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Sewerin P, Schleich C, Brinks R, Müller-Lutz A, Fichter F, Eichner M, Schneider M, Ostendorf B, Vordenbäumen S. Assessing Associations of Synovial Perfusion, Cartilage Quality, and Outcome in Rheumatoid Arthritis Using Dynamic Contrast-enhanced Magnetic Resonance Imaging. J Rheumatol 2019; 47:15-19. [PMID: 30877219 DOI: 10.3899/jrheum.180832] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2019] [Indexed: 01/20/2023]
Abstract
OBJECTIVE To assess associations of synovial perfusion, cartilage quality, and outcome in rheumatoid arthritis (RA). METHODS Synovial perfusion and cartilage quality were assessed by dynamic contrast-enhanced magnetic resonance imaging in metacarpophalangeal joints of 28 treatment-naive patients with RA at baseline and at 3 and 6 months after methotrexate. Analysis was by linear mixed modeling. RESULTS Synovial perfusion variables were associated with remission (p < 0.05) and cartilage quality (p < 0.004). Maximum synovial enhancement was associated to European League Against Rheumatism response (p < 0.05). Synovial perfusion improved in nonresponders over time (p < 0.05). CONCLUSION Synovial perfusion relates to remission, response, and cartilage quality in a cohort of therapy-naive patients with early RA.
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Affiliation(s)
- Philipp Sewerin
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany. .,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work.
| | - Christoph Schleich
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Ralph Brinks
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Anja Müller-Lutz
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Florian Fichter
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Markus Eichner
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Matthias Schneider
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Benedikt Ostendorf
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
| | - Stefan Vordenbäumen
- From Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology, and Department of Diagnostic and Interventional Radiology, Düsseldorf, Germany.,P. Sewerin, MD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; C. Schleich, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; R. Brinks, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; A. Müller-Lutz, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; F. Fichter, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Eichner, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology; M. Schneider, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; B. Ostendorf, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology; S. Vordenbäumen, MD, PhD, Heinrich-Heine-University Düsseldorf, Medical Faculty, Department and Hiller-Research-Unit for Rheumatology. P. Sewerin and C. Schleich contributed equally to this work
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