Spondyloarthritis & psoriatic arthritis

Total-body positron emission tomography: a tool for systemic, quantitative evaluation of the inflammatory burden of psoriatic arthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

TB-PET/CT identified inflammatory pathologies characteristic to all clinical domains of PsA and thus provided an in vivo evaluation of systemic PsA inflammatory burden.

Study context

Population
Adults with psoriatic arthritis (PsA), rheumatoid arthritis (RA) or osteoarthritis (OA) undergoing 20-min total body-positron emission tomography (TB-PET)/computed tomography (CT) with [18F]FDG
Participants
71 adults
Exposure
TB-PET/CT vs clinical domain-specific assessment in PsA; PsA vs RA and OA uptake patterns
  • PsAn = 40
  • RAn = 16
  • OAn = 15
Outcome
[18F]FDG uptake by PsA domain and concordance with clinical assessment
Methodological detailstotal-body PET/CT with [18F]FDG, qualitative and quantitative assessment, comparison with clinical domain-specific assessment
  • Total-body PET/CT with [18F]FDG
  • Qualitative and quantitative assessment
  • Comparison with clinical domain-specific assessment

Main finding

As reported in the abstract

Uptake consistent with joint involvement and enthesitis in PsA
100%
Nail matrix pathology in PsA
53%
Spinal involvement in PsA
60%
Active sacroiliitis in PsA
13%
Dactylitis in PsA
10%
Concordance TB-PET vs clinical assessment, joints
75%
Concordance TB-PET vs clinical assessment, entheses
79%
Concordance TB-PET vs clinical assessment, nails
65%
TB-PET positive, clinically negative joints
15%
TB-PET positive, clinically negative entheses
20%
TB-PET positive, clinically negative nails
13%

Observational data: associations, not effects.

Original publication

Total-body positron emission tomography: a tool for systemic, quantitative evaluation of the inflammatory burden of psoriatic arthritis. Rheumatology (Oxford). Published 23 December 2024. doi:10.1093/rheumatology/keae702

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