Validation of Musculoskeletal Ultrasound in the Assessment of Experimental Gout Synovitis

Ultrasound Med Biol. 2018 Jul;44(7):1516-1524. doi: 10.1016/j.ultrasmedbio.2018.03.018. Epub 2018 Apr 24.

Abstract

The objective of this study was to validate musculoskeletal ultrasound (US) in a rabbit model of acute gout. Acute gout was induced by intra-articular injection of monosodium urate (MSU) crystals in 10 rabbits; the 3 controls received vehicle. Rabbit knees were assessed by B-mode and power Doppler (PD) US 24 and 72 h after injections. After 72 h, all rabbits were euthanized. US discriminated between the MSU-injected and control groups with respect to the different inflammatory findings at both at 24 and 72 h and for MSU crystal-related findings after 24 h of injection. US synovial thickening, intra-synovial power Doppler signal and global joint distension significantly correlated with the synovial global histopathological score (r = 0.47, p = 0.0188), tissue vascularization measured by CD31 immunohistochemical-positive staining (r = 0.46, p = 0.0172) and tissue levels of interleukin-1β (r = 0.53, p = 0.0078), respectively. US is a valid method for assessment of synovial inflammation in experimental gouty arthritis in rabbits.

Keywords: Animal model; Experimental gout; Gout; Monosodium urate crystals; Musculoskeletal ultrasound; Synovial inflammation; Synovial vascularization.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Animals
  • Disease Models, Animal
  • Gout / complications
  • Gout / diagnostic imaging*
  • Male
  • Muscle, Skeletal / diagnostic imaging*
  • Rabbits
  • Reproducibility of Results
  • Synovitis / complications
  • Synovitis / diagnostic imaging*
  • Ultrasonography / methods*