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|Title:||SONOGRAPHIC CUTOFF VALUES for DETECTION of ABNORMALITIES in SMALL, MEDIUM and LARGE JOINTS: A COMPARATIVE STUDY BETWEEN PATIENTS WITH RHEUMATOID ARTHRITIS and HEALTHY VOLUNTEERS|
|Authors:||Machado, Flavia Soares [UNIFESP]|
Vilar Furtado, Rita Nely [UNIFESP]
Takahashi, Rogerio Diniz [UNIFESP]
Pirosi de Buosi, Ana Leticia [UNIFESP]
Natour, Jamil [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
|Citation:||Ultrasound in Medicine and Biology. New York: Elsevier B.V., v. 41, n. 4, p. 989-998, 2015.|
|Abstract:||To determine ultrasound measurements indicative of abnormalities in small, medium and large joints, we conducted a cross-sectional study comparing 60 patients with rheumatoid arthritis (RA) and 78 healthy volunteers. A MyLab 60 ultrasound machine (Esaote) and a linear multifrequency probe were used. Quantitative measurements of synovial recesses and semiquantitative measurements of synovial hyperplasia, power Doppler and bone erosion (scores = 0-3) were performed. the cutoff values for synovial recesses indicating RA (receiver operating characteristic curve, area under the curve >0.800) were found to be (radiocarpal) 3.78 mm and (ulnocarpal) 3.07 mm. Those measurements with the greatest chance of indicating RA (logistic regression analysis expressed as odds ratios [ORs]) were (p < 0.001) measurements of synovial hyperplasia (ulnocarpal, OR = 100, and radiocarpal, OR = 70); synovial power Doppler (radiocarpal, OR = 66); synovial bone erosion (radiocarpal, OR = 324); fifth metatarsophalangeal joint (OR5100); and second metacarpophalangeal joint (OR = 92). We concluded that for both quantitative and semiquantitative ultrasound measurements, radiocarpal abnormalities increase the chance of detecting RA. (C) 2015 World Federation for Ultrasound in Medicine & Biology.|
|Appears in Collections:||Artigo|
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