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Clinical utility of ultrasonography in spondyloarthropathies

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Abstract

Since the introduction of ultrasonography by Professor Ian Donald in Glasgow as a tool for imaging in medicine, it has become an important technology for imaging the musculoskeletal system. Musculoskeletal ultrasonography is a powerful adjunct to clinical examination that can detect subclinical abnormalities of soft tissues, tendons, and ligaments; it is also an important tool for the objective assessment of synovitis and bone erosion. Enthesitis, the hallmark of spondyloarthropathies, can be readily imaged using ultrasound. Furthermore, the characteristic soft tissue abnormalities and bone erosions seen in psoriatic arthritis, for example, are easily detected. The axial skeleton is a complex structure that currently is not very amenable to ultrasound imaging, but advances have been made in its use to image sacroiliac joints and semiquantify active sacroiliitis. Technological advances currently being made in ultrasonography will provide exciting new possibilities for the application of this imaging modality to the spondyloarthropathies.

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References and Recommended Reading

  1. Riente L, Delle Sedie A, Filippucci E, et al.: Ultrasound imaging for the rheumatologist IX. Ultrasound imaging in spondyloarthritis. Clin Exp Rheumatol 2007, 25:349–353.

    PubMed  CAS  Google Scholar 

  2. Kane D, Grassi W, Sturrock R, Balint PV: A brief history of musculoskeletal ultrasound: ‘From bats and ships to babies and hips’. Rheumatology (Oxford) 2004, 43:931–933.

    Article  CAS  Google Scholar 

  3. Landes CA, Goral W, Mack MG, Sader R: 3-D sonography for diagnosis of osteoarthrosis and disk degeneration of the temporomandibular joint, compared with MRI. Ultrasound Med Biol 2006, 32:627–632.

    Article  PubMed  Google Scholar 

  4. Luong AA, Salonen DC: Imaging of the seronegative spondyloarthropathies. Curr Rheumatol Rep 2000, 2:288–296.

    Article  PubMed  CAS  Google Scholar 

  5. Unlü E, Pamuk ON, Cakir N: Color and duplex Doppler sonography to detect sacroiliitis and spinal inflammation in ankylosing spondylitis. Can this method reveal response to anti-tumor necrosis factor therapy? J Rheumatol 2007, 34:5–7.

    Google Scholar 

  6. Arslan H, Sakarya ME, Adak B, et al.: Duplex and color Doppler sonographic findings in active sacroiliitis. Am J Roentgenol 1999, 173:677–680.

    CAS  Google Scholar 

  7. Klauser A, Halpern EJ, Frauscher F, et al.: Inflammatory low back pain: high negative predictive value of contrastenhanced color Doppler ultrasound in the detection of inflamed sacroiliac joints. Arthritis Care Res 2005, 53:440–444.

    Article  Google Scholar 

  8. Klauser AS, De Zordo T, Bellmann-Weiler R, et al.: Feasibility of second-generation ultrasound contrast media in the detection of active sacroiliitis. Arthritis Rheum 2009, 61:909–916.

    Article  PubMed  Google Scholar 

  9. Heuft-Dorenbosch L, Spoorenberg A, van Tubergen A, et al.: Assessment of enthesitis in ankylosing spondylitis. Ann Rheum Dis 2003, 62:127–132.

    Article  PubMed  CAS  Google Scholar 

  10. D’Agostino M, Said-Nahal R, Hacquard-Bouder C, et al.: Assessment of peripheral enthesitis in the spondyloarthropathies by ultrasonography combined with power Doppler: a cross-sectional study. Arthritis Rheum 2003, 48:523–533.

    Article  PubMed  Google Scholar 

  11. Amor B, Dougados M, Listrat V, et al.: Evaluation of the Amor criteria for spondyloarthropathies and European Spondylarthropathy Study Group (ESSG). A cross-sectional analysis of 2,228 patients [in French]. Ann Med Interne (Paris) 1991, 142:85–89.

    CAS  Google Scholar 

  12. Balint PV, Kane D, Wilson H, et al.: Ultrasonography of entheseal insertions in the lower limb in spondyloarthropathy. Ann Rheum Dis 2002, 61:905–910.

    Article  PubMed  CAS  Google Scholar 

  13. Hatemi G, Fresko I, Tascilar K, Yazici H: Increased enthesopathy among Behçet’s syndrome patients with acne and arthritis: an ultrasonography study. Arthritis Rheum 2008, 58:1539–1545.

    Article  PubMed  Google Scholar 

  14. D’Agostino MA, Aegerter P, Jousse-Joulin S, et al.: How to evaluate and improve the reliability of power Doppler ultrasonography for assessing enthesitis in spondylarthritis. Arthritis Rheum 2009, 61:61–69.

    Article  PubMed  Google Scholar 

  15. Kane D, FitzGerald O: Re: the role of ultrasonography in the diagnosis and management of idiopathic plantar fasciitis. Rheumatology (Oxford) 2003, 42:486.

    Article  CAS  Google Scholar 

  16. Coates LC, Anderson RR, Fitzgerald O, et al.: Clues to the pathogenesis of psoriasis and psoriatic arthritis from imaging: a literature review. J Rheumatol 2008, 35:1438–1442.

    PubMed  Google Scholar 

  17. Gisondi P, Tinazzi I, El-Dalati G, et al.: Lower limb enthesopathy in patients with psoriasis without clinical signs of arthropathy: a hospital-based case-control study. Ann Rheum Dis 2008, 67:26–30.

    Article  PubMed  CAS  Google Scholar 

  18. Kane D: The role of ultrasound in the diagnosis and management of psoriatic arthritis. Curr Rheum Rep 2005, 7:319–324.

    Article  Google Scholar 

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Authors and Affiliations

  1. Centre for Rheumatic Diseases, University of Glasgow Rheumatology Unit, Level 3, Queen Elizabeth Building, Glasgow Royal Infirmary, 10 Alexandra Parade, Glasgow, G31 2ER, Scotland, UK

    Roger D. Sturrock

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  1. Roger D. Sturrock
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Correspondence to Roger D. Sturrock.

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Sturrock, R.D. Clinical utility of ultrasonography in spondyloarthropathies. Curr Rheumatol Rep 11, 317–320 (2009). https://doi.org/10.1007/s11926-009-0045-x

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  • DOI: https://doi.org/10.1007/s11926-009-0045-x

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