The comparison of ultrasonographic and scintigraphic findings of early arthritis in revealing rheumatoid arthritis according to criteria of American College of Rheumatology

We aimed to investigate the diagnostic significance of high frequency ultrasonography (USG), comparing the findings in USG, bone scintigraphy and clinical stuation. Fifty-one patients who had early symptoms of inflammatory arthritis, but not fulfilling the ACR diagnostic criteria for rheumatoid arth...

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Bibliographic Details
Published in:Rheumatology international 2009-05, Vol.29 (7), p.765-768
Main Authors: Ozgul, Ahmet, Yasar, Evren, Arslan, Nuri, Balaban, Birol, Taskaynatan, M. Ali, Tezel, Kutay, Baklaci, Korhan, Özgüven, M. Ali, Kalyon, T. Alp
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - diagnostic imaging
Diagnosis, Differential
Disease Progression
Early Diagnosis
Female
Humans
Joints - diagnostic imaging
Joints - pathology
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Practice Guidelines as Topic - standards
Predictive Value of Tests
Radionuclide Imaging
Rheumatoid arthritis
Rheumatology
Rheumatology - methods
Rheumatology - standards
Sensitivity and Specificity
Severity of Illness Index
Societies, Medical - standards
Synovial Membrane - diagnostic imaging
Synovial Membrane - pathology
Ultrasonography
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Summary:We aimed to investigate the diagnostic significance of high frequency ultrasonography (USG), comparing the findings in USG, bone scintigraphy and clinical stuation. Fifty-one patients who had early symptoms of inflammatory arthritis, but not fulfilling the ACR diagnostic criteria for rheumatoid arthritis (RA) were included in this study. They were referred to USG and bone scintigraphy for examination of the synovial joints. After following at least 2 years with visits at every 3 months, those who fulfilled the ACR criteria for the diagnosis of RA were defined as reference group. The concordance levels were assessed with Kappa statistic among them. The diagnosis of inflammatory arthritis that was made with USG in early time showed average agreement with the diagnosis according to ACR criteria. However, there was statistically discordance between the diagnosis of inflammatory arthritis that was made with bone scintigraphy in early time and the diagnosis according to ACR criteria.
ISSN:0172-8172
1437-160X
DOI:10.1007/s00296-008-0765-7