Lateral compression (squeezing) of the metacarpophalangeal (MCP) Maneuver (GCM) positivity is characterized by tenderness upon The squeeze test (ST) or Gaenslen’s compression General practitioners have recorded the realization of any clinical Studies have reported that only 20% of the Subjects, it is fundamental to perform a clinical examination toĭetermine the presence of synovitis and achieve an early referral to the rheumatologist. Even though there are many efforts to identify these With arthralgia at risk of progression to RA has increased in the This purpose, research to identify and early referral of individuals Patients prevent joint destruction, deformity, and disability. Optical Imaging OST: Optical Spectral Transmission ULD-CT: Ultra-Low-Dose Computed Tomography IntroductionĮarly identification and treatment of rheumatoid arthritis (RA) In Rheumatoid Arthritis Clinical Trials ROC: Receiving Operating Curve AUC: Area Under the Curve ICG: Indocyanine Green FOI: Fluorescence Rate CRP: C-Reactive Protein TR: Repetition Time TE: Echo Time NEX: Number of Excitations FOV: Field of View OMERACT: Outcome Measures Maneuver CSA: Clinical Suspect Arthralgia RF: Rheumatoid Factor ACPA’s: Anti-Citrullinated Peptide Antibodies ESR: Erythrocyte Sedimentation Magnetic Resonance Imaging Score FDR: First-Degree Relatives RA: Rheumatoid Arthritis ST: Squeeze Test GCM: Gaenslen’s Compression Keywords: MRI Squeeze Test Arthritis Diagnostic PerformanceĪbbreviations: AST: Automated Squeeze Test MCP: Metacarpophalangeal MRI: Magnetic Resonance Imaging RAMRIS: Rheumatoid Arthritis Synovitis RAMRIS score >7 was and for the presence of any synovitis by RAMRIS of [0.575 (95% CI 0.428-Ĭonclusion: The AST maneuver positivity on the MCP´s is not reliable to detect abnormalities on MRI. The AUC for the total RAMRIS score >10 was. Results: A total of 240 MCP joints were evaluated. The AST was performed in the 60 participant’s dominant hand and scored by RAMRIS. Since the onset of the symptoms and late RA group: 16 patients who met ACR/EULAR 2010 Classification Criteria with more than two years since Methods: Observational and cross-sectional study for a diagnostic test that included 60 patients older than 18 years, divided into three groups:įDR with hand arthralgia group: 22 subjects early RA group: 22 subjects who met ACR/EULAR 2010 Classification Criteria with less than two years Score (RAMRIS) in first-degree relatives (FDR) of Rheumatoid Arthritis (RA) patients with hand arthralgia and RA patients. The presence of synovitis, edema or erosions by magnetic resonance imaging (MRI) by using the rheumatoid arthritis magnetic resonance imaging Objective: To determine the diagnostic performance of the automated squeeze test (AST) on the metacarpophalangeal (MCP) joints to detect *Corresponding author: David Vega-Morales, Department of Rheumatology Service and Internal Medicine, Hospital Universitario,
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