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Updated: Jun 20, 2026

A Novel Application of Musculoskeletal Ultrasound Imaging
Published on: September 17, 2013
[Musculoskeletal ultrasonography in rheumatology]
Paulo Monteiro1, Eugénio de Miguel, E Martin Mola
1Serviço de Reumatologia dos Hospitais da Universidade de Coimbra, Coimbra, Portugal. pjr_monteiro@hotmail.com
Musculoskeletal ultrasonography has evolved from an anatomical imaging tool to a clinical diagnostic and therapeutic method. Recent practice shows a shift from purely anatomical scans to diverse rheumatological applications.
Area of Science:
- Rheumatology
- Medical Imaging
- Diagnostic Techniques
Background:
- Musculoskeletal ultrasonography (MSKUS) was historically used primarily for anatomical imaging.
- The role of MSKUS in rheumatology has been evolving with technological advancements.
Purpose of the Study:
- To evaluate the evolution of MSKUS and its role in rheumatological practice.
- To compare recent MSKUS case studies with those performed before 2003.
Main Methods:
- Revision of 1,000 MSKUS exams performed between January 2007 and June 2008.
- Comparison with MSKUS exams conducted between 1998 and 2003.
Main Results:
- Anatomical ultrasonography decreased from 100% (pre-2003) to 45.9% in recent exams.
- Recent indications include arthritis diagnosis (16.3%), inflammatory activity evaluation (6.8%), and temporal artery studies (12.5%).
- Other uses include gout/chondrocalcinosis diagnosis (2.2%), sacroiliitis (1.2%), carpal tunnel syndrome (1.5%), and guided procedures (7.3%).
Conclusions:
- MSKUS has transitioned from a purely anatomical tool to a versatile clinical, diagnostic, monitoring, and therapeutic modality in rheumatology.
- Technological progress and scientific advancements drive this evolution in MSKUS applications.
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