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Quantification of bone marrow edema in rheumatoid arthritis by using high-speed T2-corrected multiecho acquisition of 1H magnetic resonance spectroscopy: a feasibility study
- Source :
- Clinical Rheumatology. 40:4639-4647
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- To determine whether high-speed T2-corrected multiecho (HISTO) sequences can quantify bone marrow edema (BME) in the capitate bone in rheumatoid arthritis (RA), and whether the HISTO fat fraction (FF) reflects therapeutic effectiveness. In this prospective study, 25 RA patients (19 women; average age, 45.08 ± 13.48 years) underwent 3.0-T MRI with HISTO at the baseline and after 4, 8, and 12 weeks of treatment. Rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), platelet (PLT) count, and 28-joint Disease Activity Score using ESR (DAS28-ESR) were recorded on the day of each MRI examination by a rheumatologist blinded to the MRI findings. In addition, 21 healthy subjects (15 women; age, 49.17 ± 6.56 years) underwent only the HISTO sequence at a single time point. HISTO FF values were significantly higher in the control group (74.5% ± 3.1%; range, 68.6–79.3%) than in the patient group (55.8% ± 17.7%; range, 15.6–79.0%) at the baseline (independent-samples t-test: t = 5.257, P = 0.000). The changes in HISTO FF and DAS28-ESR showed moderate negative correlations with each other at 4, 8, and 12 weeks, and all of them were statistically significant (P
- Subjects :
- musculoskeletal diseases
030203 arthritis & rheumatology
medicine.medical_specialty
medicine.diagnostic_test
business.industry
General Medicine
Wrist
medicine.disease
Rheumatology
Capitate bone
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Internal medicine
Erythrocyte sedimentation rate
Rheumatoid arthritis
medicine
Rheumatoid factor
030212 general & internal medicine
Bone marrow
skin and connective tissue diseases
Nuclear medicine
business
Prospective cohort study
Subjects
Details
- ISSN :
- 14349949 and 07703198
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Clinical Rheumatology
- Accession number :
- edsair.doi...........751ca2d077c3a7cc511b6a2e8c38d526