类风湿性关节炎患者的肘部热成像：与超声波检测到的关节炎症结果的比较。

IF 2.9 3区医学 Q2 RHEUMATOLOGY Rheumatology and Therapy Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI:10.1007/s40744-024-00648-3

York Kiat Tan, Rehena Sultana, Julian Thumboo

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引用次数: 0

摘要

导言：在类风湿性关节炎（RA）患者中使用热成像评估肘关节炎症方面缺乏数据。因此，我们旨在比较热成像与超声波成像（一种更成熟的关节炎症评估成像方式）在 RA 患者肘部炎症评估中的应用：将每个肘部（内侧、外侧、后侧和前侧）的标准化最低温度（Tmin）、最高温度（Tmax）和平均温度（Tavg）相加，分别得出热成像参数MIN、MAX和AVG。肘关节炎症的超声参数包括总灰度（TGS）和总功率多普勒（TPD）评分。参数之间的相关性分析采用皮尔逊相关系数。采用简单线性回归分析参数之间的关系：在这项横断面研究中，对 30 名 RA 患者的 60 个肘部进行了评估。热成像参数（最小值、最大值和平均值）显示出显著的相关性（P已证实热成像温度与 RA 患者肘部超声检测到的关节炎症相关。与GS关节炎相比，超声PD关节炎的相关性更为一致。

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Thermography at the Elbow Among Patients with Rheumatoid Arthritis: A Comparison with Ultrasound-Detected Joint Inflammation Findings.

Introduction: There is a lack of data on the use of thermography for elbow joint inflammation assessment among patients with rheumatoid arthritis (RA). Hence, we aimed to compare thermography with ultrasonography (a more established imaging modality for joint inflammation assessment) in the assessment of inflammation in the elbows of patients with RA.

Methods: Standardised minimum (Tmin), maximum (Tmax) and average (Tavg) temperatures at each elbow (medial, lateral, posterior and anterior aspects) were summed to obtain the thermographic parameters MIN, MAX and AVG, respectively. Ultrasound parameters of elbow joint inflammation included total greyscale (TGS) and total power Doppler (TPD) scores. Pearson's correlation coefficient was utilized for correlation analysis between parameters. The relationship between parameters was characterized using simple linear regression.

Results: Sixty elbows were evaluated from 30 patients with RA in this cross-sectional study. Thermographic parameters (MIN, MAX and AVG) showed significant correlation (P < 0.05) with (1) TPD scores at both elbows (correlation coefficient ranging 0.40 to 0.55) and (2) TGS scores at the right elbow (correlation coefficient ranging 0.39 to 0.42). A statistically significant relationship (P values ranging from 0.002 to 0.033) between parameters was demonstrable as follows: (1) MIN, MAX and AVG versus TPD scores (bilateral elbows) and (2) MIN, MAX and AVG versus TGS scores (right elbow).

Conclusion: Thermographic temperatures have been demonstrated to correlate with ultrasound-detected joint inflammation at the elbow in patients with RA. The association is more consistently observed with ultrasound PD joint inflammation than its GS counterpart.

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来源期刊

Rheumatology and Therapy RHEUMATOLOGY-

CiteScore

6.00

自引率

5.30%

发文量

审稿时长

6 weeks

期刊介绍： Aims and Scope Rheumatology and Therapy is an international, open access, peer reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world and health outcomes research around the discovery, development, and use of rheumatologic therapies. Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also welcomed. Areas of focus include, but are not limited to, rheumatoid arthritis, gout, gouty arthritis, psoriatic arthritis, osteoarthritis, juvenile idiopathic/rheumatoid arthritis, systemic lupus erythematosus, axial spondyloarthritis, Pompe’s disease, inflammatory joint conditions, musculoskeletal conditions, systemic sclerosis, and fibromyalgia. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, case reports, trial protocols, communications and letters. 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