Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study

Repeated haemarthroses affect approximately 90% of patients with severe haemophilia and lead to progressive arthropathy, which is the main cause of morbidity in these patients. Diagnostic imaging can detect even subclinical arthropathy changes and may impact prophylactic treatment. Magnetic resonanc...

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Main Authors: Plut Domen, Kotnik Barbara Faganel, Zupan Irena Preloznik, Kljucevsek Damjana, Vidmar Gaj, Snoj Ziga, Martinoli Carlo, Salapura Vladka
Format: Article
Language:English
Published: Sciendo 2019-06-01
Series:Radiology and Oncology
Subjects:
Online Access:https://doi.org/10.2478/raon-2019-0027
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author Plut Domen
Kotnik Barbara Faganel
Zupan Irena Preloznik
Kljucevsek Damjana
Vidmar Gaj
Snoj Ziga
Martinoli Carlo
Salapura Vladka
author_facet Plut Domen
Kotnik Barbara Faganel
Zupan Irena Preloznik
Kljucevsek Damjana
Vidmar Gaj
Snoj Ziga
Martinoli Carlo
Salapura Vladka
author_sort Plut Domen
collection DOAJ
description Repeated haemarthroses affect approximately 90% of patients with severe haemophilia and lead to progressive arthropathy, which is the main cause of morbidity in these patients. Diagnostic imaging can detect even subclinical arthropathy changes and may impact prophylactic treatment. Magnetic resonance imagining (MRI) is generally the gold standard tool for precise evaluation of joints, but it is not easily feasible in regular follow-up of patients with haemophilia. The development of the standardized ultrasound (US) protocol for detection of early changes in haemophilic arthropathy (HEAD-US) opened new perspectives in the use of US in management of these patients. The HEAD-US protocol enables quick evaluation of the six mostly affected joints in a single study. The aim of this prospective study was to determine the diagnostic accuracy of the HEAD-US protocol for the detection and quantification of haemophilic arthropathy in comparison to the MRI.
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spelling doaj.art-8b3744ccf2bd4b7f92716551b604146f2022-12-21T21:49:42ZengSciendoRadiology and Oncology1581-32072019-06-0153217818610.2478/raon-2019-0027raon-2019-0027Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) studyPlut Domen0Kotnik Barbara Faganel1Zupan Irena Preloznik2Kljucevsek Damjana3Vidmar Gaj4Snoj Ziga5Martinoli Carlo6Salapura Vladka7Clinical Radiology Institute, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaClinical Radiology Institute, University Medical Centre Ljubljana, Ljubljana, SloveniaSchool of Medicine and Pharmacy, University of Genoa, Genoa, ItalyClinical Radiology Institute, University Medical Centre Ljubljana, Ljubljana, SloveniaRepeated haemarthroses affect approximately 90% of patients with severe haemophilia and lead to progressive arthropathy, which is the main cause of morbidity in these patients. Diagnostic imaging can detect even subclinical arthropathy changes and may impact prophylactic treatment. Magnetic resonance imagining (MRI) is generally the gold standard tool for precise evaluation of joints, but it is not easily feasible in regular follow-up of patients with haemophilia. The development of the standardized ultrasound (US) protocol for detection of early changes in haemophilic arthropathy (HEAD-US) opened new perspectives in the use of US in management of these patients. The HEAD-US protocol enables quick evaluation of the six mostly affected joints in a single study. The aim of this prospective study was to determine the diagnostic accuracy of the HEAD-US protocol for the detection and quantification of haemophilic arthropathy in comparison to the MRI.https://doi.org/10.2478/raon-2019-0027haemophiliahaemophilic arthropathyhead-usultrasoundmagnetic resonance imaging
spellingShingle Plut Domen
Kotnik Barbara Faganel
Zupan Irena Preloznik
Kljucevsek Damjana
Vidmar Gaj
Snoj Ziga
Martinoli Carlo
Salapura Vladka
Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
Radiology and Oncology
haemophilia
haemophilic arthropathy
head-us
ultrasound
magnetic resonance imaging
title Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
title_full Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
title_fullStr Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
title_full_unstemmed Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
title_short Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study
title_sort diagnostic accuracy of haemophilia early arthropathy detection with ultrasound head us a comparative magnetic resonance imaging mri study
topic haemophilia
haemophilic arthropathy
head-us
ultrasound
magnetic resonance imaging
url https://doi.org/10.2478/raon-2019-0027
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