The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review
Abstract Early differentiation between different types of inflammatory arthritis and subsequent initiation of modern treatments can improve patient outcomes by reducing disease activity and preventing joint damage. Routine clinical evaluation, laboratory testing, and radiographs are typically suffic...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | Arthritis Research & Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13075-019-2050-4 |
| _version_ | 1818726339865214976 |
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| author | Gurjit S. Kaeley Catherine Bakewell Atul Deodhar |
| author_facet | Gurjit S. Kaeley Catherine Bakewell Atul Deodhar |
| author_sort | Gurjit S. Kaeley |
| collection | DOAJ |
| description | Abstract Early differentiation between different types of inflammatory arthritis and subsequent initiation of modern treatments can improve patient outcomes by reducing disease activity and preventing joint damage. Routine clinical evaluation, laboratory testing, and radiographs are typically sufficient for differentiating between inflammatory and predominantly degenerative arthritis (e.g., osteoarthritis). However, in some patients with inflammatory arthritis, these techniques fail to accurately identify the type of early-stage disease. Further evaluation by ultrasound imaging can delineate the inflammatory arthritis phenotype present. Ultrasound is a noninvasive, cost-effective method that enables the evaluation of several joints at the same time, including functional assessments. Further, ultrasound can visualize pathophysiological changes such as synovitis, tenosynovitis, enthesitis, bone erosions, and crystal deposits at a subclinical level, which makes it an effective technique to identify and differentiate most common types of inflammatory arthritis. Limitations associated with ultrasound imaging should be considered for its use in the differentiation and diagnosis of inflammatory arthritides. |
| first_indexed | 2024-12-17T21:56:38Z |
| format | Article |
| id | doaj.art-e8ff90dd6a6d423b9b9146484c1644ba |
| institution | Directory Open Access Journal |
| issn | 1478-6362 |
| language | English |
| last_indexed | 2024-12-17T21:56:38Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Arthritis Research & Therapy |
| spelling | doaj.art-e8ff90dd6a6d423b9b9146484c1644ba2022-12-21T21:31:06ZengBMCArthritis Research & Therapy1478-63622020-01-0122111010.1186/s13075-019-2050-4The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative reviewGurjit S. Kaeley0Catherine Bakewell1Atul Deodhar2Division of Rheumatology and Clinical Immunology, University of Florida College of MedicineIntermountain HealthcareDivision of Arthritis and Rheumatic Diseases, Oregon Health & Science UniversityAbstract Early differentiation between different types of inflammatory arthritis and subsequent initiation of modern treatments can improve patient outcomes by reducing disease activity and preventing joint damage. Routine clinical evaluation, laboratory testing, and radiographs are typically sufficient for differentiating between inflammatory and predominantly degenerative arthritis (e.g., osteoarthritis). However, in some patients with inflammatory arthritis, these techniques fail to accurately identify the type of early-stage disease. Further evaluation by ultrasound imaging can delineate the inflammatory arthritis phenotype present. Ultrasound is a noninvasive, cost-effective method that enables the evaluation of several joints at the same time, including functional assessments. Further, ultrasound can visualize pathophysiological changes such as synovitis, tenosynovitis, enthesitis, bone erosions, and crystal deposits at a subclinical level, which makes it an effective technique to identify and differentiate most common types of inflammatory arthritis. Limitations associated with ultrasound imaging should be considered for its use in the differentiation and diagnosis of inflammatory arthritides.https://doi.org/10.1186/s13075-019-2050-4UltrasoundInflammatory arthritisSynovitisEnthesitisBone erosionsImaging |
| spellingShingle | Gurjit S. Kaeley Catherine Bakewell Atul Deodhar The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review Arthritis Research & Therapy Ultrasound Inflammatory arthritis Synovitis Enthesitis Bone erosions Imaging |
| title | The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review |
| title_full | The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review |
| title_fullStr | The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review |
| title_full_unstemmed | The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review |
| title_short | The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review |
| title_sort | importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis a narrative review |
| topic | Ultrasound Inflammatory arthritis Synovitis Enthesitis Bone erosions Imaging |
| url | https://doi.org/10.1186/s13075-019-2050-4 |
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