Magnetic Resonance Imaging of Rheumatoid Arthritis: Peripheral Joints and Spine

Monique Reijnierse; Annette van der Helm-Mil; Iris Eshed; Claudia Schueller-Weidekamm

doi:10.1055/s-0038-1639474

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2018; 22(02): 127-146
DOI: 10.1055/s-0038-1639474

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Magnetic Resonance Imaging of Rheumatoid Arthritis: Peripheral Joints and Spine

Monique Reijnierse

¹Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

,

Annette van der Helm-Mil

²Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands

,

Iris Eshed

³Department of Radiology, Sheba Medical Center, affiliated with the Tel Aviv University, Tel Aviv, Israel

,

Claudia Schueller-Weidekamm

⁴Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria

› Author Affiliations

Abstract

Both the fields of rheumatology and radiology are changing rapidly. Effective medication has become available for rheumatoid arthritis (RA) and transformed it from a progressive disabling disease into a chronic disease. Indications for magnetic resonance imaging (MRI) have changed accordingly, shifting toward early detection. There is also an overall increased clinical demand for high-end imaging. Together with improvement of MRI units and sequences, MRI protocols are adapted based on clinical indications. This article addresses (1) the clinical background and present role of MRI in early disease detection, (2) RA involvement of peripheral joints, (3) RA involvement of the spine, and (4) state-of-the-art RA MRI protocols. The key toward cost-effective MRI examination in RA is communication between radiologist and rheumatologist as well as awareness and knowledge of the basics and advancements in both fields.

Keywords

rheumatoid arthritis - magnetic resonance imaging - joints - spine - inflammation

Full Text

References

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