Further evidence that a cartilage-pannus junction synovitis predilection is not a specific feature of rheumatoid arthritis.

Abstract:

BACKGROUND:Qualitative differences in synovitis between the cartilage-pannus junction (CPJ) region and the adjoining suprapatellar pouch (SPP) have been reported in rheumatoid arthritis and the spondyloarthropathies. OBJECTIVE:To determine if the distribution of synovitis is the same in osteoarthritis (OA) using sensitive measures of inflammation derived from dynamic, contrast enhanced magnetic resonance imaging (DEMRI). METHODS:20 subjects with established OA of the knee were recruited. Conventional MR images together with the DEMRI measurements were obtained. Areas of synovitis at the CPJ region and at a distant site in the SPP were calculated; differences in CPJ and SPP synovitis were determined using DEMRI parameters: the initial rate of contrast enhancement (IRE) and maximal enhancement (ME). RESULTS:The area of synovitis was significantly greater adjacent to the CPJ than in the SPP. IRE and ME measures were greater at the CPJ than the SPP. CONCLUSIONS:The magnitude of synovitis at the CPJ is not disease-specific and applies across the spectrum of degenerative disease as well as inflammatory diseases.

journal_name

Ann Rheum Dis

authors

Rhodes LA,Conaghan PG,Radjenovic A,Grainger AJ,Emery P,McGonagle D

doi

10.1136/ard.2004.033688

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1347-9

issue

9

eissn

0003-4967

issn

1468-2060

pii

64/9/1347

journal_volume

64

pub_type

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