Aktuelle Rheumatologie 2022; 47(02): 128-136
DOI: 10.1055/a-1737-3245
Übersichtsarbeit

Ultraschalldiagnostik in der Kinderrheumatologie

Use of Ultrasound in Paediatric Rheumatology
Daniel Windschall
1   Klinik für Kinder- und Jugendrheumatologie, Rheumatologisches Kompetenzzentrum Nordwestdeutschland, St. Josef-Stift Sendenhorst, Sendenhorst, Germany
2   Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
,
Clara Malattia
3   Clinica Pediatrica e Reumatologia, Istituto Giannina Gaslini Istituto Pediatrico di Ricovero e Cura a Carattere Scientifico, Genova, Italy
4   Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences, University of Genoa, Genoa, Italy
,
Manuela Krumrey-Langkammerer
5   German Center for Rheumatology in Children and Adolescents, Deutsches Zentrum für Kinder- und Jugendrheumatologie Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany
,
Ralf Trauzeddel
6   Department für Kinder- und Jugendrheumatologie, Klinik für Kinder- und Jugendmedizin, Helios Klinik Berlin-Buch, Berlin, Germany
› Institutsangaben

Zusammenfassung

Der Artikel gibt einen Überblick zum aktuellen Stand der Ultraschallbefundung in der Kinderrheumatologie und geht insbesondere auf den praktischen Einsatz und die technischen Aspekte der Gelenksonografie ein. Dabei werden auch die wissenschaftlichen Entwicklungen der letzten Jahre zusammengefasst und berücksichtigt. Neben der Gelenksonografie wird die Ultraschalltechnik in der Kinderrheumatologie zunehmend auch auf weitere Körperregionen und -organe ausgeweitet, die für die kinderrheumatologische Diagnostik relevant sind.

Abstract

This article discusses the important role of ultrasound imaging in the diagnosis and monitoring of paediatric rheumatic diseases, including recent scientific work on the development and standardisation of musculoskeletal ultrasound in children. An overview of the most important practical aspects and new advances in the use of musculoskeletal ultrasound are presented.



Publikationsverlauf

Eingereicht: 02. November 2021

Angenommen: 10. Januar 2022

Artikel online veröffentlicht:
16. Februar 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Fedrizzi MS, Ronchezel MV, Hilario MO. et al. Ultrasonography in the early diagnosis of hip joint involvement in juvenile rheumatoid arthritis. J Rheumatol 1997; 24: 1820-1825
  • 2 Friedman S, Gruber MA. Ultrasonography of the hip in the evaluation of children with seronegative juvenile rheumatoid arthritis. J Rheumatol 2002; 29: 629-632
  • 3 Frosch M, Foell D, Ganser G. et al. Arthrosonography of hip and knee joints in the follow up of juvenile rheumatoid arthritis. Ann Rheum Dis 2003; 62: 242-244
  • 4 Chauvin NA, Khwaja A. Imaging of Inflammatory Arthritis in Children: Status and Perspectives on the Use of Ultrasound, Radiographs, and Magnetic Resonance Imaging. Rheum Dis Clin N Am 2016; 42: 587-606
  • 5 Malattia C, Tzaribachev N, van den Berg M. et al. Juvenile idiopathic arthritis - the role of imaging from a rheumatologist’s perspective. Pediatr Radiol 2018; 48: 785-791
  • 6 Johnson K. Imaging of juvenile idiopathic arthritis. Pediatr Radiol 2006; 36: 743e58
  • 7 Magni-Manzoni S, Malattia C, Lanni S. et al. Advances and challenges in imaging in juvenile idiopathic arthritis. Nat Rev Rheumatol 2012; 27: 329e36
  • 8 Lanni S, Martini A, Malattia C. Heading toward a modern imaging approach in juvenile idiopathic arthritis. Curr Rheu- matol Rep 2014; 16: 416
  • 9 Damasio MB, Malattia C, Martini A. et al. Synovial and inflammatory diseases in childhood: role of new imaging modalities in the assessment of patients with juvenile idiopathic arthritis. Pediatr Radiol 2010; 40: 985e98
  • 10 Malattia C, Rinaldi M, Martini A. The role of imaging in juvenile idiopathic arthritis. Expert Rev Clin Immunol 2018; 1-14
  • 11 Collado P, Jousse-Joulin S, Alcalde M. et al. Is ultrasound a validated imaging tool for the diagnosis and management of synovitis in juvenile idiopathic arthritis? A systematic literature review. Arthritis Care Res (Hoboken) 2012; 64: 1011-1019
  • 12 Collado P, Naredo E, Calvo C. ECO-JIA Study Group. et al. Reduced joint assessment vs comprehensive assessment for ultrasound detection of synovitis in juvenile idiopathic arthritis. Rheumatology (Oxford) 2013; 52: 1477-1484
  • 13 Weiss PF, Chauvin NA, Klink AJ. et al. Detection of enthesitis in children with enthesitis-related arthritis: dolorimetry compared to ultrasonography. Arthritis Rheumatol 2014; 66: 218-227
  • 14 Roth J, Ravagnani V, Backhaus M. OMERACT Ultrasound Group. et al. Preliminary Definitions for the Sonographic Features of Synovitis in Children. Arthritis Care Res 2017; 69: 1217-1223
  • 15 Windschall D, Collado P, Vojinovic J. et al. OMERACT paediatric ultrasound subtask force. Age-related vascularization and ossification of joints in children: an international pilot study to test multi-observer ultrasound reliability. Arthritis Care Res (Hoboken) 2017; DOI: 10.1002/acr.23335. [Epub ahead of print]
  • 16 Collado P, Vojinovic J, Nieto JC. et al. 2016 Toward Standardized Musculoskeletal Ultrasound in Pediatric Rheumatology: Normal Age-Related Ultrasound Findings. Arthritis Care Res (Hoboken) 2016; 68: 348-356
  • 17 Rohrschneider WK, Fuchs G, Tröger J. Ultrasonographic evaluation of the anterior recess in the normal hip: a prospective study on 166 asymptomatic children. Pediatr Radiol 1996; 26: 629-634
  • 18 Spannow AH, Pfeiffer-Jensen M, Andersen NT. et al. Ultrasonographic measurements of joint cartilage thickness in healthy children: age- and sex-related standard reference values. J Rheumatol 2010; 37: 2595-2601
  • 19 Windschall D, Trauzeddel R, Haller M. et al. Imaging Working Group of the German Society of Rheumatology in Childhood and Adolescense (GKJR). Pediatric musculoskeletal ultrasound: age- and sex-related normal B-mode findings of the knee. Rheumatol Int 2016; 36: 1569-1577
  • 20 Trauzeddel R, Lehman H, Trauzeddel RF. et al. Age dependent ultrasound B-mode findings of the elbow joint in healthy children and adolescents. Rheumatol Int. 2019
  • 21 Trauzeddel R, Windschall D, Trauzeddel RF. et al. Arthrosonographic Reference Values of the Shoulder Joint in Healthy Children and Adolescents: A Cross-Sectional Multicentre Ultrasound Study. Klin Padiatr 2017; 229: 293-301 DOI: 10.1055/s-0043-111596. Epub 2017 Aug 24.
  • 22 Trauzeddel RF, Lehmann H, Windschall D. et al. Age-dependent arthrosonographic reference values of the hip joint in healthy children and adolescents - a cross-sectional multicenter ultrasound study. Pediatr Radiol 2017; 47: 1329-1336
  • 23 Rosendahl K, Bruserud IS, Oehme N. et al. Normative ultrasound references for the paediatric wrist; dorsal soft tissues. RMD Open 2018; 4
  • 24 Ting TV, Vega-Fernandez P, Oberle EJ. et al. Ultrasound Workgroup. A novel ultrasound image acquisition protocol and scoring system for the pediatric knee. Arthritis Care Res (Hoboken) 2018; DOI: 10.1002/acr.23746..
  • 25 Wakefield RichardJ, Balint PeterV, Szkudlarek Marcin. et al. OMERACT 7 Special Interest Group. Musculoskeletal ultrasound including definitions for ultrasonographic pathology. The Journal of Rheumatology 2005; 32: 2485-2487
  • 26 Torp-Pedersen S, Christensen R, Szkudlarek M. et al. Power and color Doppler ultrasound settings for inflammatory flow: impact on scoring of disease activity in patients with rheumatoid arthritis. Arthritis Rheumatol 2015; 67: 386-395 DOI: 10.1002/art.38940.
  • 27 Walther M, Harms H, Krenn V. 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 44: 331-338
  • 28 Colebatch-Bourn AN, Edwards CJ, Collado P. et al. EULAR-PReS points to consider for the use of imaging in the diagnosis and management of juvenile idiopathic arthritis in clinical practice. Ann Rheum Dis 2015; 74: 1946-1957
  • 29 Rooney ME, McAllister C, Burns JF. Ankle disease in juvenile idiopathic arthritis: ultrasound findings in clinically swollen ankles. J Rheumatol 2009; 36: 1725-1729
  • 30 Breton S, Jousse-Joulin S, Cangemi C. et al. Comparison of clinical and ultrasonographic evaluations for peripheral synovitis in juvenile idiopathic arthritis. Semin Arthritis Rheum 2011; 41: 272-278
  • 31 Rebollo-Polo M, Koujok K, Weisser C. et al. Ultrasound findings on patients with juvenile idiopathic arthritis in clinical remission. Arthritis Care Res (Hoboken) 2011; 63: 10131019
  • 32 Lanni S, van Dijkhuizen EHP, Vanoni F. et al. Ultrasound changes in synovial abnormalities induced by treatment in juvenile idiopathic arthritis. Clin Exp Rheumatol 2018; 36: 329-334
  • 33 De Lucia O, Ravagnani V, Pregnolato F. et al. Baseline ultrasound examination as possible predictor of relapse in patients affected by juve- nile idiopathic arthritis (JIA). Ann Rheum Dis 2018; 77: 1426-1431
  • 34 Brown AK, Conaghan PG, Karim Z. et al. An explanation for the apparentdissociation between clinical remission and continued structural deterioration in rheumatoid arthritis. Arthritis Rheum 2008; 58: 2958-2967 Nguyen H, Ruyssen-Witrand A, Gandjbakhch F, et al. Prevalence of ultrasound-detected residual synovitis and risk of relapse and structural progression in rheumatoid arthritispatients in clinical remission: a systematic review and meta-analysis. Rheumatology. 2014;53:2110-8.
  • 35 Roth J, Jousse-Joulin S, Magni-Manzoni S. et al. Outcome measures in Rheumatology Ultrasound Group. Definitions for the sonographic features of joints in healthy children. Arthritis Care Res 2015; 67: 136-142
  • 36 Collado P, Windschall D, Vojinovic J. et al. Amendment of the OMERACT ultrasound definitions of joints' features in healthy children when using the DOPPLER technique. Pediatr Rheumatol Online J 2018; 16: 23
  • 37 Windschall D, Malattia C. Ultrasound imaging in paediatric rheumatology. Best Pract Res Clin Rheumatol 2020; 34: 101570 DOI: 10.1016/j.berh.2020.101570. Epub 2020 Aug 25. PMID: 32859519
  • 38 Naredo E, D’Agostino MA, Wakefield RJ. et al. OMERACT Ultrasound Task Force Reliability of a consensus-based ultrasound score for tenosynovitis in rheumatoid arthritis. Ann Rheum Dis 2013; 72: 1328-1334 DOI: 10.1136/annrheumdis-2012-202092. Epub 2012 Sep 14
  • 39 Jousse-Joulin S, Breton S, Cangemi C. et al. Ultrasonography for detecting enthesitis in juvenile idiopathic arthritis. Arthritis Care Res (Hoboken) 2011; 63: 849-855
  • 40 Chauvin NA, Ho-Fung V, Jaramillo D. et al. Ultrasound of the joints and entheses in healthy children. Pediatr Radiol 2015; 45: 1344-1354
  • 41 Robben S. Ultrasound and hip joint effusion. Eur J Radiol 1993; 17: 134
  • 42 Miller B, Bonel H, Rotzetter M. et al. Measuring finger joint cartilage by ultrasound as a promising alternative to conventional radiograph imaging. Arthritis Rheum 2009; 61: 435-441
  • 43 Torp-Pedersen S, Bartels EM, Wilhjelm J. et al. Articular cartilage thickness measured with US is not as easy as it appears: a systematic review of measurement techniques and image interpretation. Ultraschall Med 2011; 32: 54-61
  • 44 Spannow AH, Stenboeg E, Pfeiffer-Jensen M. et al. Ultrasound and MRI measurements of joint cartilage in healthy children: a validation study. Ultraschall Med 2011; 32: S110-S116
  • 45 Spannow AH, Pfeiffer-Jensen M, Andersen NT. et al. Ultrasonographic measurements of joint cartilage thickness in healthy children: age- and sex-related standard reference values. J Rheumatol 2010; 37: 2595-2601
  • 46 Ventura-Ríos L, Faugier E, Barzola L. et al. Reliability of ultrasonography to detect inflammatory lesions and structural damage in juvenile idiopathic arthritis. Pediatr Rheumatol Online J 2018; 16: 58
  • 47 Malattia C, Damasio MB, Magnaguagno F. et al. Magnetic resonance imaging,ultrasonography, and conventional radiography in the assessment of bone erosions in juvenile idiopathic arthritis. Arthritis Rheum 2008; 59: 1764-1772
  • 48 Young CM, Shiels WE, Coley BD. et al. Ultrasound-guided corticosteroid injection therapy for juvenile idiopathic arthritis: 12-year care experience. Pediatr Radiol 2012; 42: 1481-1489
  • 49 Peters SE, Laxer RM, Connolly BL. et al Ultrasound-guided steroid tendon sheath injections in juvenile idiopathic arthritis: a 10-year single-center retrospective study. Pediatr Rheumatol Online J. 2017; 15: 22
  • 50 Parra DA. Technical tips to perform safe and effective ultrasound guided steroid joint injections in children. Pediatr Rheumatol Online J 2015; 7: 13 2
  • 51 Laurell L, Court-Payen M, Nielsen S. et al. Ultrasonography and color Doppler in juvenile idiopathic arthritis: diagnosis and follow-up of ultrasound-guided steroid injection in the ankle region. A descriptive interventional study. Pediatr Rheumatol Online J 2011; 9: 4
  • 52 Windschall D, Roth J. US Guided Interventional Procedures in Paediatrics. In: El Miedany Y. (eds) Pediatric Musculoskeletal Ultrasonography. Springer; :
  • 53 Ranosz-Janicka I, Lis-Święty A, Skrzypek-Salamon A. et al. Detecting and quantifying activity/inflammation in localized scleroderma with thermal imaging. Skin Res Technol 2019; 25: 118-123 DOI: 10.1111/srt.12619.
  • 54 Albayda J, van Alfen N. Diagnostic Value of Muscle Ultrasound for Myopathies and Myositis. Curr Rheumatol Rep 2020; 22: 82 DOI: 10.1007/s11926-020-00947-y. PMID: 32989482; PMCID: PMC7522112.
  • 55 Krumrey-Langkammerer M, Haas JP. Salivary gland ultrasound in the diagnostic workup of juvenile Sjögren's syndrome and mixed connective tissue disease. Pediatr Rheumatol Online J 2020; 18: 44 DOI: 10.1186/s12969-020-00437-6. PMID: 32517804; PMCID: PMC7285617.