Skip to main content Skip to main navigation menu Skip to site footer

Ultrasound findings in knee osteoarthritis and rheumatoid arthritis compared to MRI



Abstract

Background: Osteoarthritis is a common musculoskeletal degenerative disease of the cartilage of joints and rheumatoid arthritis is a destructive autoimmune joint disease. The aim of our study was comparing of ultrasound findings in knee osteoarthritis and rheumatoid arthritis with MRI as the gold standard.

Methods: One hundred subjects with chronic knee pain referred for knee MRI were evaluated by ultrasound and MRI on the same day. Two radiologists assessed knee osteoarthritis and rheumatoid arthritis parameters on ultrasound and MRI separately and independently. Agreement between the ultrasound and MRI evaluations was determined using weighted kappa statistics. Intra-class correlation coefficients were used to evaluate agreement using the absolute values of knee osteoarthritis and rheumatoid arthritis parameters.

Results: The overall agreements between the two expert’s radiologists were 85% for the knee joint. Taking an agreement in US examination of 2 expert’s radiologist the overall k for was 0.69 when comparing assessment of knee osteoarthritis and rheumatoid arthritis parameters between ultrasound and MRI. For the knee joint the overall agreement of US findings with MRI was 89%. The overall sensitivity for US of the knee joint was 95.59%, the overall specificity 81.88% in the detection of knee osteoarthritis and rheumatoid arthritis parameters.

Conclusions: Ultrasound assessment of knee osteoarthritis and rheumatoid arthritis parameters is reliable and, showing good diagnostic performance for the detection of knee osteoarthritis and rheumatoid arthritis parameters compared with MRI.

Keywords: Ultrasound Knee Osteoarthritis Rheumatoid Arthritis MRI

References

  1. Cross, M., et al., The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis, 2014. 73(7): p. 1323-30.
  2. Wick, M.C., M. Kastlunger, and R.J. Weiss, Clinical imaging assessments of knee osteoarthritis in the elderly: a mini-review. Gerontology, 2014. 60(5): p. 386-94.
  3. Podlipská, J., et al., Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study. Scientific Reports, 2016. 6: p. 22365.
  4. Roemer, F.W., et al., The role of imaging in osteoarthritis. Best Pract Res Clin Rheumatol, 2014. 28(1): p. 31-60.
  5. Riecke, B.F., et al., An ultrasound score for knee osteoarthritis: a cross-sectional validation study. Osteoarthritis Cartilage, 2014. 22(10): p. 1675-91.
  6. Saarakkala, S., et al., Diagnostic performance of knee ultrasonography for detecting degenerative changes of articular cartilage. Osteoarthritis Cartilage, 2014. 20(5): p. 376-81.
  7. Koski, J.M., et al., Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage. Scand J Rheumatol, 2014
  8. (2): p. 158-64.
  9. Tarhan, S. and Z. Unlu, Magnetic resonance imaging and ultrasonographic evaluation of the patients with knee osteoarthritis: a comparative study. Clin Rheumatol, 2003. 22(3): p. 181-8.
  10. Lee, C.L., et al., The validity of in vivo ultrasonographic grading of osteoarthritic femoral condylar cartilage: a comparison with in vitro ultrasonographic and histologic gradings. Osteoarthritis Cartilage, 2008. 16(3): p. 352-8.
  11. Abraham, A.M., et al., Reliability and validity of ultrasound imaging of features of knee osteoarthritis in the community. BMC Musculoskelet Disord, 2011. 12: p. 70.
  12. Naredo, E., et al., Ultrasonographic findings in knee osteoarthritis: a comparative study with clinical and radiographic assessment. Osteoarthritis Cartilage, 2005. 13(7): p. 568-74.
  13. Hill, C.L., et al., Knee effusions, popliteal cysts, and synovial thickening: association with knee pain in osteoarthritis. J Rheumatol, 2001. 28(6): p. 1330-7.
  14. Ostergaard, M., et al., Ultrasonography in arthritis of the knee. A comparison with MR imaging. Acta Radiol, 1995. 36(1): p. 19-26.
  15. Fiocco, U., et al., Long-term sonographic follow-up of rheumatoid and psoriatic proliferative knee joint synovitis. Br J Rheumatol, 1996. 35(2): p. 155-63.
  16. Schmidt, W.A., et al., Colour Doppler ultrasonography to detect pannus in knee joint synovitis. Clin Exp Rheumatol, 2000. 18(4): p. 439-44.
  17. Walther, M., et al., Correlation of power Doppler sonography with vascularity of the synovial tissue of the knee joint in patients with osteoarthritis and rheumatoid arthritis. Arthritis Rheum, 2001. 44(2): p. 331-8.
  18. Fernandez-Madrid, F., et al., Synovial thickening detected by MR imaging in osteoarthritis of the knee confirmed by biopsy as synovitis. Magn Reson Imaging, 1995. 13(2): p. 177-83.
  19. Koski, J.M., et al., Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage. Scand J Rheumatol, 2015. 45(2): p. 158-64.
  20. Braun, H.J. and G.E. Gold, Diagnosis of osteoarthritis: imaging. Bone, 2012. 51(2): p. 278-88.
  21. Kerkhof, H.J., et al., Prediction model for knee osteoarthritis incidence, including clinical, genetic and biochemical risk factors. Ann Rheum Dis, 2012. 73(12): p. 2116-21.
  22. Manger, B. and J.R. Kalden, Joint and connective tissue ultrasonography--a rheumatologic bedside procedure? A German experience. Arthritis Rheum, 1995. 38(6): p. 736-42.
  23. Wiell, C., et al., Ultrasonography, magnetic resonance imaging, radiography, and clinical assessment of inflammatory and destructive changes in fingers and toes of patients with psoriatic arthritis. Arthritis Res Ther, 2007. 9(6): p. R119.
  24. Ostergaard, M. and C. Wiell, Ultrasonography in rheumatoid arthritis: a very promising method still needing more validation. Curr Opin Rheumatol, 2004. 16(3): p. 223-30.
  25. Ribbens, C., et al., Rheumatoid hand joint synovitis: gray-scale and power Doppler US quantifications following anti-tumor necrosis factor-alpha treatment: pilot study. Radiology, 2003. 229(2): p. 562-9.
  26. Wakefield, R.J., et al., The value of sonography in the detection of bone erosions in patients with rheumatoid arthritis: a comparison with conventional radiography. Arthritis Rheum, 2000. 43(12): p. 2762-70.
  27. Szkudlarek, M., et al., Interobserver agreement in ultrasonography of the finger and toe joints in rheumatoid arthritis. Arthritis Rheum, 2003. 48(4): p. 955-62.
  28. Breitenseher, M.J., et al., MR imaging of meniscal subluxation in the knee. Acta Radiol, 1997. 38(5): p. 876-9.
  29. Miller, T.T., et al., Meniscal position on routine MR imaging of the knee. Skeletal Radiol, 1997. 26(7): p. 424-7.
  30. Fam, A.G., S.R. Wilson, and S. Holmberg, Ultrasound evaluation of popliteal cysts on osteoarthritis of the knee. J Rheumatol, 1982. 9(3): p. 428-34.
  31. Nogueira-Barbosa, M.H., et al., Ultrasound assessment of medial meniscal extrusion: a validation study using MRI as reference standard. AJR Am J Roentgenol, 2015. 204(3): p. 584-8.

How to Cite

Sadeghian, H., Shekarchi, B., Zahedi Niya, M., & Bagheri, H. (2018). Ultrasound findings in knee osteoarthritis and rheumatoid arthritis compared to MRI. Bali Medical Journal, 7(2). https://doi.org/10.15562/bmj.v7i2.1059
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
0

Total
4

Share

Search Panel

Hamidreza Sadeghian
Google Scholar
Pubmed
BMJ Journal

Babak Shekarchi
Google Scholar
Pubmed
BMJ Journal

Mohsen Zahedi Niya
Google Scholar
Pubmed
BMJ Journal

Hamed Bagheri
Google Scholar
Pubmed
BMJ Journal