title: Ultrasound and follow-up of rheumatoid arthritis.
abstract: Rheumatoid arthritis (RA) is chronic rheumatic disorder leading to joint inflammation and potential structural damages. This destruction occurs early in the disease outcome leading to the concept of window of opportunity. New diagnosis RA criteria have been proposed to allow an earlier diagnosis and subsequently a better management of the disease. Moreover, tight control of the disease was able to improve the prognosis of RA. For this, rheumatologists need routinely feasible tools and ultrasound (US) appears as the ideal imaging modality. US is superior to clinical exam for the detection of subclinical synovitis. US has a good correlation with clinical findings and markers of inflammation. US persistence of synovitis is associated with higher rate of relapse and more radiographic progression. However, standardization of scoring and settings procedures is necessary before being universally accepted as a marker of disease activity. Finally, US did not improve the tight control strategy and did not replace clinical exam for RA management.
authors: Service de Rhumatologie, Hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
authors: Marine
authors: M
authors: Forien
authors: Service de Rhumatologie, Hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France. Electronic address: sebastien.ottaviani@aphp.fr.
authors: Sébastien
authors: S
authors: Ottaviani
mesh_terms: D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D004185:Disability Evaluation; D019468:Disease Management; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D011379:Prognosis; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D018608:Ultrasonography, Doppler / Q000379:methods*
keywords: Management; Rheumatoid arthritis; Ultrasound