TY - JOUR
T1 - Juvenile idiopathic arthritis - the role of imaging from a rheumatologist’s perspective
AU - Malattia, Clara
AU - Tzaribachev, Nikolay
AU - van den Berg, J. Merlijn
AU - Magni-Manzoni, Silvia
PY - 2018
Y1 - 2018
N2 - Alongside recent advances in treatment strategies for juvenile idiopathic arthritis (JIA), paediatric rheumatologists have taken increasing interest in the use of imaging. Magnetic resonance imaging (MRI) and musculoskeletal ultrasound, by providing more detailed information on disease activity than clinical examination and conventional radiography (CR), have become helpful diagnostic and managerial tools. The growing skeleton, however, with changing appearances over time, is still challenging in the establishment of valid scoring systems for pathological changes. Defining child- and age-specific reference standards is therefore a highly prioritized issue. The aim of this article is to raise awareness among radiologists of the substantial role that imaging can play to optimize the management of JIA patients and to describe the state-of-the-art validation process of imaging as an outcome measure. A closer collaboration between radiologists and pediatric rheumatologists is crucial to define a scheduled workflow for imaging in JIA.
AB - Alongside recent advances in treatment strategies for juvenile idiopathic arthritis (JIA), paediatric rheumatologists have taken increasing interest in the use of imaging. Magnetic resonance imaging (MRI) and musculoskeletal ultrasound, by providing more detailed information on disease activity than clinical examination and conventional radiography (CR), have become helpful diagnostic and managerial tools. The growing skeleton, however, with changing appearances over time, is still challenging in the establishment of valid scoring systems for pathological changes. Defining child- and age-specific reference standards is therefore a highly prioritized issue. The aim of this article is to raise awareness among radiologists of the substantial role that imaging can play to optimize the management of JIA patients and to describe the state-of-the-art validation process of imaging as an outcome measure. A closer collaboration between radiologists and pediatric rheumatologists is crucial to define a scheduled workflow for imaging in JIA.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85046887068&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29766250
U2 - https://doi.org/10.1007/s00247-017-4014-7
DO - https://doi.org/10.1007/s00247-017-4014-7
M3 - Review article
C2 - 29766250
SN - 0301-0449
VL - 48
SP - 785
EP - 791
JO - Pediatric Radiology
JF - Pediatric Radiology
IS - 6
ER -