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The EULAR–OMERACT rheumatoid arthritis MRI reference image atlas: the metacarpophalangeal joints
  1. P Conaghan1,
  2. P Bird2,
  3. B Ejbjerg3,
  4. P O’Connor4,
  5. C Peterfy5,
  6. F McQueen6,
  7. M Lassere7,
  8. P Emery8,
  9. R Shnier9,
  10. J Edmonds10,
  11. M Østergaard11
  1. 1Academic Unit of Musculoskeletal Disease, University of Leeds, Leeds, UK
  2. 2Department of Rheumatology, St George Hospital, University of NSW, Sydney, Australia
  3. 3Departments of Rheumatology, Radiology and MRI, Copenhagen University Hospital at Hvidovre, Copenhagen, Denmark
  4. 4Department of Radiology, Leeds General Infirmary, Leeds, UK
  5. 5Synarc Inc, San Francisco, CA, USA
  6. 6Department of Molecular Medicine and Pathology, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand
  7. 7Department of Rheumatology, St George Hospital, University of NSW, Sydney, Australia
  8. 8Academic Unit of Musculoskeletal Disease, University of Leeds, Leeds, UK
  9. 9Department of Diagnostic Imaging, Mayne Nickless, Sydney, Australia
  10. 10Department of Rheumatology, St George Hospital, University of NSW, Sydney, Australia
  11. 11Departments of Rheumatology, Copenhagen University Hospitals at Herlev and Hvidovre, Copenhagen, Denmark
  1. Correspondence to:
    Prof M Østergaard
    Department of Rheumatology, Copenhagen University Hospital at Hvidovre, Kettegaard alle 30, DK-2650 Hvidovre, Denmark; modadlnet.dk

Abstract

This paper presents the metacarpophalangeal (MCP) joint magnetic resonance images of the EULAR–OMERACT rheumatoid arthritis MRI reference image atlas. The illustrations include synovitis in the MCP joints (OMERACT RA magnetic resonance imaging scoring system (RAMRIS), grades 0–3), bone oedema in the metacarpal head and the phalangeal base (grades 0–3), and bone erosion in the metacarpal head and the phalangeal base (grades 0–3, and examples of higher grades). The presented reference images can be used to guide scoring of MCP joints according to the OMERACT RA MRI scoring system.

  • EULAR, European League Against Rheumatism
  • Gd, gadolinium containing contrast agent
  • MCP, metacarpophalangeal
  • MRI, magnetic resonance imaging
  • OMERACT, Outcome Measures in Rheumatology Clinical Trials
  • RA, rheumatoid arthritis
  • magnetic resonance imaging
  • erosion
  • metacarpophalangeal joint
  • rheumatoid arthritis
  • synovitis

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