Share：
Share this content in WeChat
X
[Chinese][PDF]89099
• Clinical Article •
Development and preliminary validation of the MRI scoring methods for the hip in juvenile idiopathic arthritis
LIU Ming  YUAN Xin-yu  WU Feng-qi  YAN Yu-chun  BAI Zhen-hua  YANG Yang 

DOI:10.12015/issn.1674-8034.2016.01.009.


[Abstract] Objective: To evaluate and develop MRI scoring system for the hip in juvenile idiopathic arthritis.Materials and Methods: We used Wanfang and PubMed to identify relevant published articles. We proposed a new MRI scoring method for the hip in JIA based on relevant articles. Retrospective studies of 92 JIA patients with hip involvement were analysed from January 2011 to June 2014. The intra-reader and inter-reader agreement (evaluated by intra-class correlation coefficients, ICCs) were determined for scores of MRI.Results: Only 5 literatures were qualified. Except joint effusion and total scores, Other lesions of developed MRI scoring method had good reliability, ICC>0.60, P>0.05. We got reversible and irreversible MRI signs. Reversible MRI signs: synovial hypertrophy, joint effusion, bone edema. Irreversible MRI signs: bony erosion, cartilage loss, epiphysis lesion, joint space narrowing, muscular inflammation. There was no differences between subtypes of JIA in hip MRI scorings, oligoarticular JIA scorings were 6 (0—17), systemic JIA scorings were 5 (0—21), polyarticular (rheumatoid factor negative) scorings were 7 (1—19), polyarticular (rheumatoid factor positive) scorings were 8 (1—15), enthesitis related JIA scorings were 4 (2—5). Arthritis or subclinical-arthritis of hips could be detected much earlier. Especially in history of arthritis of 4 or fewer joints group (χ2=16.80, P<0.01) and in history of arthritis of 5 or more joints group (χ2=4.792, P=0.029).Conclusions: Developed MRI scoring method proved to be a simple and highly reliable assessment score in the evaluation of JIA disease of the hips.
[Keywords] Arthritis, juvenile；Hip joint；Magnetic resonance imaging

LIU Ming Radiology Department of the Capital Institute of Pediatrics, Beijing 100020, China

YUAN Xin-yu Radiology Department of the Capital Institute of Pediatrics, Beijing 100020, China

WU Feng-qi Rheumatology Department of the Capital Institute of Pediatrics, Beijing 100020, China

YAN Yu-chun Radiology Department of the Capital Institute of Pediatrics, Beijing 100020, China

BAI Zhen-hua Radiology Department of the Capital Institute of Pediatrics, Beijing 100020, China

YANG Yang* Radiology Department of the Capital Institute of Pediatrics, Beijing 100020, China

*Correspondence to: Yang Y, E-mail: yang_runde@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  Beijing Minicipal Party Committee, Minicipal Government Priorities County Government Emergency Projects No. Z141100006014 004
Received  2015-10-23
Accepted  2015-11-16
DOI: 10.12015/issn.1674-8034.2016.01.009
DOI:10.12015/issn.1674-8034.2016.01.009.

[1]
宋红梅．幼年特发性关节炎的诊断．临床儿科杂志, 2011, 29(1): 18-21.
[2]
Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet, 2007, 369(9563): 767-778.
[3]
Rostom S, Amine B, Bensabbah R, et al. Hip involvement in juvenile idiopathic arthritis. Clin Rheumatol, 2008, 27(6): 791-794.
[4]
Magni-Manzoni S, Malattia C, Lanni S, et al. Advances and challenges in imaging in juvenile idiopathic arthritis. Rheumatol, 2012, 8(6): 329-336.
[5]
Murry JG, Ridley NT, Mitchell N, et al. Juvenile Chronic Arthritis of the Hip: Value of Contrast-enhanced MR Imaging. Clinical Radiology. 1996, 51(2): 99-102.
[6]
Argyropoulou MI, Fanis SL, Xenakis T, et al. The role of MRI in the evaluation of hip joint disease in clinical subtypes of juvenile idiopathic arthritis. Br J Radiol, 2002, 75(3): 229-233.
[7]
Nistala K, Babar J, Johnson K, et al. Clinical assessment and core outcome variables are poor predictors of hip arthritis diagnosed by MRI in juvenile idiopathic arthritis. Rheumatology, 2007, 46(4): 699-702.
[8]
Malattia C, Damasio MB, Basso C, et al. Dynamic contrast-enhanced magnetic resonance imaging in the assessment of disease activity in patients with juvenile idiopathic arthritis. Rheumatology (Oxford), 2010, 49(1): 178-185.
[9]
杨洋, 袁新宇. 幼年特发性关节炎的影像学检查. 中国医学影像技术, 2012, 28(10): 1936-1939.
[10]
Østergaard M, Peterfy C, Conaghan P, et al. OMERACT rheumatoid arthritis magnetic resonance imaging studies. Core set of MRI ACQUISITIONS, JOINT PATHOLOGY DEFINitions, and the OMERACT RA-MRI scoring system. Rheumatol, 2003, 30(6): 1385-1386.
[11]
Haavardsholm EA, Bøyesen P, Østergaard M, et al. Magnetic resonance imaging findings in 84 patients with early rheumatoid arthritis: bone marrow oedema predicts erosive progression. Ann Rheum Dis, 2008, 67(6): 794-800.
[12]
Magni-Manzoni S, Malattia C, Lanni S, Ravelli A. Advances and challenges in imaging in juvenile idiopathic arthritis. Rheumatol, 2012, 8(6): 329-336.
[13]
Laurell L, Court-Payen M, Nielsen S, et al. Comparison of ultrasonography with Doppler and MRI for assessment of disease activity in juvenile idiopathicarthritis: a pilot study. Pediatr Rheumatol Online J, 2012, 10(1): 23.
[14]
Kim HK, Laor T, Graham TB, et al. T2 relaxtion time changes in distal femoral articular cartilage in children with juvenile idiopathic arthritis: a 3-year in longitudinal study. AJR Am J Roentgenol, 2010, 195(4): 1021-1025.
[15]
Singh A, Haris M, Cai K, et al. High resolution T1ρ mapping of in vivo human knee cartilage at 7 T. PLoS One, 2014, 15, 9(5): e97486.
[16]
Graham TB, Laor T, Dardzinski BJ. Quantitative magnetic resonance imaging of the hands and wrist s of children with juvenile rheumatoid arthritis. J Rheumatol, 2005, 32(9): 1811-1820.

PREV Specimens of colorectal cancer in vitro MRI pathological control study for signs of lymph node metastasis
NEXT Study on MRI-pathologic in lipoma arborescens and chronic synovitis adipose hyperplasia of knee joint
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn