Back to the future: forget ultrasound and focus on clinical assessment in rheumatoid arthritis management

Roberto Caporali, Josef S. Smolen

Research output: Contribution to journalReview article

Abstract

Ultrasound (US) unquestionably improves many aspects of rheumatoid arthritis (RA) diagnosis and management, but no consensus has been reached regarding the optimal US methodology that should be used, and high levels of standardisation have not yet been attained. Current evidence from two randomised controlled trials does not support the US in directing treatment decisions. A return to the endorsement of clinical assessment and the adoption of T2T strategies aiming at ACR/EULAR remission still represent the standard of care for RA and should be pursued through appropriate educational programmes. Thus, for now, the major application of sonography in arthritis should have a focus on diagnostic and especially differential diagnostic aspects.

Original languageEnglish
Pages (from-to)18-20
Number of pages3
JournalAnnals of the Rheumatic Diseases
Volume77
Issue number1
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • disease activity score
  • remission
  • rheumatoid arthritis
  • ultrasonography

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology
  • Biochemistry, Genetics and Molecular Biology(all)

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