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ACR Appropriateness Criteria® Chronic Extremity Joint Pain-Suspected Inflammatory Arthritis
, Jon A Jacobson1, Catherine C Roberts2
1Principal Author, University of Michigan Medical Center, Ann Arbor, Michigan.
Summary
This review details imaging findings for inflammatory arthritis, emphasizing interpretation alongside clinical data for accurate diagnosis. It offers imaging recommendations for various arthritis types, aiding in chronic joint pain evaluation.
Area of Science:
- Radiology
- Rheumatology
- Medical Imaging
Background:
- Chronic extremity joint pain evaluation often necessitates imaging to identify inflammatory arthritis.
- Characteristic osseous and soft tissue abnormalities are key imaging indicators.
Purpose of the Study:
- To review imaging findings in inflammatory arthritis.
- To provide recommendations for imaging specific types of inflammatory arthritis.
- To highlight the importance of integrating imaging with clinical and serologic data.
Main Methods:
- Literature review of characteristic osseous and soft tissue abnormalities in inflammatory arthritis.
- Analysis of American College of Radiology Appropriateness Criteria.
- Application of RAND/UCLA Appropriateness Method and GRADE methodology.
Main Results:
- Detailed descriptions of imaging findings for rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease, and erosive osteoarthritis.
- Emphasis on the overlap of imaging findings and the need for clinical correlation.
- Recommendations for appropriate imaging modalities based on evidence and expert opinion.
Conclusions:
- Imaging plays a crucial role in diagnosing inflammatory arthritis but requires careful interpretation alongside clinical and serologic findings.
- Specific imaging recommendations are provided for various inflammatory arthropathies.
- Evidence-based guidelines, supplemented by expert opinion, inform imaging choices.
