Color Doppler ultrasound of the hand: observations on clinical utility in rheumatoid arthritis.
The use of ultrasound with color Doppler in the evaluation of rheumatoid arthritis was followed in 25 patients with joint complaints. Small joint ultrasound of the metacarpophalangeal joints (MCPs) as well as the wrists was performed with supplementation by color Doppler. In addition, 6 patients were followed for at least 3 months after start of treatment of rheumatoid arthritis using the same technique. In patients with what appeared to be definite rheumatoid arthritis, ultrasound supported this diagnosis as evidenced by the finding of cortical defects, extensor tendon sheath thickening, and synovial proliferation. Increased activity by color Doppler ultrasonography was the most common finding. Significant decrease in color Doppler activity was noted in the 6 patients who were followed up after 3 months of therapy with disease-modifying agents. Therefore, the use of ultrasound with color Doppler could aid in the diagnosis and follow up of patients with rheumatoid arthritis.
Saadeh
Constantine
C
From the *Amarillo Center for Clinical Research, Ltd., Amarillo, Texas; †Good Samaritan Regional Medical Center, Phoenix, Arizona; and the §Department of Radiology, Gainesville Memorial Hospital, Gainesville, Texas.
Gaylor
Patrick
P
Lee
Doohi
D
Malacara
Jan
J
Gaylor
Michael
M