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  • Abstract Number: 1195 • 2018 ACR/ARHP Annual Meeting

    The Evaluation of the Small Enthesis of the Hands By Ultrasound: A Study on Healthy Subjects

    Sibel Bakirci1, Dilek Solmaz2, Wilson Stephenson3, Lihi Eder4, Johannes Roth5 and Sibel Zehra Aydın6, 179 Cresthaven Drive, University of Ottawa, Ottawa, ON, Canada, 2Rheumatology, University of Ottawa, Ottawa, ON, Canada, 3Internal Medicine, University of Ottawa, Ottawa, ON, Canada, 4Women's College Research Institute, University of Toronto, Women's College Hospital, Toronto, ON, Canada, 5Pediatric Rheumatology, Children's Hospital Eastern Ontario, Ottawa, ON, Canada, 6University of Ottawa, Ottawa, ON, Canada

    Background/Purpose: The literature on sonographic enthesitis is primarily based on the large enthesis, ignoring the involvement of the small enthesis such as the hands. In…
  • Abstract Number: 1196 • 2018 ACR/ARHP Annual Meeting

    Entheseal Involvement in Asymptomatic Healthy Subjects: Prevalence and Distribution of the Ultrasound Elementary Lesions of Enthesitis, with a Particular Focus on Those Indicating “Active” Inflammation

    Andrea Di Matteo1, Emilio Filippucci1, Edoardo Cipolletta2, María Victoria Martire3, Diogo Jesus4, Martina Isidori1, Davide Corradini1 and Walter Grassi1, 1Polytechnic University of Marche, Rheumatology Clinic, Jesi, Italy, 2Polytechnic University of Marche, Rheumatology Clinic, jesi, Italy, 3Instituto Médico Platense, La Plata, Argentina, 4Rheumatology Department, Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal

    Background/Purpose: According to the OMERACT definitions, thickening, hypoechogenicity and power Doppler (PD) signal represent the US findings indicative of entheseal “active” inflammation. However, these US…
  • Abstract Number: 1197 • 2018 ACR/ARHP Annual Meeting

    The Characteristics of the Distribution of Normal Feeding Vessels between Young and Elderly Adults in Wrist Joints of Healthy Volunteers Depicted By Ultrasound (MSKUS)

    Kenta Misaki1, Kei Ikeda2, Kenshi Inoue3, Moemi Miyazaki3, Naofumi Dobashi3 and Yasuhiko Imaizumi4, 1Rheumatology, Kita-Harima Medical Center, Ono, Japan, 2Department of Allergy and Clinical Immunology, Chiba University Hospital, Chiba, Japan, 3Kita-Harima Medical Center, Ono, Japan, 4kita-Harima Medical Center, Ono, Japan

    Background/Purpose: Synovial vascularity as measured by power Doppler (PD) of MSKUS is correlated to rheumatoid arthritis disease activity, and PD signal reveals the prevalence of…
  • Abstract Number: 1198 • 2018 ACR/ARHP Annual Meeting

    Ultrasound-Detected Joint Erosions in Rheumatoid Arthritis: What Every Sonographer Should Know

    York Kiat Tan1,2,3, HuiHua Li4, John Carson Allen Jr5 and Julian Thumboo1,2,3, 1Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore, 2Duke-NUS Medical School, Singapore, Singapore, 3Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 4Health Services Research, Singapore General Hospital, Singapore, Singapore, 5Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore

    Background/Purpose:  Previous work in rheumatoid arthritis (RA) on bone erosion(s) using ultrasound (US) focused mostly on small joints of the fingers and toes. We aim…
  • Abstract Number: 1199 • 2018 ACR/ARHP Annual Meeting

    The Use of Musculoskeletal Ultrasound to Assess Remission in Patients with Rheumatoid Arthritis

    Myriam Allen1, Maggie Larche2 and Karen A. Beattie2, 1Rheumatology, McMaster University, Hamilton, ON, Canada, 2Medicine, McMaster University, Hamilton, ON, Canada

    Background/Purpose: Patients with rheumatoid arthritis (RA) should achieve remission rapidly to avoid irreversible joint sequela. Studies have shown that patients with apparent clinical remission have…
  • Abstract Number: 1200 • 2018 ACR/ARHP Annual Meeting

    Unilateral Ultrasound Scoring Methods for Synovitis in Rheumatoid Arthritis: An Agreement Study Exploring the Most Inflammatory Active Side

    Lene Terslev1, Robin Christensen2, Anna-Birgitte Aga3, Joseph Sexton3, Espen A. Haavardsholm3 and Hilde B. Hammer4, 1Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark, 2Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg, Denmark, 3Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 4Dept. of Rheumtology, Diakonhjemmet Hospital, Oslo, Norway

    Background/Purpose: Several unilateral scoring systems have been proposed to increase the feasibility of ultrasound (US) for joint evaluation in rheumatoid arthritis (RA) patients. Both the…
  • Abstract Number: 1201 • 2018 ACR/ARHP Annual Meeting

    Finger Extensor Tendon Involvement Is Frequent in Early Rheumatoid Arthritis

    Mihaela Maruseac1, Patrick Durez2,3, Adrien Nzeusseu Toukap4 and Maria Stoenoiu5, 1Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium, 2Pôle de Maladies Rhumatismales, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium, 3Pôle de Recherche en Rhumatologie, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium, 4Department of Rheumatology, Rheumatology - Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, 5Rheumatology, Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium

    Background/Purpose: Finger extensor involvement (FET) at ultrasound examination (US) was previously described in patients suffering from early psoriatic arthritis. Contradictory results were published in patients…
  • Abstract Number: 1202 • 2018 ACR/ARHP Annual Meeting

    Tenosynovial Aspiration By Ultrasound Guidance: Even Small Volumes Can Have a Big Impact

    Fawad Aslam1, Amy C. Cannella2, Veronika Sharp3, Lily Kao4, Jon Arnason5, Jemima Albayda6, Catherine Bakewell7, Shruti B Sanghvi8, Robert Fairchild9, Karina Torralba10, Amy M. Evangelisto11, Paul DeMarco12 and Eugene Y. Kissin13, 1Rheumatology, Mayo Clinic, Scottsdale, AZ, 2Section of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 3Rheumatology, Santa Clara Valley Medical Center, San Jose, CA, 4Evergreen Medical Group, Santa Clara Valley Medical Center, San Jose, CA, 5University of Wisconsin Hospital and Clinics, Madison, WI, 6Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 7Rheumatology, Intermountain Healthcare, Salt Lake City, UT, 8Intermountain Healthcare, Salt Lake City, UT, 9Stanford University, Palo Alto, CA, 10Division of Rheumatology, Department of Internal Medicine, Loma Linda University, Loma Linda, CA, 11Arthritis, Rheumatic and Back Disease Associates, Moorestown, NJ, 12Arthritis & Rheumatism Associates PC, Wheaton, MD, 13Rheumatology, Boston University, Boston, MA

    Background/Purpose: Rheumatologists commonly use synovial fluid analysis to help establish a diagnosis in patients with joint effusions. Although tenosynovial (TS) effusions are common in rheumatic…
  • Abstract Number: 1203 • 2018 ACR/ARHP Annual Meeting

    Tenosynovitis Detected By Ultrasound Predicts Arthritis Onset in Individuals at Risk of Developing Rheumatoid Arthritis

    Yogan Kisten1, Hamed Rezaei1, Erik af Klint1, Guozhong Fei1,2, Aleksandra Antovic1,2, Aase Hensvold1,2 and Anca I. Catrina1,2, 1Medicine, Rheumatology Unit, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, 2Stockholm Health Services, Academic Specialist Center, Center for Rheumatology, Stockholm, Sweden

    Background/Purpose: The urgent need for identifying imaging and serological markers that early predicts rheumatoid arthritis (RA) is clinically important. We aim to identify ultrasound findings…
  • Abstract Number: 1204 • 2018 ACR/ARHP Annual Meeting

    Experience Matters in Ultrasound Assessment of Gout

    Burak Elkiran1 and Eugene Y. Kissin2, 1Internal Medicine, Steward Carney Hospital, Boston, MA, 2Rheumatology, Boston University, Boston, MA

    Background/Purpose: Ultrasound has emerged in the field of rheumatology as a diagnostic aid for gout and other similar forms of arthritis. While a number of…
  • Abstract Number: 1205 • 2018 ACR/ARHP Annual Meeting

    Musculoskeletal Ultrasound and Conventional Radiography Evaluation of the Hip in Patients with Calcium Pyrophosphate Deposition Disease

    Andrea Di Matteo1, Emilio Filippucci1, Edoardo Cipolletta1, Alice Musca2, Marina Carotti3, Riccardo Mashadi Miza4, Diogo Jesus5, Marco Di Carlo1, Fausto Salaffi1 and Walter Grassi1, 1Polytechnic University of Marche, Rheumatology Clinic, Jesi, Italy, 2Internal Medicine and Rheumatology Department, Bucharest, Romania, 3Polytechnic University of Marche, Radiology Unit, Ancona, Italy, 4Dipartimento Diagnostica per Immagini, Ospedale di Cittadella, ULSS 6 Euganea, Cittadella (PD), Italy, 5Rheumatology Department, Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal

    Background/Purpose: Conventional radiography (CR) and, more recently, US play a key role in the diagnosis of CPPD. To date, only a very few studies have…
  • Abstract Number: 1206 • 2018 ACR/ARHP Annual Meeting

    Ultrasonographic Involvement of the Anterior Chest Wall,a Five Years Follow up

    Frank Verhoeven1,2, Maxime Sondag3, Mickaël Chouk1, Clément Prati4,5 and Daniel Wendling6,7, 1Rheumatology, CHU de Besançon, Besançon, France, 2EA 4267 PEPITE, Université de Bourgogne Franche Comté, Besançon, France, 3rheumatology, CHU de Besançon, Besancon, France, 4Rheumatology, University Hospital - Bourgogne Franche Comté University, Besancon, France, 5EA 4267 FDE, FHU INCREASE, Université de Bourgogne Franche Comté, Besancon, France, 6Rheumatology, University Hospital - Bourgogne Franche Comté University, Besançon, France, 7EA 4266, Univ. Bourgogne Franche-Comté, F-25000 Besançon, France, F-25000 Besançon, France

    Background/Purpose: Spondyloarthrits is characterized by inflammatory back pain. Anterior chest wall (ACW) pain is common and a previous study reported a prevalence à 35.5 %…
  • Abstract Number: 1207 • 2018 ACR/ARHP Annual Meeting

    Clinical Evaluation Correlates Poorly with Ultrasound and Magnetic Resonance Imaging of Joints and Entheses in Early Peripheral Spondyloarthritis

    Thomas Renson1, Ann-Sophie De Craemer1, Philippe Carron1, Simon Krabbe2, Lennart Jans3, Manouk de Hooge4, Peggy Jacques1, Mikkel Østergaard5, Dirk Elewaut1 and Filip van Den Bosch6, 1Department of Rheumatology, Ghent University Hospital, Ghent, 9000, Belgium, 2Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark, 3Department of Radiology, Ghent University Hospital, Ghent, Belgium, 4Ghent University Hospital, Ghent, Belgium, 5Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, Copenhagen, Denmark, 6Department of Rheumatology, Ghent University Hospital, Ghent, Belgium

    Background/Purpose: Enthesitis is a hallmark of spondyloarthritis (SpA), which occurs in 30 to 50% of psoriatic arthritis patients [1]. Evaluation of tenderness at the site…
  • Abstract Number: 1208 • 2018 ACR/ARHP Annual Meeting

    Indicators for Active Musculoskeletal Ultrasound Findings of Psoriatic Arthritis Vary on Each Body Part

    Shuji Sumitomo1, Shoko Tateishi2, Yoko Soroida3, Harumi Shirai4, Tomomi Iwai5, Kuimiko Ono6, Jun Hirose6, Ayumi Yoshizaki7, Yoshihide Asano8, Shinichi Sato9, Sakae Tanaka6, Hitoshi Ikeda5, Keishi Fujio1, Kazuhiko Yamamoto10 and Hiroko Kanda11, 1Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 2Department of Immunotherapy Management, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan, 3Department of Clinical Laboratory Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 4Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, 5Department of Clinical Laboratory Medicine, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, 6Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Japan, 7Department of Dermatology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 8Department of Dermatology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, 9The University of Tokyo, Department of Dermatology, Tokyo, Japan, 10Laboratory for Autoimmune Diseases, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan, 11Department of Immunotherapy Management, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan

    Background/Purpose: Although some global composite measures (DAPSA, DAS28) reflect musculoskeletal ultrasound (MSUS) findings of psoriatic arthritis (PsA), there is little knowledge on how to predict…
  • Abstract Number: 1209 • 2018 ACR/ARHP Annual Meeting

    Peritenon Extensor Tendon Inflammation, Synovitis and Enthesopathy in Psoriastic Arthritis: What Is the Connection?

    Cristina Macia-Villa1, Sandra Falcao2, Hilde B. Hammer3, Julio Medina4, Marwin Gutierrez5 and Eugenio De Miguel6, 1Hospital Universitario Severo Ochoa, Madrid, Spain, 2Department of Rheumatology. Chronic Diseases Study Center (CEDOC), NOVA Medical School, UNL; HEM. Centro Hospitalar de Lisboa Ocidental, EPE, Lisboa, Portugal, 3Dept. of Rheumtology, Diakonhjemmet Hospital, Oslo, Norway, 4Hospital Universitario Clínico, Valladolid, Spain, 5Rheumatology, Instituto Nacional de Rehabilitación, Mexico City, Mexico, 6Rheumatology, University Hospital La Paz, IdiPaz, Madrid, Spain

    Background/Purpose: Metacarpophalangeal joint (MCPj) swelling in Psoriatic Arthritis (PsA) can be produced both by synovitis (IAS) and peritenon extensor tendon inflammation (PTI), having been  this…
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