Pediatric rheumatology

Evaluation of synovial inflammation in juvenile idiopathic arthritis using superb microvascular imaging compared with power Doppler ultrasound

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

SMI may detect the synovial inflammation with greater sensitivity than PDUS in patients with JIA, and correlate well with the inflammatory biomarkers.

Study context

Population
Patients with juvenile idiopathic arthritis (JIA): 59 with active disease and 62 with inactive disease59 active, 62 inactive
Comparison
Superb microvascular imaging (SMI) vs power Doppler ultrasound (PDUS) for evaluating synovial inflammation
Outcome
Vascularity index of synovial inflammation
Methodological detailsSpearman's correlation, ROC curve analysis
  • Spearman's correlation
  • ROC curve analysis

Performance

As reported in the abstract

  • SMI vascularity index (VI) significantly higher than PDUS VI in JIA patients regardless of disease activity

Further findings

Correlation of VI with inflammatory biomarkers

SMI and PDUS VI significantly correlated with erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and serum amyloid A (SAA)

Relapse prediction in inactive disease

SMI VI significantly higher in relapse than in remission
SMI showed superior performance in predicting relapse in JIA with inactive disease

Original publication

Evaluation of synovial inflammation in juvenile idiopathic arthritis using superb microvascular imaging compared with power Doppler ultrasound. Clin Exp Rheumatol. Published 17 July 2023. doi:10.55563/clinexprheumatol/ksl2uy

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