Pediatric rheumatology

Detection of inflammation by whole-body MRI in young people with juvenile idiopathic arthritis

Rheumatology (Oxford)Published Cross-sectional study

Main finding · WBMRI-detected joint inflammationResult — go to the resultDifference 44% 95% CI 20%–68%

Authors' conclusion

WBMRI's validity in joint assessment was demonstrated by the higher frequency of inflammation in JIA patients vs controls, and in active vs inactive JIA patients. WBMRI found unsuspected joint inflammation in 49% YP with JIA

Study context

Population
Young people (YP) aged 14–24 years with JIA or arthralgia without JIA, one centre
Participants
47 / 25 / 22 / 13
Exposure
JIA vs controls with arthralgia without JIA
  • JIAn = 47
  • Active JIAn = 25
  • Inactive JIAn = 22
  • Controlsn = 13reference
Outcome
Joint inflammation (one or more inflamed joint) detected by WBMRI
Methodological detailssingle-centre, consensus of at least two of three independent radiologists
  • Single-centre
  • Consensus of at least two of three independent radiologists

Main finding

WBMRI-detected joint inflammation

Difference

44%

95% CI 20%–68%

Events by group

JIAvs Controls
difference 44% (95% CI 20%–68%)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeJIAActive JIAInactive JIADifference (95% CI)
WBMRI-detected inflammation, activevs inactive JIA— not stated in the abstract76%41%35% (9%–62%)

— not stated in the abstract

OutcomeJIAActive JIAInactive JIA
Inflammation in one or more clinically inactive joint49%14 events9 events

Whole-body MRI (WBMRI)-detected inflammation, active vs inactive JIA

Associated with a specific biomarker signature

Original publication

Detection of inflammation by whole-body MRI in young people with juvenile idiopathic arthritis. Rheumatology (Oxford). Published 20 January 2024. doi:10.1093/rheumatology/keae039

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