EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis

Alexandra N. Colebatch, Christopher John Edwards, Mikkel Østergaard, Désirée Van Der Heijde, P. Bálint, Maria Antonietta D'Agostino, Kristina Forslind, Walter Grassi, Espen A. Haavardsholm, Glenn Haugeberg, Anne Grethe Jurik, Robert B M Landewé, Esperanza Naredo, Philip J. O'Connor, Ben Ostendorf, Kristina Potočki, Wolfgang A. Schmidt, Josef S. Smolen, Sekib Sokolovic, Iain WattPhilip G. Conaghan

Research output: Contribution to journalArticle

270 Citations (Scopus)

Abstract

Objective: To develop evidence-based recommendations on the use of imaging of the joints in the clinical management of rheumatoid arthritis (RA). Methods: The task force comprised an expert group of rheumatologists, radiologists, methodologists and experienced rheumatology practitioners from 13 countries. Thirteen key questions on the role of imaging in RA were generated using a process of discussion and consensus. Imaging modalities included were conventional radiography, ultrasound, MRI, CT, dual-emission x-ray absorptiometry, digital x-ray radiogrammetry, scintigraphy and positron emission tomography. Research evidence was searched systematically for each question using MEDLINE, EMBASE and Cochrane CENTRAL. The experts used the evidence obtained from the relevant studies to develop a set of 10 recommendations. The strength of recommendation was assessed using a visual analogue scale. Results: A total of 6888 references was identified from the search process, from which 199 studies were included in the systematic review. Ten recommendations were produced encompassing the role of imaging in making a diagnosis of RA, detecting inflammation and damage, predicting outcome and response to treatment, monitoring disease activity, progression and remission. The strength of recommendation for each proposition varied according to both the research evidence and expert opinion. Conclusions: Ten key recommendations for the role of imaging in the management of RA were developed using research-based evidence and expert opinion.

Original languageEnglish
Pages (from-to)804-814
Number of pages11
JournalAnnals of the Rheumatic Diseases
Volume72
Issue number6
DOIs
Publication statusPublished - Jun 2013

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Rheumatoid Arthritis
Joints
Imaging techniques
Expert Testimony
Research
X-Rays
Rheumatology
Advisory Committees
X rays
Visual Analog Scale
Positron emission tomography
Radiography
MEDLINE
Radionuclide Imaging
Positron-Emission Tomography
Disease Progression
Magnetic resonance imaging
Inflammation
Ultrasonics
Monitoring

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Allergy

Cite this

Colebatch, A. N., Edwards, C. J., Østergaard, M., Van Der Heijde, D., Bálint, P., D'Agostino, M. A., ... Conaghan, P. G. (2013). EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis. Annals of the Rheumatic Diseases, 72(6), 804-814. https://doi.org/10.1136/annrheumdis-2012-203158

EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis. / Colebatch, Alexandra N.; Edwards, Christopher John; Østergaard, Mikkel; Van Der Heijde, Désirée; Bálint, P.; D'Agostino, Maria Antonietta; Forslind, Kristina; Grassi, Walter; Haavardsholm, Espen A.; Haugeberg, Glenn; Jurik, Anne Grethe; Landewé, Robert B M; Naredo, Esperanza; O'Connor, Philip J.; Ostendorf, Ben; Potočki, Kristina; Schmidt, Wolfgang A.; Smolen, Josef S.; Sokolovic, Sekib; Watt, Iain; Conaghan, Philip G.

In: Annals of the Rheumatic Diseases, Vol. 72, No. 6, 06.2013, p. 804-814.

Research output: Contribution to journalArticle

Colebatch, AN, Edwards, CJ, Østergaard, M, Van Der Heijde, D, Bálint, P, D'Agostino, MA, Forslind, K, Grassi, W, Haavardsholm, EA, Haugeberg, G, Jurik, AG, Landewé, RBM, Naredo, E, O'Connor, PJ, Ostendorf, B, Potočki, K, Schmidt, WA, Smolen, JS, Sokolovic, S, Watt, I & Conaghan, PG 2013, 'EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis', Annals of the Rheumatic Diseases, vol. 72, no. 6, pp. 804-814. https://doi.org/10.1136/annrheumdis-2012-203158
Colebatch, Alexandra N. ; Edwards, Christopher John ; Østergaard, Mikkel ; Van Der Heijde, Désirée ; Bálint, P. ; D'Agostino, Maria Antonietta ; Forslind, Kristina ; Grassi, Walter ; Haavardsholm, Espen A. ; Haugeberg, Glenn ; Jurik, Anne Grethe ; Landewé, Robert B M ; Naredo, Esperanza ; O'Connor, Philip J. ; Ostendorf, Ben ; Potočki, Kristina ; Schmidt, Wolfgang A. ; Smolen, Josef S. ; Sokolovic, Sekib ; Watt, Iain ; Conaghan, Philip G. / EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis. In: Annals of the Rheumatic Diseases. 2013 ; Vol. 72, No. 6. pp. 804-814.
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T1 - EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis

AU - Colebatch, Alexandra N.

AU - Edwards, Christopher John

AU - Østergaard, Mikkel

AU - Van Der Heijde, Désirée

AU - Bálint, P.

AU - D'Agostino, Maria Antonietta

AU - Forslind, Kristina

AU - Grassi, Walter

AU - Haavardsholm, Espen A.

AU - Haugeberg, Glenn

AU - Jurik, Anne Grethe

AU - Landewé, Robert B M

AU - Naredo, Esperanza

AU - O'Connor, Philip J.

AU - Ostendorf, Ben

AU - Potočki, Kristina

AU - Schmidt, Wolfgang A.

AU - Smolen, Josef S.

AU - Sokolovic, Sekib

AU - Watt, Iain

AU - Conaghan, Philip G.

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N2 - Objective: To develop evidence-based recommendations on the use of imaging of the joints in the clinical management of rheumatoid arthritis (RA). Methods: The task force comprised an expert group of rheumatologists, radiologists, methodologists and experienced rheumatology practitioners from 13 countries. Thirteen key questions on the role of imaging in RA were generated using a process of discussion and consensus. Imaging modalities included were conventional radiography, ultrasound, MRI, CT, dual-emission x-ray absorptiometry, digital x-ray radiogrammetry, scintigraphy and positron emission tomography. Research evidence was searched systematically for each question using MEDLINE, EMBASE and Cochrane CENTRAL. The experts used the evidence obtained from the relevant studies to develop a set of 10 recommendations. The strength of recommendation was assessed using a visual analogue scale. Results: A total of 6888 references was identified from the search process, from which 199 studies were included in the systematic review. Ten recommendations were produced encompassing the role of imaging in making a diagnosis of RA, detecting inflammation and damage, predicting outcome and response to treatment, monitoring disease activity, progression and remission. The strength of recommendation for each proposition varied according to both the research evidence and expert opinion. Conclusions: Ten key recommendations for the role of imaging in the management of RA were developed using research-based evidence and expert opinion.

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