Imaging update in inflammatory arthritis

Iwona Sudoł-Szopińska; Chiara Giraudo; Edwin H G Oei; Lennart Jans

doi:10.1016/j.jcot.2021.101491

Imaging update in inflammatory arthritis

J Clin Orthop Trauma. 2021 Jun 30:20:101491. doi: 10.1016/j.jcot.2021.101491. eCollection 2021 Sep.

Authors

Iwona Sudoł-Szopińska¹, Chiara Giraudo², Edwin H G Oei³, Lennart Jans⁴

Affiliations

¹ Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
² Chiara Giraudo, Department of Medicine - DIMED, University of Padova, Padova, Italy.
³ Department of Radiology and Nuclear Medicine, Erasmus MC - University Medical Center, Rotterdam, the Netherlands.
⁴ Department of Radiology, Ghent University Hospital, Ghent, Belgium.

Abstract

Ultrasonography and magnetic resonance imaging have become important imaging modalities in rheumatological disorders next to standard radiography. Due to their ability to assess both morphological and functional changes they play a significant role in early diagnosis and treatment monitoring. This review presents the latest advancements in imaging of inflammatory arthritis with a focus on two main groups of rheumatic diseases: connective tissue diseases and spondyloarthritis. New developments related to peripheral and sacroiliac joints imaging are discussed, including Superb Micro Flow Imaging and Shear Wave Elastography in ultrasonography, as well as Whole Body MRI, quantitative MRI, and the recent advances in cartilage imaging in MRI, including T2-and T1p-mapping, and dGEMRIC. The role of emerging imaging techniques in the early diagnosis of inflammatory arthritis is discussed, including DECT, VIBE, BoneMRI, and pQCT.

Keywords: Inflammatory rheumatic diseases; Magnetic resonance imaging; Ultrasonography.