Magnetic Resonance Imaging (MRI)-Based Semi-Quantitative Methods for Rheumatoid Arthritis: From Scoring to Measurement

被引:3
|
作者
Salaffi, Fausto [1 ]
Carotti, Marina [2 ,3 ]
Di Carlo, Marco [1 ]
Ceccarelli, Luca [4 ]
Farah, Sonia [1 ]
Poliseno, Anna Claudia [2 ,3 ]
Di Matteo, Andrea [5 ,6 ]
Bandinelli, Francesca [7 ]
Giovagnoni, Andrea [2 ,3 ]
机构
[1] Univ Politecn Marche, Carlo Urbani Hosp, Dept Clin & Mol Sci, Rheumatol Unit, I-60035 Ancona, Italy
[2] Univ Politecn Marche, Dept Clin Special & Dent Sci, I-60126 Ancona, Italy
[3] Univ Hosp Azienda Osped Univ Marche, Dept Radiol Sci, Div Radiol, I-60126 Ancona, Italy
[4] IRCCS Policlin St Orsola, Oncohematol & Emergency Radiol Unit, Dept Pediat & Adult Cardiothorac & Vasc, I-40138 Bologna, Italy
[5] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Leeds LS2 9JT, England
[6] Natl Inst Hlth Res, Leeds Teaching Hosp NHS Trust, Leeds Biomed Res Ctr, Leeds LS9 7TF, England
[7] San Giovanni Dio Hosp, USL Tuscany Ctr, Rheumatol Dept, I-50143 Florence, Italy
关键词
rheumatoid arthritis; magnetic resonance imaging; synovitis; erosion; BONE-MARROW EDEMA; CLINICAL REMISSION; MRI; JOINTS; HANDS; RELIABILITY; SENSITIVITY; WRIST; RECOMMENDATIONS; SYNOVITIS;
D O I
10.3390/jcm13144137
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the small joints of the hands and feet, characterized by pain, inflammation, and joint damage. In this context, magnetic resonance imaging (MRI) is useful to identify and monitor joint/tendon inflammation and the evolution of joint damage, playing a key role in treatment response evaluation, in addition to clinical measurements. Various methods to quantify joint inflammation and damage with MRI in RA have been developed, such as RA-MRI Score (RAMRIS), Early RA-MRI Score (ERAMRS), and Simplified RA-MRI Score (SAMIS). RAMRIS, introduced in 2002, offers an objective means to assess inflammation and damage via MRI in RA trials, encompassing findings such as synovitis, bone erosion, and edema/osteitis. Recently, an updated RAMRIS version was developed, which also includes the evaluation of joint space narrowing and tenosynovitis. The RAMRIS-5, which is a condensed RAMSIS version focusing on five hand joints only, has been proven to be a valuable resource for the semi-quantitative evaluation of RA joint damage, both in early and established disease. This narrative literature review will provide an overview of the MRI scoring systems that have been developed for the assessment of joint inflammation and structural damage in RA patients.
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页数:12
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