Botar-Jid Carolina, Bolboaca Sorana, Fodor Daniela, Bocsa Corina, Tamas Maria Magdalena, Micu Mihaela, Dudea Sorin M, Vasilescu Dan, Badea Radu
Radiology Department, University of Medicine and Pharmacy "Iuliu Haţieganu", 3-5 Clinicilor str. Cluj-Napoca, Romania.
Med Ultrason. 2010 Dec;12(4):300-5.
Ultrasonography provides information regarding synovial membrane proliferation and its vascularization. The AIM of our study was to evaluate the role of gray scale and power Doppler ultrasonography in assessing early rheumatoid arthritis by analyzing the scores determined by the evaluation of synovial proliferation, joint effusion, erosion or soft tissue swelling.
The study was prospective comprising 34 patients (31 female, 3 men), mean age 45.68 years, with clinical changes and biochemical early rheumatoid arthritis. Bilateral wrist, II-V metacarpophalangeal, and proximal interphalangeal joints were evaluated by dorsal and palmar scans.
The mean duration from the onset of symptoms was 3.46 months. Based on the clinical, biochemical and US scores the patients from our study presented early stages of RA. Also, statistically significant correlations were observed between the time elapsed from the onset, the changes highlighted by ultrasound and the stage of the disease (stage 0 or 1).
Our study confirms that US evaluation of changes in the joints of the hand offers useful information for staging the diagnosis of RA.
超声检查可提供有关滑膜增生及其血管形成的信息。我们研究的目的是通过分析滑膜增生、关节积液、侵蚀或软组织肿胀评估所确定的评分，来评估灰阶和能量多普勒超声在早期类风湿关节炎评估中的作用。
本研究为前瞻性研究，纳入34例患者（31例女性，3例男性），平均年龄45.68岁，有临床改变及生化指标提示早期类风湿关节炎。通过背侧和掌侧扫描对双侧腕关节、第2-5掌指关节和近端指间关节进行评估。
症状出现后的平均病程为3.46个月。根据临床、生化和超声评分，我们研究中的患者处于类风湿关节炎的早期阶段。此外，在症状出现后的时间、超声突出显示的变化与疾病分期（0期或1期）之间观察到统计学上的显著相关性。
我们的研究证实，对手部关节变化进行超声评估可为类风湿关节炎的分期诊断提供有用信息。
