Substantial improvements in ultrasound technology and expanded use of it have necessitated an update of the 2012 recommendations.
WASHINGTON — After more than a decade, the American College of Rheumatology has developed new draft guidance for the use of musculoskeletal ultrasound to help with diagnosis, monitoring, and prognosis of. Though not yet finalized, the statements that came out of a first round of committee voting were unveiled at theon using MSUS in rheumatology clinical practice, explained Veena K.
"There's not a single way we really can assess disease activity in our patients, and so having a composite of things that you're looking at really enhances our ability to understand people's pain," Arnold said. Strong consensus supported using MSUS of the wrist, second and third metacarpophalangeal joints, and second and third interphalangeal joints to aid early RA diagnosis, with moderate consensus that cutoffs of least 2 grayscale or at least 1 GS with at least 1 power doppler at the joint level supports both an RA diagnosis and, in patients already diagnosed with RA, a positive joint.
Moderate consensus supported using MSUS in patients with established RA to objectively evaluate inflammation so as to eliminate age-related bias. The combination of MSUS with clinical examination appears to be more effective at confirming RA flares than using only clinical examination, and in certain patients with established RA, MSUS may provide insights into subclinical disease activity to help maintain remission and/or potentially guide treatment decisions,"especially when coming across de-escalation therapy decisions," Kaeley said.
Cardiac Imaging CV Imaging Ultrasonography Ultrasound Sonogram Rheumatoid Arthritis RA - Rheumatoid Arthritis Rheumatoid Arthritis (RA) Arthritis Joint Inflammation Remission Osteoarthritis Generalized Osteoarthritis OA - Osteoarthritis DJD - Degenerative Joint Disease Degenerative Arthritis Generalised Osteoarthritis Osteoarthritis (OA) Fibromyalgia Pain
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