Rheumatoid Arthritis: Demondion X

Boutry N, Morel M, Flipo RM, Demondion X, Cotten A. · Department of Musculoskeletal Radiology, Centre Hospitalier Universitaire de Lille and Hôpital Roger Salengro, CHRU de Lille, Blvd. du Pr. J Leclercq, 59037 Lille, France. · AJR Am J Roentgenol. · Pubmed #18029892 links to  free full text

Abstract: OBJECTIVE: The introduction of anti-tumor necrosis factor alpha agents has opened new prospects in therapeutic management of patients with early rheumatoid arthritis, thereby creating new demands on radiologists to identify patients with aggressive disease at an early stage. As a result, imaging techniques such as MRI and sonography have developed during the past few years. CONCLUSION: This article illustrates the imaging findings that may be encountered with these techniques in patients with early rheumatoid arthritis.

Boutry N, Hachulla E, Zanetti-Musielak C, Morel M, Demondion X, Cotten A. · Department of Musculoskeletal Radiology, Hôpital Roger Salengro, CHRU de Lille, Boulevard du Pr. J Leclercq, 59037, Lille Cedex, France. · Eur Radiol. · Pubmed #17021702 No free full text.

Abstract: This article describes the radiographic, sonographic and magnetic resonance (MR) features of musculoskeletal involvement in patients with systemic sclerosis (SSc). Conventional radiography is the traditional method of detecting digital calcifications, but ultrasonography (US) is also able to detect such calcifications before they appear on radiographs. MR imaging can be used to diagnose overlapping conditions (i.e., SSc and myositis or SSc and rheumatoid arthritis), and less frequently, to reveal neurologic complications of SSc. In patients with vascular ulcers, MR angiography is able to depict decreased flow within collateral digital arteries.

Boutry N, Lardé A, Demondion X, Flipo RM, van Holsbeeck M, Cotten A. · Département de Radiologie Ostéo-Articulaire, Hôpital Roger Salengro, CHRU de Lille, Boulevard du Pr. J Leclercq, 59037 Lille Cedex. · J Radiol. · Pubmed #12910171 links to  free full text

Abstract: Technological advances in the field of ultrasound imaging may have, especially in metacarpophalangeal joints, an impact on decision making in patients with early rheumatoid arthritis. First, the normal anatomy of the metacarpophalangeal joints is briefly reviewed. Then, the authors describe the main ultrasound imaging findings of early RA. The role of ultrasound imaging in the assessment of therapeutic response as well as the benefit of microbubble ultrasound contrast agents are considered.

Cotten A, Demondion X, Boutry N, Chastanet P, Delfaut E. · Service de Radiologie Ostéo-Articulaire, Hôpital R. Salengro, Bd du professeur J Leclerc, 59037 Lille Cedex. · J Radiol. · Pubmed #10930881 links to  free full text

Abstract: The purpose of this paper is to present the contribution of imaging in the assessment of synovial diseases, especially in the differentiation between infectious synovitis and rheumatoid arthritis, and in the diagnosis of tumoral and pseudotumoral synovial lesions (idiopathic (osteo)chondromatosis, pigmented villonodular synovitis, synovial hemangioma, lipoma arborescens...).