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The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies

For many years, ultrasonography (US) has been a widely accepted modality used for joint assessment in patients with rheumatoid arthritis (RA). Given the efficacy of present day therapies, there is scepticism whether it is required in the first place. The most recent clinical Targeting synovitis in E...

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Autores principales: Dura, Marta, Żuchowski, Paweł, Gorgolewski, Przemysław, Waszczak-Jeka, Marzena, Jeka, Sławomir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362270/
https://www.ncbi.nlm.nih.gov/pubmed/32684648
http://dx.doi.org/10.5114/reum.2020.96676
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author Dura, Marta
Żuchowski, Paweł
Gorgolewski, Przemysław
Waszczak-Jeka, Marzena
Jeka, Sławomir
author_facet Dura, Marta
Żuchowski, Paweł
Gorgolewski, Przemysław
Waszczak-Jeka, Marzena
Jeka, Sławomir
author_sort Dura, Marta
collection PubMed
description For many years, ultrasonography (US) has been a widely accepted modality used for joint assessment in patients with rheumatoid arthritis (RA). Given the efficacy of present day therapies, there is scepticism whether it is required in the first place. The most recent clinical Targeting synovitis in Early Rheumatoid Arthritis (TaSER) and Clinical Tight Control Therapy (ARCTIC) trials’ results appear to contradict it, yet this does not necessarily mean ultrasound has no place in modern rheumatology. The possibility of detecting inflammation at a subclinical level carries a tremendous predictive value, enabling identification of patients likely to experience an exacerbation in the coming months. Therefore, US should be a part of the decision-making process regarding treatment modification or introduction of any additional interventions, such as glucocorticosteroid injections. The results of the most recent clinical trials do not negate the usefulness of US, but merely suggest that it ought to be used in moderation.
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spelling pubmed-73622702020-07-17 The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies Dura, Marta Żuchowski, Paweł Gorgolewski, Przemysław Waszczak-Jeka, Marzena Jeka, Sławomir Reumatologia Review Paper For many years, ultrasonography (US) has been a widely accepted modality used for joint assessment in patients with rheumatoid arthritis (RA). Given the efficacy of present day therapies, there is scepticism whether it is required in the first place. The most recent clinical Targeting synovitis in Early Rheumatoid Arthritis (TaSER) and Clinical Tight Control Therapy (ARCTIC) trials’ results appear to contradict it, yet this does not necessarily mean ultrasound has no place in modern rheumatology. The possibility of detecting inflammation at a subclinical level carries a tremendous predictive value, enabling identification of patients likely to experience an exacerbation in the coming months. Therefore, US should be a part of the decision-making process regarding treatment modification or introduction of any additional interventions, such as glucocorticosteroid injections. The results of the most recent clinical trials do not negate the usefulness of US, but merely suggest that it ought to be used in moderation. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2020-06-29 2020 /pmc/articles/PMC7362270/ /pubmed/32684648 http://dx.doi.org/10.5114/reum.2020.96676 Text en Copyright: © 2020 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Review Paper
Dura, Marta
Żuchowski, Paweł
Gorgolewski, Przemysław
Waszczak-Jeka, Marzena
Jeka, Sławomir
The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title_full The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title_fullStr The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title_full_unstemmed The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title_short The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
title_sort changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362270/
https://www.ncbi.nlm.nih.gov/pubmed/32684648
http://dx.doi.org/10.5114/reum.2020.96676
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