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Magnetic resonance imaging of the fifth metatarsophalangeal joint compared with conventional radiography in patients with early rheumatoid arthritis

Forslind, K; Johanson, A; Larsson, Elna-Marie LU and Svensson, B (2003) In Scandinavian Journal of Rheumatology 32(3). p.131-137
Abstract
Objective. To evaluate if magnetic resonance imaging (MRI) is superior to conventional radiography for detection of erosions in the fifth metatarsophalangeal (MTP5) joint. Methods. Within one year from the onset of rheumatoid arthritis (RA) (baseline), one and three years thereafter MRI and conventional radiographs of the MTP5 joint were performed in 23 patients. Results. MRI revealed erosions in 10 patients at baseline, in 15 after one year and in 15 patients after 3 years. On conventional radiography, there were erosions in 10 patients at baseline, 16 after one year as well as after 3 years. The agreement between the two imaging methods was fair to good at baseline and after one and three years (kappa 0,65, 0,51 and 0,51 respectively).... (More)
Objective. To evaluate if magnetic resonance imaging (MRI) is superior to conventional radiography for detection of erosions in the fifth metatarsophalangeal (MTP5) joint. Methods. Within one year from the onset of rheumatoid arthritis (RA) (baseline), one and three years thereafter MRI and conventional radiographs of the MTP5 joint were performed in 23 patients. Results. MRI revealed erosions in 10 patients at baseline, in 15 after one year and in 15 patients after 3 years. On conventional radiography, there were erosions in 10 patients at baseline, 16 after one year as well as after 3 years. The agreement between the two imaging methods was fair to good at baseline and after one and three years (kappa 0,65, 0,51 and 0,51 respectively). The number of patients with clinical evidence of synovitis decreased considerably over time although the number of patients with MRI-synovitis was unchanged and the number of patients with erosions increased. Conclusions. MRI was not superior to conventional radiography in detecting erosions in MTP5 joints in patients with early RA. Most erosions developed during the first year of observation. Synovitis on MRI may be a marker of future development of erosions in the MTP5 joint. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
RA, MTP5-joint, MRI, conventional radiography
in
Scandinavian Journal of Rheumatology
volume
32
issue
3
pages
131 - 137
publisher
Taylor & Francis
external identifiers
  • pmid:12892248
  • wos:000184140900001
  • scopus:0038007106
ISSN
1502-7732
DOI
10.1080/03009740310002452
language
English
LU publication?
yes
id
64fcbf04-1fee-4172-b71a-85d80e497dcf (old id 305848)
date added to LUP
2007-09-03 08:30:44
date last changed
2018-01-07 05:32:20
@article{64fcbf04-1fee-4172-b71a-85d80e497dcf,
  abstract     = {Objective. To evaluate if magnetic resonance imaging (MRI) is superior to conventional radiography for detection of erosions in the fifth metatarsophalangeal (MTP5) joint. Methods. Within one year from the onset of rheumatoid arthritis (RA) (baseline), one and three years thereafter MRI and conventional radiographs of the MTP5 joint were performed in 23 patients. Results. MRI revealed erosions in 10 patients at baseline, in 15 after one year and in 15 patients after 3 years. On conventional radiography, there were erosions in 10 patients at baseline, 16 after one year as well as after 3 years. The agreement between the two imaging methods was fair to good at baseline and after one and three years (kappa 0,65, 0,51 and 0,51 respectively). The number of patients with clinical evidence of synovitis decreased considerably over time although the number of patients with MRI-synovitis was unchanged and the number of patients with erosions increased. Conclusions. MRI was not superior to conventional radiography in detecting erosions in MTP5 joints in patients with early RA. Most erosions developed during the first year of observation. Synovitis on MRI may be a marker of future development of erosions in the MTP5 joint.},
  author       = {Forslind, K and Johanson, A and Larsson, Elna-Marie and Svensson, B},
  issn         = {1502-7732},
  keyword      = {RA,MTP5-joint,MRI,conventional radiography},
  language     = {eng},
  number       = {3},
  pages        = {131--137},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Rheumatology},
  title        = {Magnetic resonance imaging of the fifth metatarsophalangeal joint compared with conventional radiography in patients with early rheumatoid arthritis},
  url          = {http://dx.doi.org/10.1080/03009740310002452},
  volume       = {32},
  year         = {2003},
}