ACR Meeting Abstracts

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Abstracts tagged "Synovitis"

  • Abstract Number: 1547 • ACR Convergence 2020

    Role of Artificial Intelligence in Assessment of Peripheral Joint MRI in Inflammatory Arthritis: A Systematic Review and Meta-analysis

    Arya Haj-Mirzaian1, Olga Kubassova2, Mikael Boesen3, Paul Bird4 and John Carrino5, 1Johns Hopkins Hospital, Baltimore, MD, 2Image Analysis Group, London, United Kingdom, 3Department of Radiology Copenhagen University hospital Bispebjerg and Frederiksberg; The Parker Institute, Copenhagen, Denmark, 4Optimus Clinical Research, Kogarah, University of New South Wales, Sydney, New South Wales, Australia, 5Hospital for Special Surgery, Hackensack, NJ

    Background/Purpose: To summarize the feasibility, reliability, and validity of computer-aided quantification of joint destruction and synovitis on MRI using artificial intelligence (AI) based methods in…
  • Abstract Number: 0313 • ACR Convergence 2020

    Swollen Joints but Not Tender Joints Are Associated with Ultrasound Power Doppler Synovitis in Very Early DMARD Naive Psoriatic Arthritis

    Sayam Dubash1, Oras Alabas1, Xabier Michelena1, Leticia Garcia-Montoya1, Gabriele De Marco2, Mira Merashli3, Richard Wakefield1, Philip Helliwell4, Ai Lyn Tan1, Dennis McGonagle1, Paul Emery5 and Helena Marzo-Ortega1, 1The University of Leeds, Leeds Institute for Rheumatic and Musculoskeletal Medicine, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK, Leeds, United Kingdom, 2The University of Leeds, Leeds Institute for Rheumatic and Musculoskeletal Medicine, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK, Treviglio, Italy, 3The University of Leeds, Leeds Institute for Rheumatic and Musculoskeletal Medicine, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK, Beirut, Lebanon, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 5Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK, Leeds, United Kingdom

    Background/Purpose: Clinical tender and swollen joint counts are used for biologic drug eligibility and clinical trial inclusion criteria. Ultrasonography (US)  adds to clinical examination as…
  • Abstract Number: 1551 • ACR Convergence 2020

    Rapid Effect of Tofacitinib in Reducing US Joint and Tendon Inflammatory Lesions of RA Patients: Data from a 24 Weeks Longitudinal Study

    Giuseppe Germanò1, Pierluigi Macchioni2, Giovanni Ciancio3, Filippo Crescentini1, Andrea Caruso2, Beatrice Maranini4, Sara Bonazza4, Gilda Sandri5, Maria Teresa Mascia5, Govoni Marcello4 and Carlo Salvarani6, 1Azienda USL-IRCCS di Reggio Emilia e Università di Modena e Reggio Emilia, REGGIO NELL'EMILIA, Emilia-Romagna, Italy, 2Azienda USL-IRCCS di Reggio Emilia e Università di Modena e Reggio Emilia, REGGIO NELL'EMILIA, Italy, 3Unità Operativa Complessa di Reumatologia Azienda Ospedaliero-Universitaria S. Anna -Ferrara, Ferrara, Emilia-Romagna, Italy, 4Unità Operativa Complessa di Reumatologia Azienda Ospedaliero-Universitaria S. Anna -Ferrara, Ferrara, Italy, 5Struttura Complessa di Reumatologia- Università di Modena e Reggio Emilia- Policlinico di Modena, Modena, Italy, 6Azienda USL-IRCCS di Reggio Emilia e Università di Modena e Reggio Emilia, Reggio Emilia, Italy

    Background/Purpose: To explore the effects of tofacitinib (Tofa) on US lesions in a consecutive series of patients with active RA MTX and/or bioDMARDs -IR. Methods: In…
  • Abstract Number: 0481 • ACR Convergence 2020

    Subclinical Synovitis in Arthralgia: How Often Does It Result in Clinical Arthritis? A Longitudinal Study to Reflect on Starting Points for DMARD Treatment

    Cleo Rogier1, Fenne Wouters2, Laurette van Boheemen3, Dirkjan van Schaardenburg4, Pascal de Jong1 and Annette van der Helm - van Mil5, 1Erasmus MC, Rotterdam, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands, 3Amsterdam Rheumatology and immunology Center | Reade, Amste, Netherlands, 4Amsterdam Rheumatology and immunology Center | Reade and Amsterdam UMC, Amsterdam, Netherlands, 5Leiden University Medical Center, Erasmus Medical Center, Leiden, Netherlands

    Background/Purpose: According to guidelines, clinical arthritis is mandatory for diagnosing rheumatoid arthritis (RA). However, in the absence of clinical synovitis, imaging-detected subclinical synovitis is increasingly…
  • Abstract Number: 1562 • ACR Convergence 2020

    Subclinical Joint Inflammation of Hands by Magnetic Resonance Imaging in Patients with Psoriatic Arthritis in Clinical Remission Compared to Active Disease

    Victoria Furer1, Ari Polachek2, David Levartovsky1, Jonathan Wollman3, Mirna Zureik3, Daphna Paran1, Hagit Sarbagil-Maman4, Sara Borok Lev-Ran1, Mark Berman1, Ilana Kaufman5, Adi Broide3, Valerie Aloush1, Yael Lahat goldstein1, Sharon Nevo3, Iris Eshed6 and Ori Elkayam3, 1Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 2Tel Aviv Sourasky Medical Center, Petah-Tikva, Israel, 3Tel Aviv Sourasky Medical Center, Tel-Aviv, Israel, 4Tel-Aviv Sourasky Medical Center, Kiryat Ono, Israel, 5Tel Aviv Sourasky Medical Center, Petah-Tiqwa, Israel, 6Sheba Medical Center, Tel-Aviv, Israel

    Background/Purpose: Assessment of disease activity in psoriatic arthritis (PsA) is based on tender and swollen joint counts (TJC and SJC, respectively). Yet, the prevalence of…
  • Abstract Number: 0741 • ACR Convergence 2020

    Constitutive Inhibitor Kappa B (IκB) Kinase 2 (IKK2) Activation Induces an Inflammatory State in Fibroblast-Like Synoviocytes

    Sergio Ramirez-Perez1, Umesh Gangishetti1, Kyle Jones1 and Pallavi Bhattaram2, 1Department of Orthopaedics, Department of Cell Biology, Emory University School of Medicine, Atlanta, GA, 2EMORY UNIVERSITY, Atlanta, GA

    Background/Purpose: Fibroblast-like synoviocytes (FLS) are key players involved in the production of inflammatory mediators that trigger joint tissue damage in inflammatory arthritis (IA). The most…
  • Abstract Number: 1608 • ACR Convergence 2020

    Survey of Minimally-Invasive Ultrasound-Guided Synovial Biopsy Performed at Rheumatology Centres

    Bernard Dyke1, Mark Maybury2, Stefano Alivernini3, Juan Cañete4, Orazio De Lucia5, João Eurico Fonseca6, Nicola Gullick7, Søren Just8, David Kane9, Juhani Koski10, Antonio Manzo11, Laurent Meric de Bellefon12, Ronan Mullan9, Aurelie Najm13, Arthur Pratt14, Felipe Julio Ramirez Garcia15, Charlotte Rawlings16, Fiona Rayner17, Vasco Romão18, Ilfita Sahbudin2, Darren Tabechian19 and Andrew Filer2, 1Institute of Inflammation and Ageing, University of Birmingham, Birmingham, England, United Kingdom, 2Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 3Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, 4Arthritis Unit, Rheumatology Dpt, Hospital Clinic, Barcelona, Spain and IDIBAPS, Barcelona, Spain, 5ASST Gaetano Pini-CTO Orthopedic and Traumatology Specialist Center, Milan, Italy, 6Instituto de Medicina Molecular, Faculdade Medicina Universidade de Lisboa and Centro Hospitalar Universitário Lisboa Norte., Lisboa, Portugal, 7University Hospital Coventry & Warwickshire, Knowle, United Kingdom, 8Svendborg Hospital - Odense University Hospital, Odense, Denmark, 9Tallaght University Hospital, Dublin, Ireland, 10Mikkeli Central Hospital, Mikkeli, Finland, 11IRCCS Policlinico San Matteo Foundation/University of Pavia, Pavia, Italy, 12Cliniques Universitaires Saint-Luc, Woluwe-Saint-Lambert, Belgium, Brussels, Belgium, 13Nantes University Hospital, Nantes, France, 14Newcastle University, Newcastle upon Tyne, United Kingdom, 15Arthritis Unit, Rheumatology Dpt, Hospital Clinic, Barcelona, Spain, Barcelona, Catalonia, Spain, 16Cardiff University School of Medicine, Cardiff, United Kingdom, 17Newcastle University, Newcastle, United Kingdom, 18Instituto de Medicina Molecular, Faculdade Medicina Universidade de Lisboa and Centro Hospitalar Universitário Lisboa Norte., Lisbon, Portugal, 19University of Rochester Medical Center, Rochester, NY

    Background/Purpose: Ultrasound-guided synovial biopsy (USGSBx) is a well-established minimally-invasive alternative to arthroscopy for sampling synovial tissue.  Adverse event rates in published studies are favourable by…
  • Abstract Number: 0749 • ACR Convergence 2020

    Locating Cellular Subsets in Rheumatoid Arthritis Synovium Using CO-Detection by IndEXing (CODEX)

    Isabella Wulur1, David Boyle2, Lin Zhang1, Andrea Martin1, Robert Benschop3 and Gary Firestein4, 1Eli Lilly, Indianapolis, IN, 2UC San Diego, San Diego, CA, 3Eli Lilly and Company, Indianapolis, IN, 4University of California, San Diego, La Jolla, CA

    Background/Purpose: To better understand site-of-disease mechanisms in arthritis, the phenotypes and organization of synovial cells and infiltrates are critical. Conventional histology-based approaches are limited in…
  • Abstract Number: 1872 • ACR Convergence 2020

    Relative Associations of Sociodemographic, Clinical and HLA-B Alleles with Enthesitis and Peripheral Arthritis in Patients with Ankylosing Spondylitis

    Benjamin Naovarat1, Lianne Gensler2, Michael Ward3, Mark Hwang4, Matthew Brown5, Amirali Tahanan6, Mohammad Rahbar6, Mariko Ishimori7, Michael Weisman8 and John Reveille9, 1The University of Texas McGovern Medical School, Houston, TX, 2University of California San Francisco, San Francisco, CA, 3National Institutes of Health, Bethesda, MD, 4McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, 5Guy's and St Thomas, NHS Foundation Trust and King's College London NIHR Biomedical Research Centre, King's College London, London, United Kingdom, London, United Kingdom, 6McGovern Medical School at UTHealth, Houston, 7Cedars-Sinai Medical Center, Los Angeles, CA, 8Cedars Sinai Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, 9Department of Internal Medicine, University of Texas, Houston, TX

    Background/Purpose: Previous studies from Latin America have shown an association with peripheral arthritis in patients with spondyloarthritis with HLA-B*15 (as opposed to HLA-B27). We aimed…
  • Abstract Number: 0753 • ACR Convergence 2020

    Synovial Tissue Histopathology Findings in Early RA. Is It Useful? Analysis of the Belgian CAP48 Cohort

    Stéphanie de Montjoye1, Tatiana Sokolova1, Emilie Sapart1, Bernard Lauwerys2, Stéphanie Dierckx3, Christine Galant4, Laurent Meric de Bellefon1, Adrien Nzeusseu Toukap5, Clément Triaille6 and Patrick Durez7, 1Rheumatology, Cliniques Universitaires Saint-Luc – Université catholique de Louvain (UCL) – Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, 2Paediatric Rheumatology International Trials Organisation (PRINTO), Genoa, Italy, 3Rheumatology, CHU Mont-Godinne, Mont Godinne, Belgium, 43Pathology, Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, Brussels, Belgium, 51Department of Rheumatology, Cliniques Universitaires Saint Luc, 2Institut de recherche expérimentale et clinique (IREC), Brussels, Belgium, 6Rheumatology, Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, Brussels, Belgium, 7Division of Rheumatology, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium

    Background/Purpose: Rheumatoid arthritis is a heterogeneous disease with different clinical presentation and prognostic factors including the immune process in the synovium. The development of ultrasound-guided…
  • Abstract Number: 2005 • ACR Convergence 2020

    Histo-pathological Cellular Markers of Treatment Response to Rituximab and Tocilizumab in Matched Pre- and Post-treatment Synovial Biopsies from the R4RA Randomised Clinical Trial in Rheumatoid Arthritis

    Felice Rivellese1, Frances Humby2, Giovanni Giorli2, Alessandra Nerviani1, Rebecca Hands2, Liliane Fossati-Jimack2, Georgina Thorborn2, Myles Lewis1 and Costantino Pitzalis2, 1Centre for Experimental Medicine and Rheumatology, Queen Mary University of London, London, United Kingdom, 2Queen Mary University of London, London, United Kingdom

    Background/Purpose: The results of the R4RA trial, the first biopsy-based RCT in TNF-i inadequate responders patients with Rheumatoid Arthritis (RA), showed that molecular stratification of…
  • Abstract Number: 0787 • ACR Convergence 2020

    MerTK Synovial Expression Correlates with Disease Activity and Treatment Response in Rheumatoid Arthritis Patients

    Alessandra Nerviani1, Marie-Astrid Boutet1, Giulia Maria Ghirardi2, Gloria Lliso-Ribera2, Felice Rivellese1, Myles Lewis1, Michele Bombardieri2, Frances Humby2 and Costantino Pitzalis2, 1Centre for Experimental Medicine and Rheumatology, Queen Mary University of London, London, United Kingdom, 2Queen Mary University of London, London, United Kingdom

    Background/Purpose: Despite valuable improvements in long-term clinical outcomes, a significant portion of rheumatoid arthritis (RA) patients still do not adequately respond to available treatments, and…
  • Abstract Number: 2045 • ACR Convergence 2020

    Resident Memory T Cells in Synovial Tissue Mediate Arthritis Flares

    Margaret Chang1, Anais Levescot2, Nathan Nelson-Maney2, Rachel Blaustein2, Kellen Winden1, Allyn Morris3, Spoorthi Balu3, Alexandra Wactor2, Ricardo Grieshaber-Bouyer4, Kevin Wei5, Lauren Henderson6, Rachael Clark3, Deepak Rao2, Robert Fuhlbrigge7 and Peter Nigrovic8, 1Boston Children's Hospital, Boston, MA, 2Brigham and Women's Hospital, Boston, MA, 3Brigham and Women's Hospital, Boston, 4Department of Medicine V, Hematology, Oncology and Rheumatology, Heidelberg University Hospital, Heidelberg, Germany; Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA, Heidelberg, Germany, 5Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Boston Children's Hospital, Watertown, MA, 7University of Colorado, Denver, CO, 8Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA, Boston

    Background/Purpose: Resident memory T cells (TRM) are site-specific memory T cells that take up long-term residence in peripheral tissues and aid in local immune defense.…
  • Abstract Number: 0793 • ACR Convergence 2020

    Topological Laser Capture Microscopy (LCM)-RNAseq to Map the Rheumatoid Arthritis (RA) Synovial Transcriptome

    Benjamin Van Espen1, Andrew Wilson1, Gregory Seumois2, Narayanan Perumal3, Robert Benschop4, Gary Firestein5, Nunzio Bottini5 and Stephanie Stanford1, 1University of California, San Diego, La Jolla, 2La Jolla Institute for Immunology, La Jolla, 3Eli Lilly, Indianapolis, 4Eli Lilly and Company, Indianapolis, IN, 5University of California, San Diego, La Jolla, CA

    Background/Purpose: Understanding pathogenic processes in the diseased tissue in rheumatoid arthritis (RA) is a critical step to defining disease pathogenesis and identifying novel therapeutic targets.…
  • Abstract Number: 2047 • ACR Convergence 2020

    Synovial CD8 T Cells in Rheumatoid Arthritis Exhibit High Antigen-independent Cytokine Production and Low Cytotoxic Potential

    Anna Helena Jonsson1, Fan Zhang2, Emma Gomez-Rivas3, Karishma Rupani4, Gerald Watts5, Kevin Wei1, Runci Wang4, Deepak Rao4, Accelerating Medicines Partnership (AMP) - RA/SLE6, Soumya Raychaudhuri2 and Michael Brenner1, 1Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 3Division of Rheumatology, Brigham and Women's Hospital, Boston, MA, 4Brigham and Women's Hospital, Boston, MA, 5Brigam and Women's Hospital, Boston, 6., Boston

    Background/Purpose: T cell-derived pro-inflammatory cytokines are major drivers of RA pathogenesis, and these cytokines have traditionally been attributed to CD4 T cells.  However, single-cell RNA-sequencing…
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