Musculoskeletal ultrasound versus MRI of the hands in healthy subjects - a pilot study.

Aim: High resolution imaging methods detect a spectrum of inflammatory-like and structural modifications at joint and tendon level in healthy subjects. The knowledge of their extent and degree is important when subclinical disease activity (implying therapy reassessment) must be differentiated from...

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Publicado en:Medical Ultrasonography Vol. 21; no. 2; pp. 117 - 125
Autores principales: Micu, Mihaela C., Bolboacă, Sorana D., Rusu, Georgeta M., Crivii, Carmen B., Solomon, Carolina M., Micu, Mihaela, Bolboaca, Sorana D
Formato: research Journal Article
Publicado: Romanian Society of Ultrasonography in Medicine & Biology Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: Romanian Society of Ultrasonography in Medicine & Biology
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        atl: Musculoskeletal ultrasound versus MRI of the hands in healthy subjects - a pilot study.
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        au:
          Micu, Mihaela C.
          Bolboacă, Sorana D.
          Rusu, Georgeta M.
          Crivii, Carmen B.
          Solomon, Carolina M.
          Micu, Mihaela
          Bolboaca, Sorana D
        affil: Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital,, Cluj-Napoca, Romania
      sug:
        subj:
          Inflammation
          Ultrasonography Methods
          Hand Joints
          Magnetic Resonance Imaging Methods
          Tendons
          Prospective Studies
          Adult
          Human
          Reproducibility of Results
          Pilot Studies
          Female
          Cross Sectional Studies
          Reference Values
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Female
      ab: Aim: High resolution imaging methods detect a spectrum of inflammatory-like and structural modifications at joint and tendon level in healthy subjects. The knowledge of their extent and degree is important when subclinical disease activity (implying therapy reassessment) must be differentiated from normality. Musculoskeletal ultrasound (MSUS) evaluation may be challenging even for experts when borderline or low grade lesions are present. Our objective was to analyse the frequency of inflammatory-like lesions in hand joint and tendons in healthy young subjects and to evaluate the concordance between MSUSand magnetic resonance imaging (MRI) findings.Material and Methods: Ten healthy young women (age range 24-32 years) clinically asymptomatic (joints and tendons) were selected to have bilateral hand MSUS and MRI evaluation. Based on current definitions, synovitis/tenosynovitis-like lesions, erosions, osteophytes and bone edema were quantified and concordance between the two imaging methods was calculated.Results: Overall, both imaging evaluation methods showed a low frequency of inflammatory-like and structural lesions. No joint presented power Doppler signal or erosions. No abnormalities suggestive for inflammatory or structural pathology were detected at the tendon compartments level. No erosions and no signs of osteitis were detected. The concordance between MSUS and MRI findings was high except for the wrist area.Conclusion: MSUS was demonstrated to be a very accurate imaging method, mostly for hand tendon evaluation. This would allow a better discrimination between normality and pathologic findings, adding supplementary information.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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