Di Geso Research Articles

SP0149 How to implement technical improvements in existing imaging modalities in clinical practice: Ultrasonography

The value of ultrasound in rheumatology is supported by a consistent body of evidence. The number of studies has progressively increased documenting the interest for this imaging tool especially in...

AB0757 Noninvasive ultrasound measurements of absolute soft tissue stiffness in systemic sclerosis

BackgroundElastography Ultrasound (EUS) is an ultrasound-based method, which allows the qualitative or quantitative measurements of the biomechanical properties of tissues. EUS can be performed using compression-wave or more recently, shear-wave...

THU0443 Differential diagnosis between rheumatoid arthritis and peripheral spondylarthropathies: Usefulness of shoulders ultrasonography

BackgroundThe differential diagnosis between rheumatoid arthritis (RA) and peripheral spondylarthropathies (pSpA) could be difficult. A recent ultrasound study showed that ultrasonography (US) of hands might help the physician to differentiate...

OP0305 Assessment of Skin Involvement by Acoustic Radiation Force Impulse (ARFI) Imaging in Patients with Systemic Sclerosis

BackgroundMeasurement of skin involvement is essential for diagnosis and assessment of prognosis in systemic sclerosis (SSc). The modified Rodnan Skin Score (mRSS) is the gold standard outcome measure for assessment...

SP0079 How to Image Tendon Involvement in RA. Do we Need an Early Diagnosis?

Tenosynovitis is a common feature in rheumatoid arthritis (RA) patients in both hands and feet. The extensor carpi ulnaris (ECU) was seen by Magnetic Resonance Imaging (MRI) to be very...

THU0141 Painless Synovitis – A Silent Enemy? A Controlled, Ultrasound, Radiographic, Clinical Trial

BackgroundSome rheumatoid arthritis (RA) patients exhibit persistent chronic synovitis marked by joint swelling that may or may not be accompanied by pain.ObjectivesThe aim of the present study was to compare...

Calcium Pyrophosphate Deposition: Sonographic Features in a Familial Case: Figure 1.

To the Editor: Calcium pyrophosphate deposition (CPPD) disease is a metabolic arthropathy caused by the deposition of calcium pyrophosphate (CPP) crystals in and around joints, especially in hyaline and fibrous cartilage. CPPD disease is generally categorized into sporadic, familial, and secondary (metabolic) forms. Prevalence increases with age; indeed, radiographic evidence of CPPD is found in up to 40% of elderly subjects. The sporadic form is the most common. Secondary CPPD disease is an infrequent condition related to a variety of metabolic causes including hyperparathyroidism, hypomagnesemia, hypophosphatasia, and hemochromatosis. Familial CPPD disease is characterized by distinctive clinical and radiographic features, but its prevalence is unknown1,2,3,4. Diagnosis requires detection of CPP crystals in synovial fluid1; however, an increasing body of evidence indicates a role for ultrasound (US) as a bedside procedure to improve diagnostic accuracy and clinical decision making in routine rheumatological practice. US possesses some ideal features for assessing crystalline arthropathies. … Address correspondence to Dr. Di Geso; E-mail: lucadigeso{at}libero.it