Power Doppler Ultrasound in Musculoskeletal Disease: A Systematic Review
Section snippets
Methods
The review process consisted of 4 steps. The authors (1) defined the objective of the review; (2) searched the literature to locate all studies that address the objectives; (3) extracted the data; and (4) reported the results.
The data were extracted using a power Doppler worksheet that had been specifically developed for this review. The data extraction was purely descriptive, providing information contained within the report. This covered aspects of design and subjects, ultrasound and other
Results
The objective of the review was to systematically report original studies of power Doppler ultrasound measurement in the musculoskeletal system. Relevant studies were identified in PubMed from January 1966 to June 2005. The search was limited to English articles.
Two searches were performed. The first was a keyword search on “power Doppler,” which provided 2203 articles. The second search was “ultrasound or sonography” AND “arthritis,” which provided 1420 articles. These results were combined to
Discussion
Power Doppler ultrasound is an emerging technology that may provide a noninvasive assessment of disease processes through its measurement of vascularity of the musculoskeletal system (4, 5). Currently this technology is being used to evaluate mainly inflammatory disease but it has been used for the examination of tendon pathology as well. The major area of research has been on the hand in rheumatoid arthritis.
The standardization of machine settings is important in reproducing results and to
References (61)
- et al.
The role of power Doppler sonography in the evaluation of superficial soft tissue abscesses
Eur J Ultrasound
(1998) - et al.
Ultrasound and Power Doppler findings in jumper’s knee—preliminary observations
Eur J Ultrasound
(2001) - et al.
Evaluation of metacarpophalangeal joint synovitis in rheumatoid arthritis by power Doppler technique: relationship between synovial vascularization and periarticular bone mineral density
Joint Bone Spine
(2004) - et al.
Power Doppler findings in plantar fasciitis
Ultrasound Med Biol
(2004) - et al.
Fractional moving blood volume: estimation with power Doppler US
Radiology
(1995) The value of sensitive imaging modalities in rheumatoid arthritis
Arthritis Res Ther
(2003)Power doppler
Eur Radiol
(1999)Serum vascular markers and vascular imaging in assessment of rheumatoid arthritis disease activity and response to therapy
Rheumatology (Oxford)
(2005)- et al.
Power Doppler sonography: improving disease activity assessment in inflammatory musculoskeletal disease
Arthritis Rheum
(2003) - et al.
Correlation of power Doppler sonography with vascularity of the synovial tissue of the knee joint in patients with osteoarthritis and rheumatoid arthritis
Arthritis Rheum
(2001)
Colour Doppler ultrasonography to detect pannus in knee joint synovitis
Clin Exp Rheumatol
Power Doppler sonography in the assessment of musculoskeletal fluid collections
AJR Am J Roentgenol
Interobserver agreement in ultrasonography of the finger and toe joints in rheumatoid arthritis
Arthritis Rheum
Evaluation of pannus and vascularization of the metacarpophalangeal and proximal interphalangeal joints in rheumatoid arthritis by high-resolution ultrasound (multidimensional linear array)
Arthritis Rheum
Should oligoarthritis be reclassified? Ultrasound reveals a high prevalence of subclinical disease
Ann Rheum Dis
Ultrasound, magnetic resonance imaging, and posterior tibialis dysfunction
Clin Orthop
Ultrasonographic study of Achilles tendon and plantar fascia in chondrocalcinosis
J Rheumatol
Achilles tendons: clinical relevance of neovascularization diagnosed with power Doppler US
Radiology
High prevalence of jumper’s knee and sonographic changes in Swedish elite junior volleyball players compared to matched controls
Br J Sports Med
Power Doppler ultrasound assessment of rheumatoid hand synovitis
J Rheumatol
Grey scale and power Doppler sonographic changes induced by intra-articular steroid injection treatment
Ann Rheum Dis
Assessment of inflammatory activity in rheumatoid arthritis: a comparative study of clinical evaluation with grey scale and power Doppler ultrasonography
Ann Rheum Dis
Power Doppler ultrasound of rheumatoid synovitis: quantification of therapeutic response
Br J Radiol
Power Doppler ultrasonography for assessment of synovitis in the metacarpophalangeal joints of patients with rheumatoid arthritis: a comparison with dynamic magnetic resonance imaging
Arthritis Rheum
Sonography and MR imaging of posterior tibial tendinopathy
AJR Am J Roentgenol
A new approach to studying angiogenesis in rheumatoid arthritis by means of power Doppler ultrasonography and measurement of serum vascular endothelial growth factor
Rheumatology (Oxford)
Inter-observer reliability of rheumatologists performing musculoskeletal ultrasonography: results from a EULAR “Teach-the-Trainers” course
Ann Rheum Dis
Rheumatoid hand joint synovitis: gray-scale and power Doppler US quantifications following anti-tumor necrosis factor-α treatment: pilot study
Radiology
Comparison of ultrasonographic assessment of synovitis and joint vascularity with radiographic evaluation in a randomized, placebo-controlled study of infliximab therapy in early rheumatoid arthritis
Arthritis Rheum
Detection of soft-tissue hyperemia: value of power Doppler sonography
AJR Am J Roentgenol
Cited by (74)
Diagnosis and management of rheumatoid arthritis; What is the current role of established and new imaging techniques in clinical practice?
2016, Best Practice and Research: Clinical RheumatologyCitation Excerpt :The American College of Rheumatology (ACR)/EULAR classification criteria have been developed for helping rheumatologists to classify earlier patients with potential RA on the basis of the presence of a minimal number of clinically inflamed joints (i.e., synovitis) or if bone erosions are detected on CR [17]. However, both clinical examination and CR can lack sensitivity and accuracy to detect early signs of joint inflammation and structural damage [18–21]. Ultrasound can detect minimal signs of synovitis and differentiate between intra-joint synovial inflammation and other causes of clinical swelling, such as tenosynovitis, bursitis, and other soft tissue lesions [2,3].
Synovial changes detected by ultrasound in people with knee osteoarthritis – a meta-analysis of observational studies
2016, Osteoarthritis and CartilageHierarchical nomenclature in rheumatology
2020, Reumatologia ClinicaFrom bench to bedside: Calprotectin (S100A8/S100A9) as a biomarker in rheumatoid arthritis
2022, Frontiers in Immunology
This work was funded by Arthritis Australia and the National Health and Medical Research Committee.