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The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria

We aimed to investigate the role of bone scintigraphy (BS) in the diagnosis of rheumatoid arthritis (RA) as a supplement to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria. A total of 156 patients who underwent BS with screening laboratory to confi...

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Autores principales: Kim, Ji Young, Cho, Soo-Kyung, Han, Minkyung, Choi, Yun Young, Bae, Sang-Cheol, Sung, Yoon-Kyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923998/
https://www.ncbi.nlm.nih.gov/pubmed/24550646
http://dx.doi.org/10.3346/jkms.2014.29.2.204
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author Kim, Ji Young
Cho, Soo-Kyung
Han, Minkyung
Choi, Yun Young
Bae, Sang-Cheol
Sung, Yoon-Kyoung
author_facet Kim, Ji Young
Cho, Soo-Kyung
Han, Minkyung
Choi, Yun Young
Bae, Sang-Cheol
Sung, Yoon-Kyoung
author_sort Kim, Ji Young
collection PubMed
description We aimed to investigate the role of bone scintigraphy (BS) in the diagnosis of rheumatoid arthritis (RA) as a supplement to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria. A total of 156 patients who underwent BS with screening laboratory to confirm RA were enrolled. We divided them into two groups according to the presence of arthritis upon the first physical examination, and evaluated the diagnostic validity of BS as an independent (BS only) or assistant diagnostic tool using the 2010 criteria (BS-assisted). Seventy-five patients had active arthritis (Group I), while the remaining 81 patients did not (Group II). Among them, 56 patients in group I and 5 patients in group II were finally classified as RA. In the group I patients who were eligible for application of the 2010 criteria, the sensitivity of the BS only and BS-assisted diagnosis was not superior to that of the 2010 criteria. However, BS-assisted diagnosis showed high positive prediction values in group I patients with 2010 criteria score < 6 and group II patients. Therefore, BS is still helpful to detect RA even after the introduction of the 2010 criteria, especially among patients who do not satisfy the 2010 criteria as well as those who are ineligible for the 2010 criteria due to dubitable arthritis at clinical presentation. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-39239982014-02-18 The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria Kim, Ji Young Cho, Soo-Kyung Han, Minkyung Choi, Yun Young Bae, Sang-Cheol Sung, Yoon-Kyoung J Korean Med Sci Original Article We aimed to investigate the role of bone scintigraphy (BS) in the diagnosis of rheumatoid arthritis (RA) as a supplement to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria. A total of 156 patients who underwent BS with screening laboratory to confirm RA were enrolled. We divided them into two groups according to the presence of arthritis upon the first physical examination, and evaluated the diagnostic validity of BS as an independent (BS only) or assistant diagnostic tool using the 2010 criteria (BS-assisted). Seventy-five patients had active arthritis (Group I), while the remaining 81 patients did not (Group II). Among them, 56 patients in group I and 5 patients in group II were finally classified as RA. In the group I patients who were eligible for application of the 2010 criteria, the sensitivity of the BS only and BS-assisted diagnosis was not superior to that of the 2010 criteria. However, BS-assisted diagnosis showed high positive prediction values in group I patients with 2010 criteria score < 6 and group II patients. Therefore, BS is still helpful to detect RA even after the introduction of the 2010 criteria, especially among patients who do not satisfy the 2010 criteria as well as those who are ineligible for the 2010 criteria due to dubitable arthritis at clinical presentation. GRAPHICAL ABSTRACT: [Image: see text] The Korean Academy of Medical Sciences 2014-02 2014-01-28 /pmc/articles/PMC3923998/ /pubmed/24550646 http://dx.doi.org/10.3346/jkms.2014.29.2.204 Text en © 2014 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Ji Young
Cho, Soo-Kyung
Han, Minkyung
Choi, Yun Young
Bae, Sang-Cheol
Sung, Yoon-Kyoung
The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title_full The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title_fullStr The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title_full_unstemmed The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title_short The Role of Bone Scintigraphy in the Diagnosis of Rheumatoid Arthritis According to the 2010 ACR/EULAR Classification Criteria
title_sort role of bone scintigraphy in the diagnosis of rheumatoid arthritis according to the 2010 acr/eular classification criteria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923998/
https://www.ncbi.nlm.nih.gov/pubmed/24550646
http://dx.doi.org/10.3346/jkms.2014.29.2.204
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