Lupus & antiphospholipid syndrome

Paranasal sinus occupancy assessed from magnetic resonance images—associations with clinical indicators in patients with systemic lupus erythematosus

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

In patients with SLE, MRI computational assessment of sinuses opaqueness and LM scores modified at a 50% cut-off may be useful tools in understanding the relationships among paranasal sinus occupancy, disease activity and SVD markers.

Study context

Population
Patients with SLE with paranasal sinus MRI
Participants
51 patients
Outcome
Paranasal sinus opaqueness on MRI and its association with disease activity, inflammation, endothelial dysfunction and small vessel disease (SVD) markers
Methodological detailsvisual scoring and expert-delineated computational volumes, adjusted for age and sex-at-birth
  • Visual scoring and expert-delineated computational volumes
  • Adjusted for age and sex-at-birth

Main finding

As reported in the abstract

Average paranasal sinus volume occupation, mainly maxillary and ethmoid sinuses
4.55 (6.47%)
Paranasal sinus volume occupation, median (IQR)
0.67 (0.25-2.65) ml
Correlation with Lund-Mackay (LM) scores modified at 50% opaqueness cut-off, maxillary (Spearman's ρ)
0.71, P < 0.001
Correlation with modified LM scores, ethmoids (Spearman's ρ)
0.618, P < 0.001
Modified LM scores vs small vessel disease (SVD) score 0
B = 5.078, s.e. = 1.69, P = 0.0026
Modified LM scores vs SVD score 2
B = −0.066, s.e. = 0.023, P = 0.0045
Modified LM scores vs anti-dsDNA
B = 4.59, s.e. = 2.22, P = 0.045
Modified LM scores vs SLEDAI 3-7
2.86 < B < 4.30; 1.38 < s.e. < 1.63; 0.0083 ≤ P ≤ 0.0375

Observational data: associations, not effects.

Original publication

Paranasal sinus occupancy assessed from magnetic resonance images—associations with clinical indicators in patients with systemic lupus erythematosus. Rheumatology (Oxford). Published 22 April 2023. doi:10.1093/rheumatology/kead185

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