Abstract

To assess the synovial proliferation in rheumatoid knee joints, a new method by means of MRI was designed. Coronal slices of fat-suppressed Gd-enhanced MRI were divided into 5mm widths laterally. In each area, high intensity synovial membrane was scored as no membrane (0), partial (1), and full (2). Calculating these scores, synovial proliferation of the knee joint was assessed in 7 knees (RA and operated, 3; RA and not operaed 3; non-RA, 1). All three knee joints operated on with TKR had high scores, and the non-RA had a low score. By using this method, synovial proliferation of RA knee join was assessed more objectively.

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