Discordance between clinical and imaging criteria: assessment by magnetic resonance imaging of the foot of patients with rheumatoid arthritis

Evaluation of the correlation between disease activity and joint involvement was assessed by MRI in the clinically dominant foot of patients with RA. We conducted a cross-sectional descriptive study of 55 patients with RA, who were subjected to clinical evaluation and MRI assessment. Imaging of the...

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Published inRheumatology international Vol. 37; no. 8; pp. 1357 - 1364
Main Authors Rondina, Ronaldo Garcia, de Mello, Ricardo Andrade Fernandes, Valim, Valeria, Lourenco, Rafael Burgomeister, Batista, Elton Francisco Pavan, de Oliveira Júnior, Ronaldo
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2017
Springer Nature B.V
Subjects
Adult
Aged
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - pathology
Cross-Sectional Studies
Disability Evaluation
Disease Progression
Female
Foot Joints - diagnostic imaging
Health risk assessment
Humans
Imaging
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
NMR
Nuclear magnetic resonance
Physical Examination
Remission Induction
Rheumatology
Severity of Illness Index
Surveys and Questionnaires
Synovitis - diagnostic imaging
Synovitis - pathology
Disease activity
DAS28-CRP
MRI
Rheumatoid arthritis
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Summary:Evaluation of the correlation between disease activity and joint involvement was assessed by MRI in the clinically dominant foot of patients with RA. We conducted a cross-sectional descriptive study of 55 patients with RA, who were subjected to clinical evaluation and MRI assessment. Imaging of the clinically dominant foot was performed, and both the Disease Activity Score 28 (DAS28-CRP) and the Health Assessment Questionnaire—Disability Index (HAQ-DI) were measured. The majority of patients classified as in clinical remission presented some degree of inflammatory activity upon MRI evaluation. Statistical analysis demonstrated no correlation between MRI findings and clinical scores. There is evidence of disease activity on MRI of the clinically dominant foot even in patients classified as in clinical remission according to the DAS28-CRP criteria.
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ISSN:0172-8172
1437-160X
DOI:10.1007/s00296-017-3754-x