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Research ArticleOMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

Patterns of Magnetic Resonance Imaging Bone Erosion in Rheumatoid Arthritis — Which Bones Are Most Frequently Involved and Show the Most Change?

MIKKEL ØSTERGAARD, UFFE MØLLER DØHN, ANNE DUER-JENSEN, MERETE LUND HETLAND, KIM HØRSLEV-PETERSEN, KRISTIAN STENGAARD-PEDERSEN, PETER JUNKER, JAN PØDENPHANT and BO EJBJERG
The Journal of Rheumatology September 2011, 38 (9) 2014-2017; DOI: https://doi.org/10.3899/jrheum.110416
MIKKEL ØSTERGAARD
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  • For correspondence: mo@dadlnet.dk
UFFE MØLLER DØHN
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ANNE DUER-JENSEN
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MERETE LUND HETLAND
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KIM HØRSLEV-PETERSEN
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KRISTIAN STENGAARD-PEDERSEN
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PETER JUNKER
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JAN PØDENPHANT
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BO EJBJERG
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Abstract

Objective. To investigate by magnetic resonance imaging (MRI) which bones in wrists and metacarpophalangeal (MCP) joints most frequently show bone erosions, and which most frequently demonstrate erosive progression, in early and established rheumatoid arthritis (RA).

Methods. MRI datasets from 258 RA patients [126 with early RA (disease duration < 6 months)] were analyzed, of whom 223, including 126 with early RA, had 1-year followup MRI. All patients had MRI of one wrist, whereas 86 patients had additional images of 2nd–5th MCP joints, and 46 patients additional images of the contralateral wrist. MRI were evaluated blinded by one reader, according to the OMERACT RA MRI scoring system (RAMRIS) for erosions, and presence/absence of erosions was noted in each bone, as was presence/absence of erosive progression.

Results. The capitate, ulna, lunate, triquetrum, and scaphoid were the 5 bones with both most frequent baseline erosions and most frequently demonstrated erosive progression. No bones were without erosions. Patterns of erosions and progression were similar in early and established RA. No major difference between dominant and nondominant wrists was detected. In the fingers, the 2nd–3rd MCP joint most frequently displayed erosions and erosive progression.

Conclusion. The distribution and frequency of bone erosion and erosive progression as detected by MRI in RA wrists and MCP joints were identified. No pattern differences between early versus established disease and dominant versus nondominant sides were detected. No bones showed erosive progression. Thus, no self-evident simplification of the RAMRIS erosion score was identified. Bone involvement patterns may be considered, when joints are selected for MRI protocols for clinical trials and practice.

Key Indexing Terms:
  • RHEUMATOID ARTHRITIS
  • MAGNETIC RESONANCE IMAGING
  • BONE EROSION
  • WRIST
  • METACARPOPHALANGEAL JOINT
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The Journal of Rheumatology
Vol. 38, Issue 9
1 Sep 2011
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Patterns of Magnetic Resonance Imaging Bone Erosion in Rheumatoid Arthritis — Which Bones Are Most Frequently Involved and Show the Most Change?
MIKKEL ØSTERGAARD, UFFE MØLLER DØHN, ANNE DUER-JENSEN, MERETE LUND HETLAND, KIM HØRSLEV-PETERSEN, KRISTIAN STENGAARD-PEDERSEN, PETER JUNKER, JAN PØDENPHANT, BO EJBJERG
The Journal of Rheumatology Sep 2011, 38 (9) 2014-2017; DOI: 10.3899/jrheum.110416

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Patterns of Magnetic Resonance Imaging Bone Erosion in Rheumatoid Arthritis — Which Bones Are Most Frequently Involved and Show the Most Change?
MIKKEL ØSTERGAARD, UFFE MØLLER DØHN, ANNE DUER-JENSEN, MERETE LUND HETLAND, KIM HØRSLEV-PETERSEN, KRISTIAN STENGAARD-PEDERSEN, PETER JUNKER, JAN PØDENPHANT, BO EJBJERG
The Journal of Rheumatology Sep 2011, 38 (9) 2014-2017; DOI: 10.3899/jrheum.110416
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OMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

  • The OMERACT Ultrasound Task Force — Status and Perspectives
  • Update on Research and Future Directions of the OMERACT MRI Inflammatory Arthritis Group
Show more OMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

Biomarker and Imaging Outcomes

  • A Systematic Literature Review Analysis of Ultrasound Joint Count and Scoring Systems to Assess Synovitis in Rheumatoid Arthritis According to the OMERACT Filter
  • OMERACT Magnetic Resonance Imaging Initiative on Structural and Inflammatory Lesions in Ankylosing Spondylitis — Report of a Special Interest Group at OMERACT 10 on Sacroiliac Joint and Spine Lesions
  • Synovitis and Osteitis Are Very Frequent in Rheumatoid Arthritis Clinical Remission: Results from an MRI Study of 294 Patients in Clinical Remission or Low Disease Activity State
Show more Biomarker and Imaging Outcomes

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