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Ultrasonography assessment of heel entheses in patients with spondyloarthritis: a comparative study with magnetic resonance imaging and conventional radiography.
Aguila Maldonado, Rodrigo; Ruta, Santiago; Valuntas, María Laura; García, Mercedes.
Afiliação
  • Aguila Maldonado R; Servicio de Reumatología, Hospital "Gral. San Martín" de La Plata, Calle 1 y 70 (1900), La Plata, Buenos Aires, Argentina. rodrigo.aguilamaldonado@gmail.com.
  • Ruta S; Seccion Reumatología, Servicio Clínica Médica, Hospital Italiano de Buenos Aires, La Plata, Argentina.
  • Valuntas ML; Servicio de Tomografía computada y Resonancia magnética, Sanatorio IPENSA, La Plata, Buenos Aires, Argentina.
  • García M; Servicio de Reumatología, Hospital "Gral. San Martín" de La Plata, Calle 1 y 70 (1900), La Plata, Buenos Aires, Argentina.
Clin Rheumatol ; 36(8): 1811-1817, 2017 Aug.
Article em En | MEDLINE | ID: mdl-28647902
The aim of the present study was to determine the agreement between ultrasonography (US), magnetic resonance imaging (MRI), and conventional radiography (CR) in the detection of findings indicative of enthesopathy in spondyloarthritis (SpA) patients. A cross-sectional study was performed in 40 SpA patients. Heel entheses (Achilles tendon and plantar fascia) were bilaterally examined by US, MRI, and CR. The three imaging modalities were carried out by three independent operators blinded to the other imaging modality data. Soft tissue abnormalities indicative of enthesopathy as thickening, structural changes, and bursitis were assessed by both US and MRI, and cortical bone abnormalities indicative of enthesopathy as erosions and enthesophytes were assessed by the three imaging modalities. The unweighted kappa values between US and MRI were 0.80, 0.66, 0.69, 0.70, and 0.70 for thickening, structural changes, bursitis, enthesophytes, and bone erosions, respectively. With respect to the detection of enthesophytes, the unweighted kappa values between CR and both US and MRI were 0.78 and 0.76, respectively. At last, for the recognition of bone erosions, the unweighted kappa values between CR and both US and MRI were 0.38 and 0.45, respectively. Using MRI as standard reference method, US was more sensitive with respect to CR revealing bone erosions. The present study provides evidence about the high overall agreement between US and MRI for all abnormal comparable findings at entheseal level and between US, MRI, and CR for the detection of enthesophytes in SpA patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Calcanhar / Ultrassonografia / Espondilartrite / Entesopatia Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Rheumatol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Argentina País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Calcanhar / Ultrassonografia / Espondilartrite / Entesopatia Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Rheumatol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Argentina País de publicação: Alemanha