Evidence map›Paper›PMID 30062435›Full record

ArticleRheumatology international2018

Superb microvascular imaging (SMI) for evaluating hand joint lesions in patients with rheumatoid arthritis in clinical remission.

Xiaolong Yu, Zun Li, Min Ren, Jing Xi, Jiabiao Wu, Yaxiang Ji

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Xiaolong YuDepartment of Ultrasound, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, No. 2 of Yongning North Road, Changzhou City, Jiangsu Province, China. xllxll9999@126.com.ORCID http://orcid.org/0000-0001-9263-4315
Zun LiDepartment of Ultrasound, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, No. 2 of Yongning North Road, Changzhou City, Jiangsu Province, China.ORCID http://orcid.org/0000-0003-0914-7116
Min RenDepartment of Rheumatology, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, Changzhou City, China.ORCID http://orcid.org/0000-0002-1003-3653
Jing XiDepartment of Ultrasound, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, No. 2 of Yongning North Road, Changzhou City, Jiangsu Province, China.ORCID http://orcid.org/0000-0001-8197-0276
Jiabiao WuDepartment of Rheumatology, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, Changzhou City, China.ORCID http://orcid.org/0000-0001-8385-3612
Yaxiang JiDepartment of Ultrasound, Changzhou Wujin People's Hospital, Affiliated with Jiangsu University, No. 2 of Yongning North Road, Changzhou City, Jiangsu Province, China.ORCID http://orcid.org/0000-0001-7351-1344
Jiangsu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The utility of superb microvascular imaging (SMI) for evaluating hand joint lesions in patients with rheumatoid arthritis (RA) in clinical remission is unreported. This study aimed to compare SMI and power Doppler imaging (PDI) for the evaluation of hand joint lesions in these patients. Twenty-six patients with RA in clinical remission were enrolled. A total of 572 joints (52 wrist, 260 proximal interphalangeal, and 260 metacarpophalangeal joints) were detected by SMI and PDI. A semi-quantitative scale of 0-3 was used to compare the detection of synovial blood flow signal by SMI and PDI. Inter-observer agreement for the assessment of SMI and PDI scores was measured with kappa values. In the ten healthy volunteers, SMI and PDI signals were both scored 0. In the 26 RA patients, the remission rate via PDI was 65.4% but was only 42.3% via SMI. SMI also detected microvessel flow signal in seven patients diagnosed with clinical remission via PDI. Moreover, a total of 106 blood flow signals (18.5%) were detected by SMI, while 50 blood flow signals (8.7%) were detected by PDI. Compared with PDI, SMI increased 18.0% of power flow signals from Grade 0-1 and increased 13.7% of power flow signals from Grade 1-2. One joint classified as Grade 1 by PDI was classified as Grade 0 by SMI. Inter-observer agreement for PDI and SMI semi-quantitative scoring was moderate (kappa = 0.463). SMI seems more sensitive than PDI for detecting hand joint lesions in RA in clinical remission PDI, and could aid the achievement of true remission in RA patients.

Indexed as

Arthritis, RheumatoidHand JointsHumansMetacarpophalangeal JointMicrovesselsObserver VariationSeverity of Illness IndexUltrasonography, DopplerWrist JointPower Doppler imagingRemissionRheumatoid arthritisSuperb microvascular imaging

Identifiers

PMID30062435
PMCPMC6132695
OpenAlexW2887763647

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.