Most Read Articles
Yesterday
Exposure to corticosteroids in patients with autoimmune hepatitis (AIH) appears to contribute to increased risks of cataract, diabetes and bone fractures, a study has found. Notably, the fracture risk is elevated at low doses, while the risk of adverse events overall is dose-dependent and is reversible.
6 days ago
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Color Doppler ultrasound satisfactorily detects sacroiliitis in patients with IBP

08 Jul 2019

The diagnostic properties of color Doppler ultrasound (CDUS) for the detection of sacroiliitis is acceptable, reports a new study, adding that CDUS may be useful in patients with inflammatory back pain (IBP).

The study included consecutive patients with IBP and suspected axial spondyloarthritis (SpA), but without a definitive diagnosis. For the control group, consecutive patients with defined SpA and axial involvement were recruited.

All patients underwent clinical evaluation, magnetic resonance imaging (MRI) and CDUS of sacroiliac joint (SIJ) within the same week. Using MRI as the gold standard, the authors calculated sensitivity, specificity, positive (PPV) and negative predictive values (NPV) for the diagnosis of sacroiliitis by CDUS.

In 99 patients (mean age, 39.8 years; 61.6 percent men), 198 SIJs were evaluated (36 with previous SpA). Median disease duration was 24 months (interquartile range, 12–84).

At the patient level, CDUS demonstrated a sensitivity of 63 percent (95 percent CI, 48.7–75.7 percent) and a specificity of 89 percent (76–96 percent), with PPV of 87.2 percent (72.6–95.7 percent) and NPV of 66.7 percent (53.3–78.3 percent). At joint level, CDUS showed a sensitivity of 60 percent (49–70 percent) and a specificity of 93 percent (88–98 percent), with PPV of 83 percent (78–95 percent) and NPV of 43 percent (33–56 percent).

For the diagnosis of axial SpA, CDUS had a sensitivity of 54 percent (36.6–71.2 percent), specificity of 82 percent (63.1–93.9 percent), with PPV of 79 percent (57.8–92.9 percent) and NPV of 59 percent (42.1–74.4 percent).

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Most Read Articles
Yesterday
Exposure to corticosteroids in patients with autoimmune hepatitis (AIH) appears to contribute to increased risks of cataract, diabetes and bone fractures, a study has found. Notably, the fracture risk is elevated at low doses, while the risk of adverse events overall is dose-dependent and is reversible.
6 days ago
In patients with atrial fibrillation (AF) and stable coronary artery disease (CAD), rivaroxaban monotherapy is noninferior to combination treatment with an antiplatelet therapy in terms of cutting the risk of cardiovascular events and mortality, according to data from the AFIRE trial.
Elvira Manzano, 12 Nov 2019
Supplementation with omega-3 fatty acids or vitamin D3 for up to 5 years has no effect on kidney function in adults with type 2 diabetes (T2D), the VITAL-DKD* ancillary study has shown.
Jairia Dela Cruz, 4 days ago
Many patients with nonvalvular atrial fibrillation (NVAF) in Thailand use anticoagulants, but the uptake of nonvitamin-K oral anticoagulants remains suboptimal despite showing an upward trend, according to data from the COOL-AF registry presented at the European Society of Cardioloy (ESC) Asia Congress 2019 with APSC and AFC.