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Journal of Ultrasound in Medicine, Vol 7, Issue 10 561-566, Copyright © 1988 by American Institute of Ultrasound in Medicine
Staging and follow-up of rheumatoid arthritis of the knee. Comparison of sonography, thermography, and clinical assessment
M. van Holsbeeck, K. van Holsbeeck, G. Gevers, G. Marchal, A. van Steen, A. Favril, J. Gielen, J. Dequeker and A. Baert
Department of Radiology, University Hospitals K.U., Leuven, Belgium.
Twenty patients with longstanding polyarticular rheumatoid arthritis
(including knee involvement) were selected for this study. The severity of
the knee synovitis was assessed before and during treatment (with
intra-articular corticosteroid injections) using clinical scores,
sonography, and thermography. In all patients, the inflammation regressed
during treatment. During follow-up, the quantity of synovial fluid, as
measured sonographically 10 days after the start of therapy, correlated
best with the clinical status. Maximal regression of synovial thickening
was noted on delayed sonograms performed three months after treatment.
Thermographic peak temperature showed good correlation with the clinical
status, but the thermographic index was unreliable.
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