Featured Research

from universities, journals, and other organizations

Sonography complements physical exam in identifying juvenile inflammatory arthritis in children

Date:
May 5, 2011
Source:
American Roentgen Ray Society
Summary:
Juvenile inflammatory arthritis (JIA) is a potentially debilitating childhood disease. Early detection and treatment of active arthritis may avert long term joint damage and disability. Research has shown that sonography with power Doppler can facilitate making assessments in joint activity and sub-clinical disease, according to new research.

Juvenile Inflammatory Arthritis (JIA) is a potentially debilitating childhood disease. Early detection and treatment of active arthritis may avert long term joint damage and disability. Research has shown that sonography with power Doppler can facilitate making assessments in joint activity and sub-clinical disease, according to research being presented at the 2011 American Roentgen Ray Society's annual meeting.

The study, performed at Albert Einstein College of Medicine's Montefiore Medical Center, in Bronx, NY, compares sonography with power Doppler to physical examination in evaluating disease activity in the knees and ankles of children with JIA.

Eighty-four joints in 19 patients were evaluated; of these, 65 joints were concordant on both sonography and physical examination. Of the remaining 19 joints, 14 were active on sonography and inactive on physical examination. Five of the 14 joints were found to have subclinical disease at the time of the initial physical examination, while 8 of the 14 joints demonstrated mild hyperemia as the only indicator of disease activity on sonography, which was a false positive. Of the 5 joints active on physical examination and inactive on sonography, 4 had subtalar disease.

"In patients with at least one active joint on physical examination, ultrasound augments the physical exam by identifying subclinical disease (in other joints). Our study confirmed that patients with evidence of subclinical disease do, in many cases, go on to have clinically evident disease," said Vikash Panghaal, MD, lead author of the study.

"Certain combinations of physical exam findings are highly sensitive, and in these instances, ultrasound does not contribute to clinical management. Subtalar disease is poorly assessed using ultrasound," he said.

"Unlike previous studies, our study included a 2-5 month follow-up physical exam after the initial physical exam and ultrasound, which allowed confirmation of subclinical disease," said Dr. Panghaal. "We also determined the sensitivity and specificity of various aspects of the physical exam for identifying synovitis and correlated this with ultrasound findings," said Dr. Panghaal.


Story Source:

The above story is based on materials provided by American Roentgen Ray Society. Note: Materials may be edited for content and length.


Cite This Page:

American Roentgen Ray Society. "Sonography complements physical exam in identifying juvenile inflammatory arthritis in children." ScienceDaily. ScienceDaily, 5 May 2011. <www.sciencedaily.com/releases/2011/05/110505083109.htm>.
American Roentgen Ray Society. (2011, May 5). Sonography complements physical exam in identifying juvenile inflammatory arthritis in children. ScienceDaily. Retrieved July 28, 2014 from www.sciencedaily.com/releases/2011/05/110505083109.htm
American Roentgen Ray Society. "Sonography complements physical exam in identifying juvenile inflammatory arthritis in children." ScienceDaily. www.sciencedaily.com/releases/2011/05/110505083109.htm (accessed July 28, 2014).

Share This




More Health & Medicine News

Monday, July 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Traditional African Dishes Teach Healthy Eating

Traditional African Dishes Teach Healthy Eating

AP (July 28, 2014) Classes are being offered nationwide to encourage African Americans to learn about cooking fresh foods based on traditional African cuisine. The program is trying to combat obesity, heart disease and other ailments often linked to diet. (July 28) Video provided by AP
Powered by NewsLook.com
West Africa Gripped by Deadly Ebola Outbreak

West Africa Gripped by Deadly Ebola Outbreak

AFP (July 28, 2014) The worst-ever outbreak of the deadly Ebola epidemic grips west Africa, killing hundreds. Duration: 00:48 Video provided by AFP
Powered by NewsLook.com
Trees Could Save More Than 850 Lives Each Year

Trees Could Save More Than 850 Lives Each Year

Newsy (July 27, 2014) A national study conducted by the USDA Forest Service found that trees collectively save more than 850 lives on an annual basis. Video provided by Newsy
Powered by NewsLook.com
Google's Next Frontier: The Human Body

Google's Next Frontier: The Human Body

Newsy (July 27, 2014) Google is collecting genetic and molecular information to paint a picture of the perfectly healthy human. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins