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A clinical perspective on imaging in juvenile idiopathic arthritis. | LitMetric

A clinical perspective on imaging in juvenile idiopathic arthritis.

Pediatr Radiol

Department of Allergology, Rheumatology and Clinical Immunology, University Children's Hospital, University Medical Centre Ljubljana, Bohoričeva 20 SI-1525, 1000, Ljubljana, Slovenia.

Published: April 2024

AI Article Synopsis

  • - Imaging techniques like conventional radiography (XR), musculoskeletal ultrasound (US), and magnetic resonance imaging (MRI) are crucial for diagnosing and monitoring juvenile idiopathic arthritis (JIA) in children, helping to predict disease outcomes.
  • - Despite advancements in imaging quality and standardization, there's still a reliance on clinical assessment for managing JIA, highlighting the need for effective timing and choice of imaging methods based on individual patient cases.
  • - The review also includes clinical case scenarios focusing on the most affected joints in JIA, providing insights into when to utilize different imaging approaches tailored to specific disease patterns.

Article Abstract

In recent years, imaging has become increasingly important to confirm diagnosis, monitor disease activity, and predict disease course and outcome in children with juvenile idiopathic arthritis (JIA). Over the past few decades, great efforts have been made to improve the quality of diagnostic imaging and to reach a consensus on which methods and scoring systems to use. However, there are still some critical issues, and the diagnosis, course, and management of JIA are closely related to clinical assessment. This review discusses the main indications for conventional radiography (XR), musculoskeletal ultrasound (US), and magnetic resonance imaging (MRI), while trying to maintain a clinical perspective. The diagnostic-therapeutic timing at which one or the other method should be used, depending on the disease/patient phenotype, will be assessed, considering the main advantages and disadvantages of each imaging modality according to the currently available literature. Some brief clinical case scenarios on the most frequently and severely involved joints in JIA are also presented.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984900PMC
http://dx.doi.org/10.1007/s00247-023-05815-2DOI Listing

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