Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review

Abstract Background This study aimed to provide an overview of ultrasonographic cartilage evaluation in patients with rheumatoid arthritis (RA) and identify research gaps in the utilization of cartilage evaluation. Methods The study was conducted in accordance with the Preferred Reporting Items for...

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Main Authors: Takehisa Ogura, Takaharu Katagiri, Hideto Kameda
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Inflammation and Regeneration
Subjects:
Online Access:https://doi.org/10.1186/s41232-023-00286-2
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author Takehisa Ogura
Takaharu Katagiri
Hideto Kameda
author_facet Takehisa Ogura
Takaharu Katagiri
Hideto Kameda
author_sort Takehisa Ogura
collection DOAJ
description Abstract Background This study aimed to provide an overview of ultrasonographic cartilage evaluation in patients with rheumatoid arthritis (RA) and identify research gaps in the utilization of cartilage evaluation. Methods The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A systematic literature search of the PubMed, Embase, and Cochrane Library databases was conducted for articles published up to July 2022 using the search term variations of “cartilage,” “ultrasonography,” and “rheumatoid arthritis.” Studies that included patients with RA who underwent cartilage evaluation by ultrasonography were selected. Articles published in languages other than English and about juvenile idiopathic arthritis were excluded. Results Twenty-nine articles were identified. Most were cross-sectional studies (86%), mainly involving the metacarpophalangeal (55%) and knee (34%) joints. Assessments were performed using quantitative, binary, and semi-quantitative methods in 15, 10, and 15 studies, respectively. Reliability assessments were conducted in 10 studies, which showed feasible reliability but were limited to the finger joints. The validity assessment was validated in one study each that compared cartilage thickness measurements with cadaveric specimens and histological and semi-quantitative methods with surgical specimens, respectively. Comparisons with conventional radiography were also performed in six studies, which showed significant correlations. However, there was heterogeneity in the examination and assessment methods, and no adequate longitudinal evaluation was conducted. Conclusion This review highlights the need for further research and validation of ultrasonographic cartilage assessment in patients with RA.
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spelling doaj.art-77dd5f5a78e54e62a45bf6e9bae866162023-07-09T11:08:50ZengBMCInflammation and Regeneration1880-81902023-07-0143111510.1186/s41232-023-00286-2Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping reviewTakehisa Ogura0Takaharu Katagiri1Hideto Kameda2Department of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Toho UniversityDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Toho UniversityDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Toho UniversityAbstract Background This study aimed to provide an overview of ultrasonographic cartilage evaluation in patients with rheumatoid arthritis (RA) and identify research gaps in the utilization of cartilage evaluation. Methods The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A systematic literature search of the PubMed, Embase, and Cochrane Library databases was conducted for articles published up to July 2022 using the search term variations of “cartilage,” “ultrasonography,” and “rheumatoid arthritis.” Studies that included patients with RA who underwent cartilage evaluation by ultrasonography were selected. Articles published in languages other than English and about juvenile idiopathic arthritis were excluded. Results Twenty-nine articles were identified. Most were cross-sectional studies (86%), mainly involving the metacarpophalangeal (55%) and knee (34%) joints. Assessments were performed using quantitative, binary, and semi-quantitative methods in 15, 10, and 15 studies, respectively. Reliability assessments were conducted in 10 studies, which showed feasible reliability but were limited to the finger joints. The validity assessment was validated in one study each that compared cartilage thickness measurements with cadaveric specimens and histological and semi-quantitative methods with surgical specimens, respectively. Comparisons with conventional radiography were also performed in six studies, which showed significant correlations. However, there was heterogeneity in the examination and assessment methods, and no adequate longitudinal evaluation was conducted. Conclusion This review highlights the need for further research and validation of ultrasonographic cartilage assessment in patients with RA.https://doi.org/10.1186/s41232-023-00286-2CartilageUltrasonographyRheumatoid arthritisScoping review
spellingShingle Takehisa Ogura
Takaharu Katagiri
Hideto Kameda
Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
Inflammation and Regeneration
Cartilage
Ultrasonography
Rheumatoid arthritis
Scoping review
title Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
title_full Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
title_fullStr Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
title_full_unstemmed Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
title_short Cartilage evaluation by ultrasonography in patients with rheumatoid arthritis: a scoping review
title_sort cartilage evaluation by ultrasonography in patients with rheumatoid arthritis a scoping review
topic Cartilage
Ultrasonography
Rheumatoid arthritis
Scoping review
url https://doi.org/10.1186/s41232-023-00286-2
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AT hidetokameda cartilageevaluationbyultrasonographyinpatientswithrheumatoidarthritisascopingreview