[Imaging modalities in psoriatic arthritis].

Abstract:

:This review presents an overview of the range of imaging modalities used in the diagnostic evaluation of patients with psoriatic arthritis (PsA). Conventional radiography is used to detect structural changes of the joints and tendon attachments. These changes occur late in the course of PsA hence conventional radiography contributes little to the early detection of PsA; however, the detection of periosteal proliferations on radiographs allows a relatively specific diagnosis of PsA. Skeletal scintigraphy and computed tomography are rarely used in PsA. Arthrosonography (ultrasound of the joints) is gaining increasing importance in the early identification of inflammatory soft tissue signs of PsA in the peripheral joints. Sonography enables early detection of synovitis and tenosynovitis as well as superficial erosions and also inflammatory processes of the tendon attachments. Magnetic resonance imaging (MRI) is indispensable for identifying possible involvement of the axial skeleton. Moreover, it allows good visualization of periostitis and arthritis. High resolution microcomputed tomography is an interesting novel diagnostic tool which allows highly sensitive evaluation of the bone structure and can detect very tiny bone lesions where typical signs of PsA are omega-shaped erosions and small corona-like spikes. Another interesting new diagnostic technique is fluorescence optical imaging (FOI) with the Xiralite system which is highly sensitive for detecting inflammatory processes of the hands.

journal_name

Z Rheumatol

authors

Hermann KG,Ohrndorf S,Werner SG,Finzel S,Backhaus M

doi

10.1007/s00393-013-1188-8

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

771-8

issue

8

eissn

0340-1855

issn

1435-1250

journal_volume

72

pub_type

杂志文章,评审
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    authors: Dezelić N,Zergollern V,Dezelić G,Dürrigl T,Jurak H,Vitaus M,Androić S

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    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Yoshino S,Ishiyama I

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  • [Fabry disease, a disease with rheumatic aspects: radiology of soft tissue and bone changes in the hand].

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    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Fischer E

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  • [Patient education in rheumatologic care--a review].

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    journal_title:Zeitschrift fur Rheumatologie

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  • Mitteilungen des BDRh.

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    authors: Meske S,Vogt P,Maly FE,Seitz M,Müller W

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    authors: Griem P,Gleichmann E

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  • [Role of plasmapheresis and immunoadsorption in salvage therapy of rheumatological diseases].

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    pub_type: 杂志文章

    doi:

    authors: Soren A,Cooper NS,Rosenberger JL,Waugh TR

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    doi:10.1007/s003930050002

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    doi:

    authors: Haataja M,Kalliomäki JL

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  • [Patient-centered assessment of functional health in systemic sclerosis -- where are we now?].

    abstract::Self-administered patient-centered questionnaires have been shown to be practical, reliable and valid in terms of evaluating functional limitations in rheumatic diseases. In systemic sclerosis a modified version of the HAQ and condition-specific questionnaires have been used. The Health Assessment Questionnaire (HAQ) ...

    journal_title:Zeitschrift fur Rheumatologie

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  • [Why rheumatoid arthritis needs cardiologists].

    abstract::Rheumatoid arthritis (RA) is associated with a shortened life expectancy. Most premature deaths are caused by cardiovascular (CV) events; therefore it is of importance to consider the increased CV risk when treating RA patients. Traditional CV risk factors cannot fully explain the increased risk but the common underst...

    journal_title:Zeitschrift fur Rheumatologie

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    pub_type: 杂志文章

    doi:

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