Skip to main content

Advertisement

Log in

Application of three-dimensional computed tomography for the rheumatoid wrist

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Recent technical advances in computed tomography (CT) and the introduction of three-dimensional (3D) image reconstruction through computer systems make distinct visualization of tiny defects in the hand and wrist a feasible task. Three wrists from three patients—two of whom are patients with rheumatoid arthritis and one with osteoarthritis—were evaluated by 3D CT. Images were obtained with a multidetector-row CT scanner. Bony wrist structures including erosions were observed in the patients with arthritis by means of 3D CT. 3D CT could clearly visualize bone-erosive lesions. It also revealed various interesting stereoscopic views of bony structures unattainable with conventional radiographic studies. 3D CT may serve to be interesting in future imaging studies in the rheumatology field.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Sharp JT, Wolfe F, Mitchell DM (1991) The progression of erosion and joint space narrowing scores in rheumatoid arthritis during the first twenty-five years of disease. Arthritis Rheum 34:660–668

    Article  PubMed  CAS  Google Scholar 

  2. Emery P (1994) The optimal management of early rheumatoid disease: the key to preventing disability. Br J Rheumatol 33:765–768

    Article  PubMed  CAS  Google Scholar 

  3. Sharp JT (1989) Radiologic assessment as an outcome measure in rheumatoid arthritis. Arthritis Rheum 32:221–229

    Article  PubMed  CAS  Google Scholar 

  4. Larson A (1995) Modified Larson method. J Rheumatol 22:10–11

    Google Scholar 

  5. Van der Heijde DM (2000) Radiographic imaging: the ‘gold standard’ for assessment of disease progress in rheumatoid arthritis [review]. Rheumatology 39(Suppl 1):9–16

    PubMed  Google Scholar 

  6. Peterfy CG (2003) New developments in imaging in rheumatoid arthritis. Curr Opin Rheumatol 15:288–295

    Article  PubMed  Google Scholar 

  7. Dohn UM, Ejbjerg BJ, Court-Payen M (2006) Are bone erosions detected by magnetic resonance imaging and ultrasonography true erosions? A comparison with computed tomography in rheumatoid arthritis metacarpophalangeal joints. Arthritis Res Ther 8:R110

    Article  PubMed  Google Scholar 

  8. Perry D, Stewart N, Benton N (2005) Detection of erosions in the rheumatoid hand; a comparative study of multidetector computerized tomography versus magnetic resonance scanning. J Rheumatol 32:256–267

    PubMed  Google Scholar 

  9. Burk DL Jr, Mears DC, Kennedy WH (1985) Three-dimensional computed tomography of acetabular fractures. Radiology 155:183–186

    PubMed  Google Scholar 

  10. Fishman EK, Drebin B, Maqid D (1987) Volumetric rendering techniques: applications for three-dimensional imaging of the hip. Radiology 163:737–738

    PubMed  CAS  Google Scholar 

  11. Sunagawa T, Ishida O, Ishiburo M (2005) Three-dimensional computed tomography imaging: its applicability in the evaluation of extensor tendons in the hand and wrist. J Comput Assist Tomogr 29:94–98

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We are grateful to Mr. Seung Ju Lee for technical support in 3D CT and also thankful to Ms. Se Young Ju for English proofreading.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sung-Hwan Park.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ju, J.H., Kang, K.Y., Kim, I.J. et al. Application of three-dimensional computed tomography for the rheumatoid wrist. Rheumatol Int 28, 811–813 (2008). https://doi.org/10.1007/s00296-008-0530-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-008-0530-y

Keywords

Navigation