and grading of MR changes in rheumatoid arthritis are summarized. Finally, the role of MRI in the differential diagnosis of arthritis is critically discussed.

References

Nov 1, 1995·Arthritis and Rheumatism·K GaffneyS Blades
Sep 25, 2001·Lancet·D M Lee, M E Weinblatt
Aug 16, 2003·Seminars in Musculoskeletal Radiology·Jamshid TehranzadehJane Dascalos
Mar 25, 2004·AJR. American Journal of Roentgenology·Bachir TaouliHarry K Genant
Apr 15, 2004·Annals of the Rheumatic Diseases·N BentonF M McQueen
Dec 14, 2004·Best Practice & Research. Clinical Rheumatology·Mikkel ØstergaardMarcin Szkudlarek
Jan 14, 2005·Annals of the Rheumatic Diseases·P ConaghanM Østergaard
Jan 14, 2005·Annals of the Rheumatic Diseases·B EjbjergM Østergaard
Jan 14, 2005·Annals of the Rheumatic Diseases·M ØstergaardP Conaghan
Jan 14, 2005·Annals of the Rheumatic Diseases·F McQueenP Conaghan
Jul 30, 2005·Arthritis and Rheumatism·Ai Lyn TanDennis McGonagle

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Citations

Nov 5, 2009·Clinical Medicine : Journal of the Royal College of Physicians of London·G TakharR Stratton
Apr 2, 2010·Joint, Bone, Spine : Revue Du Rhumatisme·Daniel Sá RibeiroMittermayer Santiago

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