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• Clinical Article •
Value of PDW-SPAIR in visual assessment of active lesions in patients with rheumatoid arthritis
MO Xianfu  ZHANG Xintao  YE Qiang  CHEN Jialing  SHI Xingliang  LI Honglin  ZHOU Quan 

Cite this article as: Mo XF, Zhang XT, Ye Q, et al. Value of PDW-SPAIR in visual assessment of active lesions in patients with rheumatoid arthritis. Chin J Magn Reson Imaging, 2019, 10(10): 757-761. DOI:10.12015/issn.1674-8034.2019.10.008.


[Abstract] Objective: To assess the diagnosis value of proton density weighted-spectral attenuated inversion recovery (PDW-SPAIR) in detecting active inflammations in patients with rheumatoid arthritis (RA).Materials and Methods: Retrospective analysis of 35 RA patients with active lesions confirmed clinically were elected and MR examinations of PDW-SPAIR and contrast enhancement-T1 weighted image-spectral presaturation inversion recovery (CE-T1WI-SPIR) were performed on 1.5 T MR scanner. The lesions were evaluated by two radiodiagnostic doctors, and five imaging signs (bone marrow edema, synovitis, tendonitis, soft tissue swelling, and joint effusion) were evaluated by double-blind method. Comparing the lesions of the two examination sequences showed a coincidence rate.Results: Active lesions of RA showed well in PDW-SPAIR. There was no statistical significance between the two sequences of detecting the active lesions of bone marrow edema (BME), synovitis, tendinitis, soft tissue swelling (P=0.500, 0.219, 0.625, 0.625). The detection rate of joint effusion in PDW-SPAIR was higher than CE-T1WI-SPIR (P=0.004). The coincident rate of the first four signs was between 81.8%-92.6% by two radiographers with double-blind method.Conclusions: Both PDW-SPAIR and CE-T1WI-SPIR sequences can be used to evaluate active joints of RA. PDW-SPAIR can be recommended to evaluate RA joint activity lesions in MRI without contrastenhanced scan in RA patients.
[Keywords] magnetic resonance imaging；PDW-SPAIR；contrast enhance；rheumatoid arthritis

MO Xianfu Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

ZHANG Xintao Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

YE Qiang Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

CHEN Jialing Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

SHI Xingliang Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

LI Honglin Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

ZHOU Quan * Department of Radiology, the Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics Guangdong Province), Guangzhou 510630, China

*Correspondence to: Zhou Q, E-mail: zhouquan3777@smu.edu.cn

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Natural Science Foundation of China No.81630046
Received  2019-03-28
DOI: 10.12015/issn.1674-8034.2019.10.008
Cite this article as: Mo XF, Zhang XT, Ye Q, et al. Value of PDW-SPAIR in visual assessment of active lesions in patients with rheumatoid arthritis. Chin J Magn Reson Imaging, 2019, 10(10): 757-761. DOI:10.12015/issn.1674-8034.2019.10.008.

[1]
Gibofsky A. Epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis: A Synopsis. Am J Manag Care, 2014, 20(7Suppl): S128-S135.
[2]
Gibofsky A. Overview of epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis. Am J Manag Care, 2012, 18(13Suppl): S295-S302.
[3]
Puttevils D, De Vusser P, Geusens P, et al. Increased cardiovascular risk in patients with rheumatoid arthritis: an overview. Acta Cardiol, 2014, 69(2): 111-118.
[4]
Verstappen SM. Rheumatoid arthritis and work: The impact of rheumatoid arthritis on absenteeism and presenteeism. Best Pract Res Clin Rheumatol, 2015, 29(3): 495-511.
[5]
周建立，陆蓬，陈江津，等．手腕部DCE-MRI评价早期类风湿关节炎疗效的价值．放射学实践, 2018, 33(12): 1302-1306.
[6]
邓霞，许建荣，路青，等．磁共振成像在早期类风湿性关节炎诊断中的价值．磁共振成像, 2011, 2(2): 95-98.
[7]
Lei X, Li H, Zhan Y, et al. Predict rheumatoid arthritis conversion from undifferentiated arthritis with dynamic contrast-enhanced MRI and laboratory indexes. Clin Exp Rheumatol, 2018, 36(4): 552-558.
[8]
Xu H, Zhang Y, Zhang H, et al. Comparison of the clinical effectiveness of US grading scoring system vs MRI in the diagnosis of early rheumatoid arthritis (RA). J Orthop Surg Res, 2017, 12(1): 152.
[9]
Palosaari K, Vuotila J, Takalo R, et al. Contrast-enhanced dynamic and static MRI correlates with quantitative 99Tcm-labelled nanocolloid scintigraphy. Study of early rheumatoid arthritis patients. Rheumatology (Oxford), 2004, 43(11): 1364-1373 .
[10]
Aletaha D, Neogi T, Silman A J, et al. 2010 Rheumatoid arthritis classification criteria: An American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis & Rheumatism, 2010, 62(9): 2569-2581.
[11]
Zeman MN, Scott PJ. Current imaging strategies in rheumatoid arthritis. Am J Nucl Med Mol Imaging, 2012, 2(2): 174-220.
[12]
刘新爱，史大鹏，付芳芳，等．磁共振成像技术在腕关节类风湿关节炎诊断中的应用研究．磁共振成像, 2011, 2(2): 104-107.
[13]
David FH, Grierson J, Lamb CR. Effects of surgical implants on high-field magnetic resonance images of the normal canine stifle. Vet Radiol Ultrasound, 2012, 53(3): 280-288.
[14]
杨正汉，冯逢，王霄英．磁共振成像技术指南--检查规范、临床策略及新技术（修订版)．中国医学影像学杂志, 2010, 18(4): 312.
[15]
Qu J, Lei X, Zhan Y, et al. Assessing synovitis and bone erosion with apparent diffusion coefficient in early stage of rheumatoid arthritis. J Comput Assist Tomogr, 2017, 41(5): 833-838.
[16]
刘霞，李绪斌，洪楠，等．改良MRI评分系统评估类风湿性关节炎活动性的临床价值．磁共振成像, 2010, 1(2): 110-114.
[17]
Foppen W, van der Schaaf IC, Beek F, et al. Diagnostic accuracy of point-of-care ultrasound for evaluation of early blood-induced joint changes: Comparison with MRI. Haemophilia, 2018, 24(6): 971-979.

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