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:	Marta Dura, Paweł Żuchowski, Przemysław Gorgolewski, Marzena Waszczak-Jeka, Sławomir Jeka
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2020
Materias:	rheumatoid arthritis inflammation ultrasonography synovitis. Medicine R
Acceso en línea:	https://doaj.org/article/bd47a0b5af0e4b448dce2a2b1089c2db
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spelling	oai:doaj.org-article:bd47a0b5af0e4b448dce2a2b1089c2db2021-12-02T18:54:24ZThe changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies0034-62332084-983410.5114/reum.2020.96676https://doaj.org/article/bd47a0b5af0e4b448dce2a2b1089c2db2020-06-01T00:00:00Zhttps://www.termedia.pl/The-changing-role-of-ultrasonography-examination-in-patients-with-rheumatoid-arthritis-in-light-of-recent-studies,18,41080,1,1.htmlhttps://doaj.org/toc/0034-6233https://doaj.org/toc/2084-9834For 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.Marta DuraPaweł ŻuchowskiPrzemysław GorgolewskiMarzena Waszczak-JekaSławomir JekaTermedia Publishing Housearticlerheumatoid arthritis inflammation ultrasonography synovitis.MedicineRENRheumatology, Vol 58, Iss 3, Pp 155-161 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	rheumatoid arthritis inflammation ultrasonography synovitis. Medicine R
spellingShingle	rheumatoid arthritis inflammation ultrasonography synovitis. Medicine R Marta Dura Paweł Żuchowski Przemysław Gorgolewski Marzena Waszczak-Jeka Sławomir Jeka The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
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.
format	article
author	Marta Dura Paweł Żuchowski Przemysław Gorgolewski Marzena Waszczak-Jeka Sławomir Jeka
author_facet	Marta Dura Paweł Żuchowski Przemysław Gorgolewski Marzena Waszczak-Jeka Sławomir Jeka
author_sort	Marta Dura
title	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_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_sort	changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies
publisher	Termedia Publishing House
publishDate	2020
url	https://doaj.org/article/bd47a0b5af0e4b448dce2a2b1089c2db
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The changing role of ultrasonography examination in patients with rheumatoid arthritis in light of recent studies

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