MRI-detected bone marrow edema in early rheumatoid arthritis.

The availability of therapeutics, such as biologics targeting TNF, has enabled marked inhibition of structural damage previously thought to be unavoidable in many patients with rheumatoid arthritis (RA). The importance of physicians being able to reliably identify patients at the greatest risk of di...

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Glavni autor: Taylor, P
Format: Journal article
Jezik:English
Izdano: 2008
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author Taylor, P
author_facet Taylor, P
author_sort Taylor, P
collection OXFORD
description The availability of therapeutics, such as biologics targeting TNF, has enabled marked inhibition of structural damage previously thought to be unavoidable in many patients with rheumatoid arthritis (RA). The importance of physicians being able to reliably identify patients at the greatest risk of disease progression is, therefore, increasing. Many prognostic markers, including MRI-detected pathology at the wrist, have been known for some time to correlate with radiographic RA disease progression on a cohort basis. In a substudy of a clinical trial of two conventional DMARD regimens in a cohort of early RA patients, Hetland et al. explored the relationships between the progression of radiographic erosions and the pathological features identifiable on MRI at baseline, as well as several other putative prognostic markers. Here I discuss the potential implications of this study's findings in understanding the role of bone marrow inflammation in tissue destructive pathways.
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spelling oxford-uuid:40a06fc6-92e2-4fdf-be05-ddb7265abd422022-03-26T14:38:58ZMRI-detected bone marrow edema in early rheumatoid arthritis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:40a06fc6-92e2-4fdf-be05-ddb7265abd42EnglishSymplectic Elements at Oxford2008Taylor, PThe availability of therapeutics, such as biologics targeting TNF, has enabled marked inhibition of structural damage previously thought to be unavoidable in many patients with rheumatoid arthritis (RA). The importance of physicians being able to reliably identify patients at the greatest risk of disease progression is, therefore, increasing. Many prognostic markers, including MRI-detected pathology at the wrist, have been known for some time to correlate with radiographic RA disease progression on a cohort basis. In a substudy of a clinical trial of two conventional DMARD regimens in a cohort of early RA patients, Hetland et al. explored the relationships between the progression of radiographic erosions and the pathological features identifiable on MRI at baseline, as well as several other putative prognostic markers. Here I discuss the potential implications of this study's findings in understanding the role of bone marrow inflammation in tissue destructive pathways.
spellingShingle Taylor, P
MRI-detected bone marrow edema in early rheumatoid arthritis.
title MRI-detected bone marrow edema in early rheumatoid arthritis.
title_full MRI-detected bone marrow edema in early rheumatoid arthritis.
title_fullStr MRI-detected bone marrow edema in early rheumatoid arthritis.
title_full_unstemmed MRI-detected bone marrow edema in early rheumatoid arthritis.
title_short MRI-detected bone marrow edema in early rheumatoid arthritis.
title_sort mri detected bone marrow edema in early rheumatoid arthritis
work_keys_str_mv AT taylorp mridetectedbonemarrowedemainearlyrheumatoidarthritis