Evidence map›Paper›PMID 30182091›Full record

ArticleUltrasound international open2018

The Value of an Automated Ultrasound System in the Detection of Synovitis.

Ruediger Mueller, Mathias Grunke, Jörg Wendler, Florian Schuch, Karina Hofmann-Preiss, Ina Boettger, Rüdiger Jakobs, Hendrik Schulze-Koops, Johannes von Kempis

Open access · goldAbstract read
In one paragraph

Article in Ultrasound international open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 4 institutions in 2 countries.

Ruediger MuellerDivision of Rheumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Mathias GrunkeMunich University Hospital, Division of Rheumatology, Munich, Germany.
Jörg WendlerSchwerpunktpraxis Rheumatologie, Rheumatologie, Erlangen, Germany.
Florian SchuchSchwerpunktpraxis Rheumatologie, Schwerpunktpraxis Rheumatologie, Erlangen, Germany.
Karina Hofmann-PreissInstitut für bildgebende Diagnostik und Therapie, BDT - MVZ Träger GmbH, Erlangen, Germany.
Ina BoettgerInstitut für bildgebende Diagnostik und Therapie, BDT - MVZ Träger GmbH, Erlangen, Germany.
Rüdiger JakobsSiemens Healthcare GmbH, Ultrasound, Erlangen, Germany.
Hendrik Schulze-KoopsMunich University Hospital, Division of Rheumatology, Munich, Germany.
Johannes von KempisDivision of Rheumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Kantonsspital St. Gallen · CHLMU Klinikum · DEMünchen Klinik · DESiemens Healthcare (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe detection of joint swelling caused by synovitis is important for the diagnosis of inflammatory arthritis. Ultrasound (US) and MRI have proven to be more sensitive and reliable than physical examination, but they are time-consuming and expensive. The automated breast volume scanner was developed to acquire serial B-mode pictures of the female breast and these can be analyzed in all three dimensions.

objectivesTo analyze the value of automated B-mode ultrasound employing the ABVS system in detecting synovitis of the finger joints compared to manual ultrasound (mUS) and physical examination, using MRI as the gold standard.

methods19 consecutive patients suffering from active rheumatoid (n=15) or psoriatic (n=4) arthritis were included. Automated and mUS were conducted with a linear array (ACUSON S2000™, 11 MHz). Multiplanar reconstruction enabled examination of the images for the presence of synovitis.

results90% of the hand joints were assessable by automated ultrasound. Automated US detected 12.0, mUS 14.2, MRI 13.4, and clinical examination 4.1 positive joints - i. e. joints with synovitis - on average per patient. The inter-observer reliability of both assessors for automated and mUS, MRI, and physical examination, was 66.9%, 72.7%, 95.1%, and 88.9%, respectively. 84.3% of the joints classified as positive on MRI were confirmed by automated ultrasound, 85.5% on mUS, and 36.0 on physical examination. This translated into a sensitivity of 83.5%, 85.5%, and 36.0% for the three methods, respectively. Conclusion: Automated ultrasound is a promising ultrasound method for assessing small joints in patients with inflammatory arthritis.

Indexed as

arthritideshandultrasound

Identifiers

PMID30182091
PMCPMC6120755
OpenAlexW2820522464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.