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You are here: Home / Articles / EULAR 2013: Emerging Imaging Methods in Spondylarthritis Have Advantages and Flaws

EULAR 2013: Emerging Imaging Methods in Spondylarthritis Have Advantages and Flaws

September 1, 2013 • By Thomas R. Collins

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“Maybe advanced imaging technology will help us to monitor and target treatment much better,” he said.

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Imaging for Gout

In imaging for gout, Kay Hermann, MD, senior consultant in the department of radiology at Charite University Hospital in Berlin, cautioned that X-rays are not sensitive at the early stages.

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In one study of 27 patients with gout, but with normal X-rays, MRI and ultrasound were performed on a symptomatic joint and an asymptomatic joint. Researchers found that a large percentage of patients with normal radiographs can have destructive arthropathy. Fifty-six percent of the patients were found to have erosions, with MRI much more sensitive than ultrasound.3

Dual-energy CT, with two X-ray beams used simultaneously, can be useful for specific detection of gouty tophi, while ultrasound is suited for finding faint gouty deposits on the surface of cartilage, Dr. Hermann said.

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MRI, he said, can be used in more “unusual settings,” with the advantage that tophus volume measurements are possible.


Thomas Collins is a freelance medical writer based in Florida.

References

  1. Weber U, Lambert RG, Østergaard M, Hodler J, Pedersen SJ, Maksymowych WP. The diagnostic utility of magnetic resonance imaging in spondylarthritis: An international multicenter evaluation of one hundred eighty-seven subjects. Arthritis Rheum. 2010;62:3048-3058.
  2. Weckbach S, Schewe S, Michaely HJ, Steffinger D, Reiser MF, Glaser C. Whole-body MR imaging in psoriatic arthritis: Additional value for therapeutic decision making. European J Radiol. 77:149-155.
  3. Carter JD, Kedar RP, Anderson SR, et al. An analysis of MRI and ultrasound imaging in patients with gout who have normal plain radiographs. Rheumatology. 2009;48:1442-1446.

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Filed Under: Conditions, Meeting Reports, Spondyloarthritis Tagged With: diffusion-weighted imaging, EULAR 2013, ultrasonographyIssue: September 2013

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