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Pitfalls in scoring MR images of rheumatoid arthritis wrist and metacarpophalangeal joints

McQueen, F., Østergaard, M., Peterfy, C., Lassere, M., Ejbjerg, B., Bird, P., O’Connor, P., Genant, H., Shnier, R., Emery, P., Edmonds, J. and Conaghan, P. (2005) Pitfalls in scoring MR images of rheumatoid arthritis wrist and metacarpophalangeal joints. Annals of the Rheumatic Diseases, 64 (Suppl ). i48-i55. ISSN 0003-4967

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This paper outlines the most important pitfalls which are likely to be encountered in the assessment of magnetic resonance images of the wrist and metacarpophalangeal joints in patients with rheumatoid arthritis. Imaging artefacts and how these can be recognised using various sequences and views are discussed. Normal structures such as interosseous ligaments and nutrient foramina may appear prominent on certain images and need to be identified correctly. Pathological change in the rheumatoid hand involves many tissues and when substantial damage has occurred, it may be difficult to identify individual structures correctly. Bone erosion, bone oedema, synovitis, and tenosynovitis frequently occur together and in close proximity to each other, potentially leading to false positive scoring of any of these. Examples are given to illustrate the various dilemmas the user of this atlas may face when scoring the rheumatoid hand and suggestions are made to assist correct interpretation of what can be very complex images.

Item Type: Article
Copyright, Publisher and Additional Information: Copyright © 2005 BMJ Publishing Group Ltd & European League Against Rheumatism. Reproduced in accordance with the publisher's self-archiving policy.
Keywords: magnetic resonance imaging, bone oedema, erosion, rheumatoid arthritis, synovitis
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Musculoskeletal Disease (Leeds)
Depositing User: Repository Assistant
Date Deposited: 14 Aug 2006
Last Modified: 06 Jun 2014 19:36
Published Version: http://ard.bmjjournals.com/cgi/content/full/64/sup...
Status: Published
Publisher: BMJ
Refereed: Yes
Identification Number: 10.1136/ard.2004.031831
URI: http://eprints.whiterose.ac.uk/id/eprint/1485

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