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Imaging in Rheumatology

Imaging in Rheumatology

EULAR 2013: The latest revelation from efforts to test the OMERACT-MRI scoring system shows that MRI can work as well as CT in assessing joint space narrowing in RA of the hand.

An inherited dysplasia involving the ends of the bones (epiphyses) and the spine, the condition in this 82-year-old patient manifested in mid-life but remained undiagnosed for decades.

An 82-year-old man presented with longstanding bilateral hip pain but no history of trauma.

What you want to see in progressive images of knee osteoarthritis is not a particular kind of change, but homeostasis, to judge from two studies presented at the annual meeting of OARSI.

The ACR's new list of probably unnecessary procedures set this emeritus rheumatologist wondering about another procedure that might be unwarranted: MRI for low back pain or sciatica in an older patient with no red flags. What does it accomplish beyond satisfying curiosity?

A series of studies using functional MRI have identified brain-signal patterns specific for pain that are attenuated by opioids: Also last week: top rheumatology findings of 2012, more on TNF inhibitors and cancer, and concerns about vitamin D.

Evaluating fewer and more targeted foot and hand joints with B-mode and power Doppler ultrasound proves just as effective as the broader 44-joint assessment in detecting clinical remission.


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