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Limitations of Diagnostic Ultrasound Use in Rheumatoid Arthritis Rehabilitation: Technical Repor
Yazarlar (2)
Öğr. Gör. Ömer Faruk ÖZÇELEP Öğr. Gör. Ömer Faruk ÖZÇELEP
Ahi Evran Üniversitesi, Türkiye
Nur TUNALI
İstanbul Medipol Üniversitesi, Türkiye
Devamını Göster
Özet
Aim: The purpose of this technical note is to critically evaluate the role of ultrasound in the diagnosis and management of rheumatoid
arthritis (RA).
Material and Method: In this study joint distance, effusion area and degree of inflammation were assessed using the GE Color Doppler
device. Participants diagnosed with RA are positioned comfortably and the area under examination is completely relaxed.
Results: The primary constraint on the utilisation of ultrasound imaging in the management of RA pertains to the necessity for expertise
and experience on the part of the ultrasonographer. In addition, the imaging capacity to visualise deep structures is inadequate,
a problem that is exacerbated in obese patients due to inadequate penetration. Thirdly, ultrasound (US) exhibits lower resolution
compared to alternative imaging modalities such as Magnetic Resonance Imaging (MRI), resulting in its inability to distinguish subtle
bone changes. The fourth limitation relates to the difficulties associated with imaging small joints, such as the hands, due to their size
and anatomical complexity. Finally, the effectiveness of ultrasound in identifying synovial thickening and erosions is well documented;
however, its inability to differentiate between active inflammation and chronic fibrotic changes may hinder treatment decisions in some
cases.
Conclusion: US is a valuable tool in managing RA, but its effectiveness is limited by operator dependency, imaging challenges, and
difficulty distinguishing active inflammation from chronic changes. Enhancing training, standardizing protocols, and integrating
advanced technologies like artificial intelligence (AI) and hybrid imaging can improve its diagnostic precision and utility in
rheumatological care.
Anahtar Kelimeler
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı MEDICAL RECORDS-International Medical Journal
Dergi ISSN 2687-4555
Dergi Tarandığı Indeksler TR Dizin
Makale Dili İngilizce
Basım Tarihi 09-2025
Cilt No 7
Sayı 3
Sayfalar 795 / 798
Doi Numarası 1037990/medr.1615159
Makale Linki https://dergipark.org.tr/en/pub/medr/issue/92094/1615159