Systemic sclerosis & Raynaud's

Imaging findings of scleroderma-associated myopathy: A systematic literature review

Semin Arthritis RheumPublished Systematic literature review

Authors' conclusion

Imaging detects inflammatory, atrophic, and vasculopathic changes in the skeletal musculature of SSc patients.

Study context

Population
Studies of ≥10 systemic sclerosis (SSc) patients reporting skeletal muscle imaging results (MEDLINE(Ovid), Pubmed, EMBASE)17 articles
Outcome
Skeletal muscle imaging findings in SSc
Methodological detailsdescriptive synthesis, National Heart, Lung and Blood Institute (NHLBI) quality assessment tool for risk of bias, 2426 studies identified
  • Descriptive synthesis
  • NHLBI quality assessment tool for risk of bias
  • 2426 studies identified

Main finding

As reported in the abstract

Magnetic resonance imaging (MRI) the most commonly applied imaging technique (studies)
9
Abnormalities on MRI (muscle oedema, atrophy, fatty infiltration), % of patients
38-100 %
Changes in skeletal muscles (studies)
14
Changes in axial muscles (studies)
1
Changes in masseter muscle (studies)
1
Changes in accessory respiratory muscles (studies)
2

Further findings

Skeletal muscle perfusion

Assessed by blood oxygenation level-dependent MRI, dynamic contrast-enhanced US and scintigraphy

Original publication

Imaging findings of scleroderma-associated myopathy: A systematic literature review. Semin Arthritis Rheum. Published 23 February 2025. doi:10.1016/j.semarthrit.2025.152672

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