Magnetic resonance imaging of the wrist in rheumatoid arthritis: demonstration of progression between 1 and 6 years.

Abstract:

OBJECTIVE:To describe the changes seen in the wrist in rheumatoid arthritis (RA) on magnetic resonance (MR) imaging obtained at 1 year and 6 years. DESIGN:A cohort of patients with RA has been studied prospectively from symptom onset. PATIENTS:MR scans of the dominant wrist in 31 patients obtained at 1 year and 6 years were compared for bone erosions, marrow signal change (oedema), synovial thickness and tenosynovitis. RESULTS:Twenty-two patients had an increase in erosion score in the interval and three patients showed a decrease in erosion score suggesting erosion healing. Fourteen patients had an increase in oedema score in the interval and eight patients had a decrease in oedema score. Synovial thickness increased in 13 patients and decreased in eight. Tenosynovitis increased in 15 patients and decreased in five. Bone erosions developed immediately adjacent to the tenosynovitis in two patients. CONCLUSIONS:MR imaging is useful in following the progress of bone erosions, marrow oedema, synovitis and tenosynovitis in RA.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Stewart NR,Crabbe JP,McQueen FM

doi

10.1007/s00256-004-0839-x

keywords:

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

704-11

issue

12

eissn

0364-2348

issn

1432-2161

journal_volume

33

pub_type

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