Grade and location of power doppler are predictive of damage progression in rheumatoid arthritis patients in clinical remission by anti-tumour necrosis factor α
Journal article
Raffeiner, B, Grisan, E, Botsios, C, Stramare, R, Rizzo, G, Bernardi, L, Punzi, L, Ometto, F and Doria, A (2017). Grade and location of power doppler are predictive of damage progression in rheumatoid arthritis patients in clinical remission by anti-tumour necrosis factor α. Rheumatology (United Kingdom). 56, pp. 1320-1325. https://doi.org/10.1093/rheumatology/kex084
Authors | Raffeiner, B, Grisan, E, Botsios, C, Stramare, R, Rizzo, G, Bernardi, L, Punzi, L, Ometto, F and Doria, A |
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Abstract | Objectives. To investigate power Doppler (PD) signal, grade and location and their association with radiographic progression in RA patients in remission. Methods. A prospective observational study was conducted in 125 consecutive RA patients in stable 28-joint DAS (DAS28) remission (56 months) achieved on anti-TNF-α. At baseline, patients in stable remission underwent radiographic and US examination of the wrists and MCP, PIP and MTP joints. Semi-quantitative PD scoring (0-3) was recorded. We scored PD according to two locations: capsular or within synovial tissue without bone contact (location 1) and with bone contact or penetrating bone cortex (location 2). Radiographic progression was evaluated at the 1 year follow-up and defined as a change in van der Heijde-modified total Sharp score > 0. Risk ratios (RRs) of radiographic progression according to presence, grade and location of PD were calculated. Results. Four patients were excluded because of missing data. At baseline, 59/121 (48.7%) patients had a PD signal in one or more joints. PD location 2 was found in 74.6% patients (44/59). At the 1 year followup, 17/121 patients experienced radiographic progression: all had PD signal in one or more joints at baseline (RR 2.47, P < 0.0001). Radiographic progression was associated with the following baseline US features: PD grade 2 (RR 4.58, P < 0.01), PD grade 3 (RR 3.49, P < 0.05), total PD score 52 (sum of all PD scores) (RR 3.19, P < 0.0001) and PD location 2 (RR 3.49, P < 0.0001). Conclusion. Higher PD grades and PD in contact with/or penetrating bone are associated with radiographic progression in patients in DAS28 remission. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. |
Year | 2017 |
Journal | Rheumatology (United Kingdom) |
Journal citation | 56, pp. 1320-1325 |
ISSN | 1462-0324 |
Digital Object Identifier (DOI) | https://doi.org/10.1093/rheumatology/kex084 |
Web address (URL) | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028323086&doi=10.1093%2frheumatology%2fkex084&partnerID=40&md5=9f5b455ee5f4b6915f3cdd9dae63f63e |
Publication dates | |
01 Aug 2017 | |
Online | 20 Apr 2017 |
Publication process dates | |
Accepted | 28 Feb 2017 |
Deposited | 23 Jan 2020 |
Accepted author manuscript | License File Access Level Open |
https://openresearch.lsbu.ac.uk/item/88xq6
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Accepted author manuscript
Raffeiner -Power Doppler Predicts Radiographic Progression 0614 0.docx | ||
License: CC BY 4.0 | ||
File access level: Open |
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