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Research ArticleRheumatoid Arthritis

Rheumatoid Arthritis Magnetic Resonance Imaging Score Predicts Therapy Response: Results of the German ArthroMark Cohort

Philipp Sewerin, Lien Le, Stefan Vordenbäumen, Christoph Schleich, Ruben Sengewein, Ralph Brinks, Georg Pongratz, Ellen Bleck, Juliane Lesch, Ulrich Mansmann, Matthias Schneider and Benedikt Ostendorf
The Journal of Rheumatology June 2018, 45 (6) 753-759; DOI: https://doi.org/10.3899/jrheum.170797
Philipp Sewerin
From the Department and Hiller-Research-Unit for Rheumatology, and the Institute of Diagnostic and Interventional Radiology, Universitätsklinikum Düsseldorf (UKD), Heinrich-Heine-University Düsseldorf; University Düsseldorf, Medical Faculty, Department of Endocrinology, Diabetology and Rheumatology, Düsseldorf; the Institute for Medical Information Sciences, Biometry and Epidemiology, Ludwig Maximilian University, Munich, Germany.
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  • For correspondence: philipp.sewerin{at}med.uni-duesseldorf.de
Lien Le
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Stefan Vordenbäumen
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Christoph Schleich
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Ruben Sengewein
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Ralph Brinks
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Georg Pongratz
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Ellen Bleck
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Juliane Lesch
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Ulrich Mansmann
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Matthias Schneider
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Benedikt Ostendorf
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  • Comparison of DAS28 responders versus nonresponders (according to EULAR) at 3 months (V3, left side) and 6 months (V6, right side) depicted by box plots. Erosion subscore (upper half) and total RAMRIS (lower half) were significantly different between groups at 3 months. At 6 months no significant differences were found. DAS28: 28-joint count Disease Activity Score; EULAR: European League Against Rheumatism; RAMRIS: rheumatoid arthritis magnetic resonance imaging scoring system.
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    Figure 1.

    Comparison of DAS28 responders versus nonresponders (according to EULAR) at 3 months (V3, left side) and 6 months (V6, right side) depicted by box plots. Erosion subscore (upper half) and total RAMRIS (lower half) were significantly different between groups at 3 months. At 6 months no significant differences were found. DAS28: 28-joint count Disease Activity Score; EULAR: European League Against Rheumatism; RAMRIS: rheumatoid arthritis magnetic resonance imaging scoring system.

  • Comparison of DAS28 responders versus nonresponders (according to EULAR) at 3 months (V3, left side) and 6 months (V6, right side) depicted by box plots. RANKL was significantly different between groups at 6 months. DAS28: 28-joint count Disease Activity Score; EULAR: European League Against Rheumatism; RANKL: receptor activator of nuclear factor-κB ligand.
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    Figure 2.

    Comparison of DAS28 responders versus nonresponders (according to EULAR) at 3 months (V3, left side) and 6 months (V6, right side) depicted by box plots. RANKL was significantly different between groups at 6 months. DAS28: 28-joint count Disease Activity Score; EULAR: European League Against Rheumatism; RANKL: receptor activator of nuclear factor-κB ligand.

Tables

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    Table 1.

    Patient characteristics at the beginning of the study.

    N = 28Values
    Male9 (32%)
    Female19 (68%)
    Ageaverage 56.8 yrs (min 39 yrs, max 74 yrs)
    Disease durationaverage 16.3 weeks (min 2 weeks, max 23 weeks)
    RF+ and/or anti-CCP antibody+28 (100%): average RF 215 IU/ml (min 24, max 2314 IU/ml); average anti-CCP antibodies 131 U/ml (min 5, max > 200 U/ml)
    CRP, baseline, mg/laverage 9.6 (SD 9.3; min 3, max 37)
    CRP, V3 (3 mos), mg/laverage 6.5 (SD 8.6; min 3, max 37)
    CRP, V6 (6 mos), mg/laverage 3.6 (SD 2.5; min 1, max 12)
    DAS28 baselineaverage 4.7 (SD 0.85; min 3.3, max 6.3)
    DAS28 V3 (3 mos)average 3.5 (SD1.3; min 1.6, max 6.2)
    DAS28 V6 (6 mos)average 2.6 (SD 0.83; min 1.6, max 4.8)
    RAMRIS baselineaverage 29.25 (SD 12.5; min 10, max 59)
    RAMRIS V3average 27.38 (SD 11.35; min 10, max 57)
    RAMRIS V6average 27.61 (SD 10.5; min 9, max 52)
    Erosion subscore baseline7.93 (SD 6.7; min 0, max 21)
    Erosion subscore V39.0 (SD 6.96; min 0, max 21)
    Erosion subscore V69.1 (SD 7.05; min 0, max 21)
    Erosions (radiograph), baseline1/28
    • RF: rheumatoid factor: anti-CCP: anticyclic citrullinated peptide antibodies; CRP: C-reactive protein; DAS28: 28-joint count Disease Activity Score; RAMRIS: rheumatoid arthritis magnetic resonance imaging scoring system.

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    Table 2.

    Specifying the marker models for the outcome response.

    Y = response status (yes/no)M1M2M3M4M5M6
    Xi =
      Time (in days)xxxxxx
      RANKLx
      RAMRIS erosion subscore totalx
      RAMRIS total scorexx
      RAMRIS synovitis subscore MCP-2xx
      DAS28 score at baselinex
    AIC47.2250.63449.78149.79949.87252.099
    LR testvs M0vs M0vs M0vs M0vs M0vs. M0
    p0.1910.05760.034730.035110.041440.1435
    • Bold face indicates significant data. RANKL: receptor activator of nuclear factor-κB ligand; RAMRIS: rheumatoid arthritis magnetic resonance imaging scoring system; MCP-2: second metacarophalangeal joint; DAS28: 28-joint count Disease Activity Score; AIC: Akaike information criterion; LR: likelihood ratio.

    • View popup
    Table 3.

    Specifying the marker models for the outcome remission.

    Y = remission status (yes/no)M1M2M3M4M5
    Xi =
      Time (in days)xxxxx
      RANKLx
      RAMRIS erosion subscore totalx
      RAMRIS total scorex
      RAMRIS synovitis subscore MCP-2x
      DAS28 score at baselinex
    AIC36.68647.18347.39547.23247.386
    LR testvs M0vs M0vs M0vs M0vs M0
    p0.00380.63620.91090.67540.8855
    • Bold face indicates significant data. RANKL: receptor activator of nuclear factor-κB ligand; RAMRIS: rheumatoid arthritis magnetic resonance imaging scoring system; MCP-2: second metacarophalangeal joint; DAS28: 28-joint count Disease Activity Score; AIC: Akaike information criterion; LR: likelihood ratio.

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The Journal of Rheumatology
Vol. 45, Issue 6
1 Jun 2018
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Rheumatoid Arthritis Magnetic Resonance Imaging Score Predicts Therapy Response: Results of the German ArthroMark Cohort
Philipp Sewerin, Lien Le, Stefan Vordenbäumen, Christoph Schleich, Ruben Sengewein, Ralph Brinks, Georg Pongratz, Ellen Bleck, Juliane Lesch, Ulrich Mansmann, Matthias Schneider, Benedikt Ostendorf
The Journal of Rheumatology Jun 2018, 45 (6) 753-759; DOI: 10.3899/jrheum.170797

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Rheumatoid Arthritis Magnetic Resonance Imaging Score Predicts Therapy Response: Results of the German ArthroMark Cohort
Philipp Sewerin, Lien Le, Stefan Vordenbäumen, Christoph Schleich, Ruben Sengewein, Ralph Brinks, Georg Pongratz, Ellen Bleck, Juliane Lesch, Ulrich Mansmann, Matthias Schneider, Benedikt Ostendorf
The Journal of Rheumatology Jun 2018, 45 (6) 753-759; DOI: 10.3899/jrheum.170797
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Keywords

MAGNETIC RESONANCE IMAGING
RHEUMATOID ARTHRITIS
PREDICTION
REMISSION
THERAPY RESPONSE

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Keywords

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  • rheumatoid arthritis
  • PREDICTION
  • remission
  • THERAPY RESPONSE

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