From histology to sonography in synovitis: EURO-MUSCULUS/USPRM approach
Language English Country Germany Media print-electronic
Document type Journal Article
PubMed
36563558
DOI
10.1016/j.prp.2022.154273
PII: S0344-0338(22)00517-9
Knihovny.cz E-resources
- Keywords
- Doppler, Hypertrophy, Synovium, Ultrasound, Vascularization,
- MeSH
- Humans MeSH
- Arthritis, Rheumatoid * pathology MeSH
- Muscles pathology MeSH
- Synovial Membrane diagnostic imaging blood supply pathology MeSH
- Synovitis * diagnostic imaging pathology MeSH
- Ultrasonography MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
OBJECTIVES: The aim of the present study was to propose a methodologically innovative sonographic approach for optimal evaluation of synovial tissues (starting from histopathology). METHODS: Using high-frequency ultrasound probes and high-level ultrasound machines, we matched the histological microarchitecture of synovial tissues with multiple sonographic patterns in physiological and pathological conditions. Likewise, high-sensitive color/power Doppler assessments have also been performed to evaluate the microcirculation. RESULTS: Modern equipment allows for a macroscopic classification of synovial pathologies recognizing different morphological patterns; however, intimal and subintimal layers of the synovium cannot be distinguished from each other on ultrasound. High-sensitive Doppler imaging clearly defines the microvascular pattern, especially in patients with hypertrophic synovial pathologies. CONCLUSIONS: In clinical practice, using adequate technological equipment i.e. high-frequency B-mode and high-sensitive Doppler imaging, detailed sonographic assessment of synovial tissues can be performed - defining the main sono-histological patterns.
Department of Pediatrics Vittore Buzzi Children's Hospital University of Milan Milan Italy
Hacettepe University Medical School Department of Physical and Rehabilitation Medicine Ankara Turkey
Institute of Anatomy 1st Faculty of Medicine Charles University Prague Czech Republic
References provided by Crossref.org
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