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PROCEEDINGS of OMERACT 8
Summary Findings of a Systematic Review of the Ultrasound Assessment of Synovitis FREDRICK JOSHUA, MARISSA LASSERE, GEORGE A. BRUYN, MARCIN SZKUDLAREK, ESPERANZA NAREDO, WOLFGANG A. SCHMIDT, PETER BALINT, EMILIO FILIPPUCCI, MARINA BACKHAUS, ANNAMARIA IAGNOCCO, ALEXANDER K. SCHEEL, DAVID KANE, WALTER GRASSI, PHILIP G. CONAGHAN, RICHARD J. WAKEFIELD, and MARIA-ANTONIETTA D'AGOSTINO ABSTRACT. This report presents the results of a recent systematic review performed by the OMERACT Ultrasound Group on the metric properties of ultrasound for the detection of synovitis in inflammatory arthritis. Reviews were conducted for the hand, wrist, elbow, shoulder, knee, ankle, and foot; most reports were related to the hand and knee, and the most common disease process was rheumatoid arthritis. The review highlights the current gaps in the literature, including a lack of reliability data with respect to intra-occasion and intra- and inter-reader reliability. Current work by our group is addressing these issues. (J Rheumatol 2007;34:839–47) Key Indexing Terms:
SYSTEMATIC REVIEW From the Department of Rheumatology, St. George Hospital, University of NSW, Sydney, Australia; Medical Centre Leeuwarden, Leeuwarden, The Netherlands; Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark; Department of Rheumatology, Severo Ochoa Hospital, Madrid, Spain; Medical Center for Rheumatology Berlin-Buch, Berlin, Germany; Third Rheumatology Department, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; University of Ancona, Ancona, Italy; Charite University Hospital, Humboldt University, Berlin, Germany; Rheumatology Unit, University La Sapienza, Rome, Italy; Department of Medicine, Nephrology and Rheumatology, Georg-August University, Gottingen, Germany; Adelaide and Meath Hospital, Dublin, Ireland; Academic Unit of Musculoskeletal Disease, University of Leeds, Leeds, UK; and Ambroise Pare Hospital, Boulogne-Billancourt, France. F. Joshua, MB BS, FRACP, Rheumatology Research Fellow, Department of Rheumatology, St. George Hospital, University of NSW; M. Lassere, MB BS (Hons) Grad Dip Epi, PhD, FRACP, FAFPHM, Senior Staff Specialist Rheumatologist, St. George Hospital, Associate Professor in Medicine (Conjoint), University of New South Wales; G.A.W. Bruyn, MD, PhD, Consultant Rheumatologist, Medical Centre Leeuwarden; M. Szkudlarek, MD, PhD, Consultant Rheumatologist, University of Copenhagen Hvidovre Hospital; E. Naredo, MD, Consultant Rheumatologist, Department of Rheumatology, Research Unit, Epidemiology Unit, Severo Ochoa Hospital; E. Naredo, MD, Consultant Rheumatologist, Department of Rheumatology, Severo Ochoa Hospital; W.A. Schmidt, MD, Local Director, Medical Center for Rheumatology Berlin-Buch; P.V. Balint, MD, PhD, Consultant Rheumatologist, Third Rheumatology Department, National Institute of Rheumatology and Physiotherapy, Budapest; E. Filippucci, MD, PhD, Consultant in Rheumatology, University of Ancona; M. Backhaus, MD, PhD, Associate Professor of Rheumatology, Charite University Hospital, Humboldt University; A. Iagnocco, MD, Consultant Rheumatologist, Rheumatology Unit, University La Sapienza; A.K. Scheel, MD, PhD, Associate Professor of Rheumatology, Department of Medicine, Nephrology and Rheumatology, Georg-August University; D. Kane, MRCPI, PhD, Consultant Rheumatologist, Adelaide and Meath Hospital; W. Grassi, MD, Professor of Rheumatology, University of Ancona; P.G. Conaghan, MB BS, PhD, FRACP, FRCP, Professor of Musculoskeletal Disease, Academic Unit of Musculoskeletal Disease, University of Leeds; R.J. Wakefield, BM, MD, MRCP, Senior Lecturer in Rheumatology, Academic Unit of Musculoskeletal Disease, University of Leeds; M-A. D'Agostino, MD, Assistant Professor, Ambroise Pare Hospital. Address reprint requests to Dr. F. Joshua, Rheumatology Research Fellow, St. George Hospital, University of NSW, Sydney, Australia E-mail: fredjoshua@mac.com
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