Most Read Articles
13 Jul 2019
The consumption of red and processed meats does not seem to affect the likelihood of symptom relapse among Crohn’s disease (CD) patients in relapse, reports a recent study.
Pearl Toh, 6 days ago
In addition to the known evils of maternal smoking during pregnancy on the son’s semen quality, prenatal exposure to paternal smoking can also be harmful, according to data from the large Danish National Birth Cohort (DNBC) presented at the ESHRE 2019 Meeting.
6 days ago
Fluticasone, swallowed from a multidose inhaler, and oral viscous budesonide slurry have comparable efficacies as initial treatment for eosinophilic oesophagitis, a recent study has found.
Tristan Manalac, Yesterday
In patients with ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PPCI), admission Killip classification and creatinine and troponin levels are important cardiac mortality predictors, according to a recent Singapore study.

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).

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Rheumatology digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
13 Jul 2019
The consumption of red and processed meats does not seem to affect the likelihood of symptom relapse among Crohn’s disease (CD) patients in relapse, reports a recent study.
Pearl Toh, 6 days ago
In addition to the known evils of maternal smoking during pregnancy on the son’s semen quality, prenatal exposure to paternal smoking can also be harmful, according to data from the large Danish National Birth Cohort (DNBC) presented at the ESHRE 2019 Meeting.
6 days ago
Fluticasone, swallowed from a multidose inhaler, and oral viscous budesonide slurry have comparable efficacies as initial treatment for eosinophilic oesophagitis, a recent study has found.
Tristan Manalac, Yesterday
In patients with ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PPCI), admission Killip classification and creatinine and troponin levels are important cardiac mortality predictors, according to a recent Singapore study.