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Imaging assessment ...
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Hemke, Robert
(författare)
Imaging assessment of children presenting with suspected or known juvenile idiopathic arthritis : ESSR-ESPR points to consider.
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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2020-05-12
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Springer Science and Business Media LLC,2020
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-417496
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-417496URI
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https://doi.org/10.1007/s00330-020-06807-8DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:143629275URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Juvenile idiopathic arthritis (JIA) is the most common paediatric rheumatic disease. It represents a group of heterogenous inflammatory disorders with unknown origin and is a diagnosis of exclusion in which imaging plays an important role. JIA is defined as arthritis of one or more joints that begins before the age of 16 years, persists for more than 6 weeks and is of unknown aetiology and pathophysiology. The clinical goal is early suppression of inflammation to prevent irreversible joint damage which has shifted the emphasis from detecting established joint damage to proactively detecting inflammatory change. This drives the need for imaging techniques that are more sensitive than conventional radiography in the evaluation of inflammatory processes as well as early osteochondral change. Physical examination has limited reliability, even if performed by an experienced clinician, emphasising the importance of imaging to aid in clinical decision-making. On behalf of the European Society of Musculoskeletal Radiology (ESSR) arthritis subcommittee and the European Society of Paediatric Radiology (ESPR) musculoskeletal imaging taskforce, based on literature review and/or expert opinion, we discuss paediatric-specific imaging characteristics of the most commonly involved, in literature best documented and clinically important joints in JIA, namely the temporomandibular joints (TMJs), spine, sacroiliac (SI) joints, wrists, hips and knees, followed by a clinically applicable point to consider for each joint. We will also touch upon controversies in the current literature that remain to be resolved with ongoing research. KEY POINTS: • Juvenile idiopathic arthritis (JIA) is the most common chronic paediatric rheumatic disease and, in JIA imaging, is increasingly important to aid in clinical decision-making. • Conventional radiographs have a lower sensitivity and specificity for detection of disease activity and early destructive change, as compared to MRI or ultrasound. Nonetheless, radiography remains important, particularly in narrowing the differential diagnosis and evaluating growth disturbances. • Mainly in peripheral joints, ultrasound can be helpful for assessment of inflammation and guiding joint injections. In JIA, MRI is the most validated technique. MRI should be considered as the modality of choice to assess the axial skeleton or where the clinical presentation overlaps with JIA.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Herregods, Nele
(författare)
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Jaremko, Jacob L
(författare)
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Åström, Gunnar,1955-Uppsala universitet,Radiologi(Swepub:uu)gunnaras
(författare)
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Avenarius, Derk
(författare)
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Becce, Fabio
(författare)
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Bielecki, Dennis K
(författare)
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Boesen, Mikael
(författare)
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Dalili, Danoob
(författare)
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Giraudo, Chiara
(författare)
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Hermann, Kay-Geert
(författare)
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Humphries, Paul
(författare)
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Isaac, Amanda
(författare)
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Jurik, Anne Grethe
(författare)
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Klauser, Andrea S
(författare)
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Kvist, OlaKarolinska Institutet
(författare)
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Laloo, Frederiek
(författare)
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Maas, Mario
(författare)
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Mester, Adam
(författare)
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Oei, Edwin
(författare)
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Offiah, Amaka C
(författare)
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Omoumi, Patrick
(författare)
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Papakonstantinou, Olympia
(författare)
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Plagou, Athena
(författare)
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Shelmerdine, Susan
(författare)
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Simoni, Paolo
(författare)
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Sudoł-Szopińska, Iwona
(författare)
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Tanturri de Horatio, Laura
(författare)
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Teh, James
(författare)
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Jans, Lennart
(författare)
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Rosendahl, Karen
(författare)
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Uppsala universitetRadiologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Radiology: Springer Science and Business Media LLC30:10, s. 5237-52490938-79941432-1084
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Till lärosätets databas
- Av författaren/redakt...
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Hemke, Robert
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Herregods, Nele
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Jaremko, Jacob L
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Åström, Gunnar, ...
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Avenarius, Derk
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Becce, Fabio
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visa fler...
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Bielecki, Dennis ...
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Boesen, Mikael
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Dalili, Danoob
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Giraudo, Chiara
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Hermann, Kay-Gee ...
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Humphries, Paul
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Isaac, Amanda
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Jurik, Anne Gret ...
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Klauser, Andrea ...
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Kvist, Ola
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Laloo, Frederiek
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Maas, Mario
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Mester, Adam
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Oei, Edwin
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Offiah, Amaka C
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Omoumi, Patrick
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Papakonstantinou ...
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Plagou, Athena
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Shelmerdine, Sus ...
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Simoni, Paolo
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Sudoł-Szopińska, ...
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Tanturri de Hora ...
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Teh, James
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Jans, Lennart
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Rosendahl, Karen
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reumatologi och ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Radiologi och bi ...
- Artiklar i publikationen
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European Radiolo ...
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet