High-resolution US of rheumatologic diseases

Mihra Taljanovic, David M. Melville, Lana H. Gimber, Luke R. Scalcione, Margaret D. Miller, Chian K Kwoh, Andrea S. Klauser

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

For the past 15 years, high-resolution ultrasonography (US) is being routinely and increasingly used for initial evaluation and treatment follow-up of rheumatologic diseases. This imaging technique is performed by using high-frequency linear transducers and has proved to be a powerful diagnostic tool in evaluation of articular erosions, simple and complex joint and bursal effusions, tendon sheath effusions, and synovitis, with results comparable to those of magnetic resonance imaging, excluding detection of bone marrow edema. Crystal deposition diseases including gouty arthropathy and calcium pyrophosphate deposition disease (CPPD) have characteristic appearances at US, enabling differentiation between these two diseases and from inflammatory arthropathies. Enthesopathy, which frequently accompanies psoriatic and reactive arthritis, also has a characteristic appearance at high-resolution US, distinguishing these two entities from other inflammatory and metabolic arthropathies. The presence of Doppler signal in examined joints, bursae, and tendon sheaths indicates active synovitis. Microbubble echo contrast agents augment detection of tissue vascularity and may act in the future as a drug delivery vehicle. Frequently, joint, tendon sheath, and bursal fluid aspirations and therapeutic injections are performed under US guidance. The authors describe the high-resolution US technique including gray-scale, color or power Doppler, and contrast agent–enhanced US that is used in evaluation of rheumatologic diseases of the wrist and hand and the ankle and foot in their routine clinical practice. This article demonstrates imaging findings of normal joints, rheumatoid arthritis, gouty arthritis, CPPD, psoriatic and reactive arthritis, and osteoarthritis.

Original languageEnglish (US)
Pages (from-to)2026-2048
Number of pages23
JournalRadiographics
Volume35
Issue number7
DOIs
StatePublished - Nov 1 2015

Fingerprint

Ultrasonography
Joints
Joint Diseases
Tendons
Chondrocalcinosis
Reactive Arthritis
Psoriatic Arthritis
Synovitis
Gouty Arthritis
Microbubbles
Wrist
Transducers
Ankle
Osteoarthritis
Contrast Media
Foot
Edema
Rheumatoid Arthritis
Hand
Color

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Taljanovic, M., Melville, D. M., Gimber, L. H., Scalcione, L. R., Miller, M. D., Kwoh, C. K., & Klauser, A. S. (2015). High-resolution US of rheumatologic diseases. Radiographics, 35(7), 2026-2048. https://doi.org/10.1148/rg.2015140250

High-resolution US of rheumatologic diseases. / Taljanovic, Mihra; Melville, David M.; Gimber, Lana H.; Scalcione, Luke R.; Miller, Margaret D.; Kwoh, Chian K; Klauser, Andrea S.

In: Radiographics, Vol. 35, No. 7, 01.11.2015, p. 2026-2048.

Research output: Contribution to journalArticle

Taljanovic, M, Melville, DM, Gimber, LH, Scalcione, LR, Miller, MD, Kwoh, CK & Klauser, AS 2015, 'High-resolution US of rheumatologic diseases', Radiographics, vol. 35, no. 7, pp. 2026-2048. https://doi.org/10.1148/rg.2015140250
Taljanovic M, Melville DM, Gimber LH, Scalcione LR, Miller MD, Kwoh CK et al. High-resolution US of rheumatologic diseases. Radiographics. 2015 Nov 1;35(7):2026-2048. https://doi.org/10.1148/rg.2015140250
Taljanovic, Mihra ; Melville, David M. ; Gimber, Lana H. ; Scalcione, Luke R. ; Miller, Margaret D. ; Kwoh, Chian K ; Klauser, Andrea S. / High-resolution US of rheumatologic diseases. In: Radiographics. 2015 ; Vol. 35, No. 7. pp. 2026-2048.
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