Ultrasonography and the rheumatologist
- 1 January 2007
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Rheumatology
- Vol. 19 (1), 55-60
- https://doi.org/10.1097/bor.0b013e3280119648
Abstract
An update of the latest developments in ultrasonography in rheumatology. Indications, technical aspects and representative examples of the potential of ultrasonography are illustrated. Finally, education and training issues are briefly discussed.Ultrasonography can be used in rheumatology for a wide spectrum of indications including inflammatory arthritis, tendon pathology, bursitis, disease activity monitoring, disease progression monitoring, guided aspiration and guided injections. Latest-generation ultrasonography systems provide a very sensitive assessment of both grayscale and Doppler findings. The quality of results in ultrasonography is conditioned by a series of elements that include the characteristics of the equipment, knowledge of relevant anatomy and pathology, experience of the sonographer, techniques used and patient positioning.Ultrasonography is challenging the standards of rheumatological clinical practice. It is more sensitive than clinical examination in the detection of synovitis and more sensitive than conventional radiography in the detection of bone erosions. Ultrasonography-guided injections may improve therapy effectiveness if compared with the traditional blind approach. Three-dimensional ultrasonography with a volumetric probe and the power Doppler mode may represent a very useful tool for therapy monitoring in patients with chronic arthritis.Keywords
This publication has 36 references indexed in Scilit:
- A rheumatologist's perspective on musculoskeletal ultrasound in rheumatology: Comment on the editorial by Roemer et alArthritis & Rheumatism, 2006
- Ultrasound in rheumatologyBest Practice & Research Clinical Rheumatology, 2005
- Rheumatoid and psoriatic knee synovitis: clinical, grey scale, and power Doppler ultrasound assessment of the response to etanerceptAnnals Of The Rheumatic Diseases, 2005
- Recommendations for musculoskeletal ultrasonography by rheumatologists: Setting global standards for best practice by expert consensusArthritis Care & Research, 2005
- Musculoskeletal ultrasound--a state of the art review in rheumatology. Part 2: Clinical indications for musculoskeletal ultrasound in rheumatologyRheumatology, 2004
- Should oligoarthritis be reclassified? Ultrasound reveals a high prevalence of subclinical diseaseAnnals Of The Rheumatic Diseases, 2004
- Sonography and subclinical synovitisAnnals Of The Rheumatic Diseases, 2004
- Imaging modalities for identifying the origin of regional musculoskeletal painBest Practice & Research Clinical Rheumatology, 2003
- Ultrasonography in the evaluation of bone erosionsAnnals Of The Rheumatic Diseases, 2001
- The value of sonography in the detection of bone erosions in patients with rheumatoid arthritis: A comparison with conventional radiographyArthritis & Rheumatism, 2000