PL EN


Preferences help
enabled [disable] Abstract
Number of results
2016 | 16 | 65 | 163-174
Article title

Diagnostic imaging of psoriatic arthritis. Part II: magnetic resonance imaging and ultrasonography

Content
Title variants
PL
Diagnostyka obrazowa łuszczycowego zapalenia stawów. Część II: rezonans magnetyczny i ultrasonografia
Languages of publication
EN PL
Abstracts
EN
Plain radiography reveals specific, yet late changes of advanced psoriatic arthritis. Early inflammatory changes are seen both on magnetic resonance imaging and ultrasound within peripheral joints (arthritis, synovitis), tendons sheaths (tenosynovitis, tendovaginitis) and entheses (enthesitis, enthesopathy). In addition, magnetic resonance imaging enables the assessment of inflammatory features in the sacroiliac joints (sacroiliitis), and the spine (spondylitis). In this article, we review current opinions on the diagnostics of some selective, and distinctive features of psoriatic arthritis concerning magnetic resonance imaging and ultrasound and present some hypotheses on psoriatic arthritis etiopathogenesis, which have been studied with the use of magnetic resonance imaging. The following elements of the psoriatic arthritis are discussed: enthesitis, extracapsular inflammation, dactylitis, distal interphalangeal joint and nail disease, and the ability of magnetic resonance imaging to differentiate undifferentiated arthritis, the value of whole-body magnetic resonance imaging and dynamic contrast-enhanced magnetic resonance imaging.
PL
Radiografia klasyczna pozwala na uwidocznienie szeregu charakterystycznych zmian w przebiegu łuszczycowego zapalenia stawów. Ujawniają się one jednak na radiogramach dopiero w zaawansowanym etapie choroby. Wczesne zmiany zapalne w obrębie stawów obwodowych, pochewek ścięgien i entez widoczne są w badaniu metodą rezonansu magnetycznego oraz w ultrasonografii. Ponadto rezonans magnetyczny umożliwia ocenę zmian zapalnych stawów krzyżowo-biodrowych oraz kręgosłupa. W tej części artykułu przedstawiono aktualne doniesienia dotyczące diagnostyki łuszczycowego zapalenia stawów w badaniu metodą rezonansu magnetycznego i ultrasonografii, charakterystyczne obrazy tej choroby oraz hipotezy związane z jej etiopatogenezą. Omówiono następujące elementy łuszczycowego zapalenia stawów: patologie entez, zapalenie tkanek miękkich przystawowych, zapalenie palca, spektrum zmian na poziomie stawu międzypaliczkowego dalszego i paznokcia. Ponadto przedstawiono przydatność badania metodą rezonansu magnetycznego w diagnostyce różnicowej niezróżnicowanych zapaleń stawów, w tym badania całego ciała oraz badania dynamicznego metodą rezonansu magnetycznego.
Discipline
Publisher

Year
Volume
16
Issue
65
Pages
163-174
Physical description
Contributors
  • Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland. Department of Diagnostic Imaging, Second Faculty, Warsaw Medical University, Poland, sudolszopinska@gmail.com
  • Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
References
  • 1. Tan AL, McGonagle D: Psoriatic arthritis: correlation between imaging and pathology. Joint Bone Spine 2010; 77: 206–211.
  • 2. Coates LC, Hodgson R, Conaghan PG, Freeston JE: MRI and ultrasonography for diagnosis and monitoring of psoriatic arthritis. Best Prac Res Clin Rheumatol 2012; 26: 805–822.
  • 3. Schraml C, Schwenzer NF, Martirosian P, Koetter I, Henes JC, Geiger K et al.: Assessment of synovitis in erosive osteoarthritis of the hand using DCE-MRI and comparison with that in its major mimic, the psoriatic arthritis. Acad Radiol 2011; 18: 804–809.
  • 4. Cimmino MA, Barbieri F, Boesen M, Paparo F, Parodi M, Kubassova O et al.: Dynamic contrast-enhanced magnetic resonance imaging of articular and extraarticular synovial structures of the hands in patients with psoriatic arthritis. J Rheumatol Suppl 2012; 89: 44–48.
  • 5. Poggenborg RP, Wiell C, Bøyeses P, Boonen A, Bird P, Pedersen SJ et al.: No overall damage progression despite persistent inflammation in adalimumab-treated psoriatic arthritis patients: results from an investigator-initiated 48-week comparative magnetic resonance imaging, computed tomography and radiography trial. Rheumatology (Oxford) 2014; 53: 746–756.
  • 6. Narváez J, Narváez JA, de Albert M, Gómez-Vaquero C, Nolla JM: Can magnetic resonance imaging of the hand and wrist differentiate between rheumatoid arthritis and psoriatic arthritis in the early stages of the disease? Semin Arthritis Rheum 2012; 42: 234–245.
  • 7. Tan YM, Østergaard M, Doyle A, Dalbeth N, Lobo M, Reeves Q et al.: MRI bone oedema scores are higher in the arthritis mutilans form of psoriatic arthritis and correlate with high radiographic scores for joint damage. Arthritis Res Ther 2009; 11: R2.
  • 8. Sudoł-Szopińska I, Kwiatkowska B, Prochorec-Sobieszek M, Maśliński W: Enthesopathies and enthesitis. Part 1. Etiopathogenesis. J Ultrason 2015; 15: 72–84.
  • 9. Sudoł-Szopińska I, Kwiatkowska B, Prochorec-Sobieszek M, Pracoń G, Walentowska-Janowicz M, Maśliński W: Enthesopathies and enthesitis. Part 2: Imaging studies. J Ultrason 2015; 15: 196–207.
  • 10. Jacques P, Lambrecht S, Verheugen E, Pauwels E, Kollias G, Armaka M et al.: Proof of concept: enthesitis and new bone formation in spondyloarthritis are driven by mechanical strain and stromal cells. Ann Rheum Dis 2014; 73: 437–445.
  • 11. Poggenborg RP, Eshed I, Østergaard M, Sørensen IJ, Møller JM, Madsen OR et al.: Enthesitis in patients with psoriatic arthritis, axial spondyloarthritis and healthy subjects assessed by “head-to-toe” whole-body MRI and clinical examination. Ann Rheum Dis 2015; 74: 823–829.
  • 12. Althoff CE, Sieper J, Song IH, Haibel H, Weiß A, Diekhoff T et al.: Active inflammation and structural change in early active axial spondyloarthritis as detected by whole-body MRI. Ann Rheum Dis 2013; 72: 967–973.
  • 13. Coates LC, Conaghan PG, Emery P, Green MJ, Ibrahim G, MacIver H et al.: Sensitivity and specificity of the classification of psoriatic arthritis criteria in early psoriatic arthritis. Arthritis Rheum 2012; 64: 3150–3155.
  • 14. Wechbach S, Schewe S, Michaely HJ, Steffinger D, Reiser MF, Glaser C: Whole-body MR imaging in psoriatic arthritis: additional value for therapeutic decision making. Eur J Radiol 2011; 77: 149–155.
  • 15. Fournié B, Margarit-Coll N, Champetier de Ribes TL, Zabraniecki L, Jouan A, Vincent V et al.: Extrasynovial ultrasound abnormalities in the psoriatic finger. Prospective comparative power-Doppler study versus rheumatoid arthritis. Joint Bone Spine 2006; 73: 527–531.
  • 16. Tan AL, Grainger AJ, Tanner SF, Emery P, McGonagle D: A high-resolution magnetic resonance imaging study of distal interphalangeal joint artropathy in psoriatic arthritis and osteoarthritis: are they the same? Arthritis Rheum 2006; 54: 1328–1333.
  • 17. Scarpa R, Soscia E, Peluso R, Atteno M, Manguso F, Del Puente A et al.: Nail and distal interphalangeal joint in psoriatic arthritis. J Rheumatol 2006; 33: 1315–1319.
  • 18. Dalbeth N, Pui K, Lobo M, Doyle A, Jones PB, Taylor WJ et al.: Nail disease in psoriatic arthritis: distal phalangeal bone edema detected by magnetic resonance imaging predicts development of onycholysis and hyperkeratosis. J Rheumatol 2012; 39: 841–843.
  • 19. Strube H, Becker-Gaab C, Saam T, Schewe S, Schulze-Koops H, Treitl M: Feasibility and reproducibility of the PsAMRIS-H score for psoriasis arthritis in low-field-strength dedicated extremity magnetic resonance imaging. Scand J Rheumatol 2013; 42: 379–382.
  • 20. Østergaard M, McQueen F, Wiell C, Bird P, Bøyesen P, Ejbjerg B et al.: The OMERACT psoriatic arthritis magnetic resonance imaging scoring system (PsAMRIS): definitions of key pathologies, suggested MRI sequences, and preliminary scoring system for PsA hands. J Rheumatol 2009; 36: 1816–1824.
  • 21. Ejbjerg BJ, Narvestad E, Jacobsen S, Thomasen HS, Østergaard M: Optimised, low cost, low field dedicated extremity MRI is highly specific and sensitive for synovitis and bone erosions in rheumatoid arthritis wrist and finger joints: comparison with conventional high field MRI and radiography. Ann Rheum Dis 2005; 64: 1280–1287.
  • 22. Castillo-Gallego C, Aydin SZ, Emery P, McGonagle DG, Marzo-Ortega H: Magnetic resonance imaging assessment of axial psoriatic arthritis: extent of disease relates to HLA-B27. Arthritis Rheum 2013; 65: 2274–2278.
  • 23. Poggenborg RP, Pedersen SJ, Eshed I, Sørensen IJ, Møller JM, Madsen OR et al.: Head-to-toe MRI in psoriatic arthritis, axial spondyloarthritis and healthy subjects: first steps towards global inflammation and damage scores of peripheral and axial joints. Rheumatology (Oxford) 2015; 54: 1039–1049.
  • 24. Terslev L, Naredo E, Iagnocco A et al.: Outcome measures in rheumatology ultrasound task force). Defining enthesitis in spondyloarthritis by ultrasound: results of a Delphi process and of a reliability reading exercise. Arthritis Care Res (Hoboken) 2014; 66: 741–748.
  • 25. Balint PV, Kane D, Wilson H, McInnes IB, Sturrock RD: Ultrasonography of entheseal insertions in the lower limb in spondyloartropathy. Ann Rheum Dis 2002; 61: 905–910.
  • 26. D’Agostino MA, Said-Nahal R, Hacquard-Bouder et al. Assessment of peripheral enthesitis in the spondylarthropathies by ultrasonography combined with power Doppler: a cross-sectional study. Arthritis Rheum 2003;48: 523–533.
Document Type
review
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-95101661-2903-4587-af77-13c94b06b53e
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.