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© 1991 British Society for Rheumatology


other

MAGNETIC RESONANCE IMAGING IN THE ASSESSMENT OF RHEUMATOID ARTHRITIS—A COMPARISON WITH PLAIN FILM RADIOGRAPHS

D. FOLEY-NOLAN, J. P. STACK, M. RYAN, U. REDMOND, C. BARRY, J. ENNIS and R. J. COUGHLAN

Departments of Rheumatology and Radiological Science, Mater Misericordiae Hospital Dublin 7, Ireland

Correspondence to: Correspondence to Dr D. Foley-Nolan, Rheumatology Department, St James' University Hospital, Bechelt Street, Leeds LS9 7TF

Conventional radiography lacks sensitivity in early rheumatoid disease. MRI with its advantages of soft tissue discrimination and multiplanar imaging facility might detect earlier disease. This study compares the MR images and conventional radiographs of 11 rheumatoid patients' wrists and carpi. In all cases, erosions were more extensive and numerous on the MR images compared to plain radiographs. MR is useful in detecting early aggressive disease and in monitoring the response to treatments.

KEY WORDS: Joint erosions, Detection, Sensitivity, X-rays


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