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Table of Contents
Vol. 220, No. 1, 2010
Issue release date: January 2010
Section title: Original Paper
Dermatology 2010;220:25–31
(DOI:10.1159/000258049)

Role of Contrast-Enhanced Ultrasound in Early Diagnosis of Psoriatic Arthritis

Solivetti F.M. · Elia F. · Teoli M. · De Mutiis C. · Chimenti S. · Berardesca E. · Di Carlo A.
aStruttura di Radiologia e Diagnostica per Immagini, Istituto Dermosifilopatico di Santa Maria e San Gallicano, bIstituto Dermosifilopatico di Santa Maria e San Gallicano, Instituti Fisioterapici Ospitalieri, e cClinica Dermatologica, Università degli Studi di Roma ‘Tor Vergata’, Roma, Italy

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 3/27/2009
Accepted: 8/4/2009
Published online: 11/11/2009

Number of Print Pages: 7
Number of Figures: 4
Number of Tables: 3

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM

Abstract

Background: Radiographic examination (Rx) is still the best method to obtain an accurate diagnosis of psoriatic arthritis (PsA). Nevertheless, ultrasound (US) examination of the potentially involved joints has started to play a leading role. The sensitivity and specificity of a scan can be determined by contrast enhancement in the diagnosis of arthritis during PsA in comparison with basal US with MRI. Methods: Our study was made on 22 uninformed patients showing clinical suspicion of PsA. The patients were submitted to clinical evaluation, Rx, US with and without contrast enhancement and MRI. The parameters evaluated by basal US were effusion, synovial hypertrophy, positiveness to color power Doppler signals and bone erosion. Results: Contrast-enhanced US (CEUS) seems to amplify small alterations previously detected by US and, moreover, increases the diagnostic confidence in cases of suspected symptomatology with a negative diagnosis. Finally, CEUS appears to have a concordance of almost 100% with the results of MRI with contrast enhancement. Conclusion: US appears to be an effective method for detecting the alterations in bone outline and soft tissues, such as synovitis. Furthermore, US provides useful information concerning the evolution of vascularization and the dynamic behavior of tendons.


  

Author Contacts

Francesco Maria Solvetti
Department of Radiology
Istituto Dermosifilopatico di Santa Maria e San Gallicano IFO
Via Elio Chianesi 53, IT–00144 Rome (Italy)
Tel. +39 0652 666 749, Fax +39 0652 666 733, E-Mail solivetti@ifo.it

  

Article Information

Received: March 27, 2009
Accepted after revision: August 4, 2009
Published online: November 11, 2009
Number of Print Pages : 7
Number of Figures : 4, Number of Tables : 3, Number of References : 9

  

Publication Details

Dermatology

Vol. 220, No. 1, Year 2010 (Cover Date: January 2010)

Journal Editor: Saurat J.-H. (Geneva)
ISSN: 1018-8665 (Print), eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 3/27/2009
Accepted: 8/4/2009
Published online: 11/11/2009

Number of Print Pages: 7
Number of Figures: 4
Number of Tables: 3

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM


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