General applications of ultrasound in rheumatology

Santiago Ruta, Anthony M. Reginato, Carlos Pineda, Marwin Gutierrez, Aliste Marta, Alva Magaly, R. A. Aragón-Laínez, Areny Roser, Audisio Marcelo, Bertoli Ana, Bouffard José Antonio, Díaz Coto José Francisco, Filippucci Emilio, Flores Víctor, Hern'Ndez Díaz Cristina, Hoffman Fritz, Kurslikova María, Mendonça José Alexander, Moya Carlos, Mora ClaudiaMuñoz Louis Roberto, Py Guillermo Enriqu, Quintero Maritza, Rodríguez Henríquez Pedro, Rosenffet Marcos, Saavedra Jorge, Santiago Lida, Sedano Oscar, Solano Carla, Urioste Lorena, Ventura Rios Lucio, Villota Orlando, Carmen Ceron, Diego Saaibi, Mario Diaz, Johannes Roth

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Ultrasound (US) is a noninvasive imaging technique that continues to gain interest among rheumatologists because of its undoubted utility for the assessment of a wide range of abnormalities in rheumatic diseases. It also has a great potential to be used at the time of consultation as an extension of the clinical examination. Current data demonstrate that the standard clinical approach could result in an insensitive assessment of some the different aspects of the various rheumatic diseases for which US has become a feasible and effective imaging modality that allows early detection of anatomical changes, careful guidance for the aspiration and/or local treatment, and short- and long-term therapy monitoring at the joint, tendon, enthesis, nail, and skin levels. The spectrum of pathological conditions for which US plays a crucial role continues to increase over time and includes rheumatoid arthritis, spondyloarthropathies, osteoarthritis, crystal-related arthropathies, connective tissue disorders, and vasculitis. It is expected that the inclusion of more longitudinal studies with a larger number of patients and more rigorous methodological approach will undoubtedly provide a better understanding of the significance of the abnormal US findings detected in order to provide the proper diagnostic and/or therapeutic approaches. In this article, we analyze the current potential applications of US in rheumatology and discuss the evidence supporting its use in the daily rheumatologic practice.

Original languageEnglish
Pages (from-to)133-143
Number of pages11
JournalJournal of Clinical Rheumatology
Volume21
Issue number3
DOIs
StatePublished - 9 Apr 2015

Keywords

  • connective tissue disorders
  • crystal-related arthropathies
  • osteoarthritis
  • rheumatoid arthritis
  • spondyloarthritis
  • ultrasound
  • vasculitis

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