MA: ultrasound is reasonably accurate in detecting synovitis in patients with rheumatoid arthritis

Question clinique

Is ultrasound accurate in detecting synovitis in patients with rheumatoid arthritis?

L’Essentiel

In this systematic review of patients with rheumatoid arthritis, ultrasound was reasonably accurate compared with magnetic resonance imaging (MRI) in detecting synovitis in fingers and wrists. The use of MRI as a gold standard is convenient, but problematic. 2a-

Plan de l'etude: Meta-analysis (randomized controlled trials)

Financement: Self-funded or unfunded

Cadre: Various (meta-analysis)

Reviewer

Henry C. Barry, MD, MS
Professor
Michigan State University
East Lansing, MI


Discutez de ce POEM


Commentaires

Anonymous

bad poem

Anonymous

There is no diagnostic criteria reported. What are we looking for, effusions, cartilage erosions, synovial thickness? I’m not an expert, this info would have made this POEM more useful for me.

Anonymous

good poem

Anonymous

NO USEFUL CLINICAL INFORMATION PROVIDED FOR ANY INDIVIDUAL PATIENT

Anonymous

Excellent

Anonymous

Would like to see a 3rd study group using experienced rheumatologist's examining fingers for early synovitis in those joints

Anonymous

A patient with suspect RA was scheduled for MRI of the wrist was hesitating because of allergy to contrast dye and would require 3 doses of prednisone refused the MRI .She can be directed to have an US.