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Annals of the Rheumatic Diseases 2008;67:141-142; doi:10.1136/ard.2007.081554
Copyright © 2008 BMJ Publishing Group Ltd & European League Against Rheumatism.

EDITORIAL

"All that glistens is not gold"—Separating artefacts from true Doppler signals in rheumatological ultrasound

Peter V Balint1, Peter Mandl1, David Kane2

1 Department of General and Pediatric Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
2 Department of Rheumatology, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland

Correspondence to:
Peter V Balint, MD, FRCP (Gla), PhD, National Institute of Rheumatology and Physiotherapy, 25–29 Frankel L St., Budapest, Hungary, 1023; balint.peter@mail.orfi.hu

Accepted 22 November 2007

The first 150 words of the full text of this article appear below.

The ideal musculoskeletal imaging modality for a clinical rheumatologist needs to fulfil a wide range of capabilities and exacting standards. Of paramount importance is the need to obtain precise, detailed pathoanatomical images—lacking artefacts—in any given plane of any given joint of every patient, all in real time so as to provide functional information under the examiner’s immediate visual control. The end result should be to produce additional, different and more valuable information superior to that gathered from clinical examination alone. Furthermore, the imaging process should be easily and accurately repeatable without causing any harm to the patient, in order to gain reliable information and for systematic comparison of sequential images following therapy. Cost-effectiveness, a short examination time, instant access and portability are also important factors when evaluating different imaging methods. Last, but not least, all rheumatologists appreciate the value of imaging guidance when performing technically difficult interventional procedures at the . . . [Full text of this article]


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