Comparison of ultrasound-doppler and magnetic resonance imaging findings in rheumatoid arthritis of hand and wrist
Keywords:
Arthritis, Doppler, rheumatoid, ultrasonographyAbstract
Background: To evaluate the ultrasound - Doppler findings in Rheumatoid arthritis of hand and wrist and to compare the ultrasound Doppler findings with Magnetic resonance imaging (MRI) findings. Methods: This prospective study included 30 patients satisfying -The 2010 American college of Rheumatology/European League against Rheumatism criteria. Patients underwent clinical, laboratory and imaging assessment. Imaging evaluation include ultrasound- Doppler examination of accessible aspects of all the PIP, 2nd and 5th MCP and wrist joints followed by MRI examination of both wrists and hand pre and post contrast for the detection of synovitis, bone erosion, effusions and tenosynovitis. Results: The sensitivity and specificity of USG for signs of inflammation in wrist joint, with MRI as the reference, were 98.15% and 100% respectively, whereas the overall sensitivity and specificity for signs of inflammation in wrist, 2nd and 5th MCP and PIP joints were 82.35% and 97.67% respectively. The sensitivity and specificity of USG for detecting joint effusion in wrist joint, with MRI as the reference, were 88.23% and 95.35% respectively. The overall sensitivity and specificity for bilateral 2nd MCP, 5th MCP, PIP and wrist joints with MRI as a reference standard were 72.22% and 97.67% respectively.
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