Evidence map›Paper›PMID 40102269›Full record

ArticleEuropean radiology2025

Early rheumatoid arthritis, two distinctive structural damage patterns revealed by MRI: an 8-year longitudinal study.

Su Wu, James Francis Griffith, Fan Xiao, Chungwun Yiu, Jason C S Leung, Lai-Shan Tam

Abstract read
In one paragraph

Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
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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.

Su WuDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
James Francis GriffithDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China. griffith@cuhk.edu.hk.ORCID http://orcid.org/0000-0001-5206-9382
Fan XiaoDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
Chungwun YiuDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
Jason C S LeungJockey Club Centre for Osteoporosis Care and Control, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Lai-Shan TamDepartment of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Funding

Hong Kong Health and Medical Research Fund HMRF18190051
6 · The paper itself

Abstract

objectiveTo determine how inflammatory and structural parameters change long-term on standard treatment in rheumatoid arthritis patients and which baseline parameter best predicts long-term structural damage. MATERIAL AND

methodsProspective study of early rheumatoid arthritis (ERA) patients (symptom duration ≤ 24 months) who underwent identical clinical, serological, radiographic, and dynamic contrast-enhanced MRI of the wrist assessments at baseline, year-1, and year-8. MR images were analyzed semi-quantitatively (Rheumatoid Arthritis Magnetic Resonance Imaging Score [RAMRIS]) and quantitatively (synovial volume (cm

results81 patients (61 ± 12 years, F/M:67/14) were studied. MRI-detected inflammatory parameters markedly improved from baseline to year-1 and slightly deteriorated from year-1 to year-8 (synovial volume:6.7 ± 5.0→2.6 ± 2.9→3.6 ± 3.3 cm

conclusionIn ERA patients, two distinct structural damage patterns are evident. Baseline bone erosion score is better than clinical, serological, or radiographic assessment at predicting long-term structural damage. KEY POINTS: Questions The value of MRI in predicting long-term structural damage in ERA patients is not clear. Findings This study identified two distinct long-term structural damage progression patterns of ERA patients. MRI can better differentiate between these two groups at baseline than clinical, serological, or radiographic assessment. Clinical relevance MRI examination should be performed in all ERA patients at baseline to determine their structural damage pattern. This will allow a better prediction of patient outcomes in the long-term.

Indexed as

Arthritis, RheumatoidMagnetic Resonance ImagingAgedContrast MediaDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesContrast MediaFollow-up studyMRISynovitisWrist, Rheumatoid arthritis

Identifiers

PMID40102269
PMCPMC12350573

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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.