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Table 2 Ultrasonography, MRI, and x-ray findings in the MRI-examined hand

From: Ultrasonography, magnetic resonance imaging, radiography, and clinical assessment of inflammatory and destructive changes in fingers and toes of patients with psoriatic arthritis

 

Ultrasonography

MRI

X-ray

Bone erosions

   

   MCP joint (total)

15%

16%

7%

PsA

18%

23%

12%

RA

15%

10%

0%

   PIP joint (total)

15%

7%

5%

PsA

20%

8%

7%

RA

0%

10%

5%

   DIP joint (total)

1%

3%

5%

PsA

2%

5%

8%

RA

0%

0%

0%

Bone proliferations

   

   MCP joint (total)

4%

3%

0%

PsA

7%

5%

0%

RA

0%

0%

0%

   PIP joint (total)

7%

6%

0%

PsA

12%

10%

0%

RA

0%

0%

0%

   DIP joint (total)

7%

2%

4%

PsA

12%

3%

7%

RA

0%

0%

0%

Synovitis

   

   MCP joint (total)

28%

27%

NA

PsA

28%

35%

NA

RA

55%

30%

NA

   PIP joint (total)

22%

20%

NA

PsA

27%

23%

NA

RA

30%

25%

NA

   DIP joint (total)

12%

5%

NA

PsA

18%

7%

NA

RA

5 %

5%

NA

Tenosynovitis

   

   MCP joint (total)

6%

13%

NA

PsA

2%

12%

NA

RA

25%

30%

NA

   PIP joint (total)

20%

7%

NA

PsA

18%

5%

NA

RA

45%

20%

NA

   DIP joint (total)

6%

6%

NA

PsA

2%

3%

NA

RA

25%

20%

NA

Insertional changes

   

   Extensor tendons (total)

6%

4%

NA

PsA

8%

7%

NA

RA

5%

0%

NA

   Flexor tendons (total)

9%

4%

NA

PsA

3%

0%

NA

RA

35%

20%

NA

Capsular/extracapsular changes (total)

18%

7%

NA

PsA

22%

7%

NA

RA

25%

15%

NA

  1. One hundred fingers (100 MCP, 100, PIP, and 100 DIP joints) ('total') were examined. The distribution was as follows: psoriasis-associated arthritis (PsA) = 60; rheumatoid arthritis (RA) = 20; and healthy control persons (not shown) = 20. The imaging modalities were ultrasonography, magnetic resonance imaging (MRI), and projection radiography (x-ray). DIP, distal interphalangeal; MCP, metacarpophalangeal; NA, not applicable; PIP, proximal interphalangeal.