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Conventional radiography in juvenile idiopathic arthritis: Joint recommendations from the French societies for rheumatology, radiology and paediatric rheumatology.

Abstract：

BACKGROUND:Juvenile idiopathic arthritis (JIA) can cause structural damage. However, data on conventional radiography (CR) in JIA are scant. OBJECTIVE:To provide pragmatic guidelines on CR in each non-systemic JIA subtype. METHODS:A multidisciplinary task force of 16 French experts (rheumatologists, paediatricians, radiologists and one patient representative) formulated research questions on CR assessments in each non-systemic JIA subtype. A systematic literature review was conducted to identify studies providing detailed information on structural joint damage. Recommendations, based on the evidence found, were evaluated using two Delphi rounds and a review by an independent committee. RESULTS:74 original articles were included. The task force developed four principles and 31 recommendations with grades ranging from B to D. The experts felt strongly that patients should be selected for CR based on the risk of structural damage, with routine CR of the hands and feet in rheumatoid factor-positive polyarticular JIA but not in oligoarticular non-extensive JIA. CONCLUSION:These first pragmatic recommendations on CR in JIA rely chiefly on expert opinion, given the dearth of scientific evidence. CR deserves to be viewed as a valuable tool in many situations in patients with JIA. KEY POINTS:• CR is a valuable imaging technique in selected indications. • CR is routinely recommended for peripheral joints, when damage risk is high. • CR is recommended according to the damage risk, depending on JIA subtype. • CR is not the first-line technique for imaging of the axial skeleton.

journal_name

Eur Radiol

journal_title

European radiology

authors

Marteau P,Adamsbaum C,Rossi-Semerano L,De Bandt M,Lemelle I,Deslandre C,Tran TA,Lohse A,Solau-Gervais E,Sordet C,Pillet P,Bader-Meunier B,Wipff J,Gaujoux-Viala C,Breton S,Devauchelle-Pensec V

doi

10.1007/s00330-018-5304-7

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

3963-3976

issue

eissn

0938-7994

issn

1432-1084

pii

10.1007/s00330-018-5304-7

journal_volume

pub_type

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Conventional radiography in juvenile idiopathic arthritis: Joint recommendations from the French societies for rheumatology, radiology and paediatric rheumatology.