Magnetic resonance of the hand in rheumatoid arthritis. Review of methodology, and its use in diagnosis, monitoring and prognosis

M. Pilar Lisbona, Joan Maymó, Jordi Carbonell

Research output: Contribution to journalReview articleResearchpeer-review

2 Citations (Scopus)

Abstract

The ideal aim of treatment in rheumatoid arthritis (RA) is to suppress synovial inflammation and to stop or reduce structural joint damage progression. To evaluate joint damage in RA, radiographic assessment of hands and feet is the traditional method. Nevertheless, plain film radiography can only evaluate bone damage (erosion) and, indirectly, joint cartilage. Magnetic resonance imaging presents important advantages since allows to study, not only the cortical bone and the marrow, but also the synovial membrane, tendon and ligament structures, and adjacent soft tissue that usually are involved in early disease. Moreover, hand-magnetic resonance (h-MRI) has shown to be more sensitive than plain radiography in detecting early erosions and predicting progression of bone damage, allowing a rapid diagnosis and to start the most efficient therapy as well as to achieve better outcomes for this disease.
Original languageEnglish
Pages (from-to)126-136
JournalReumatologia Clinica
Volume3
Issue number3
DOIs
Publication statusPublished - 1 Jan 2007

Keywords

  • Magnetic resonance imaging of the hand
  • Methodology and diagnostic
  • Rheumatoid arthritis

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