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[Magnetic resonance imaging evaluation of early rheumatoid arthritis of hand and wrist]. | LitMetric

AI Article Synopsis

  • The study aimed to assess the effectiveness of MRI in diagnosing early rheumatoid arthritis (RA) by examining symptoms such as bone marrow edema, erosions, and synovitis in patients.
  • A total of 56 patients were evaluated using different MRI techniques, revealing a high prevalence of these symptoms in both early and established RA groups.
  • The findings suggested that while MRI indicators like bone edema and erosions are crucial for diagnosing early RA, no significant differences in synovitis were observed between the two stages of the disease.

Article Abstract

Objective: To explore the value of Magnetic resonance imaging (MRI) in the early rheumatoid arthritis (RA).

Methods: 56 patients (24 men and 32 women) fulfilling the 2010 ACR/EULAR for RA, 34 with early RA, and 22 with established RA, (disease duration < 12 months, and >12 months, respectively) were enrolled in the study. MRI of the dominant hand and wrist was performed by using short time inversion recovery (STIR), plain and contrast-enhanced T1-weighted sequences. Evaluation of bone marrow edema, bone erosions and synovitis was performed with the OMERACT RA MRI scoring system.

Results: Edema, erosions, and synovitis were present in early RA and established RA, and the prevalence was 88.2% (30/34), 91.1% (31/34), 100% (34/34) and 90.9% (20/22) , 95.4% (21/22), 100% (22/22) , respectively. But no significant difference was found in two group (P > 0.05). Significant differences in edema and erosions were found between earlier RA and established RA (P < 0.05). No significant difference was found in synovitis (P > 0.05).

Conclusions: Bone marrow edema, bone erosions and synovitis are important sign of early RA. But bone edema and erosions in MRI may play an important role in the diagnosis of early RA.

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