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Ultrasound imaging of synovial inflammation in juvenile idiopathic arthritis

  • Pediatric Ultrasound
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Abstract

Juvenile idiopathic arthritis (JIA) is the most common rheumatic entity of childhood. The hallmark feature of all subtypes is joint inflammation. Imaging is used to evaluate the extent and severity of inflammation, degree of joint damage and response to treatment, which in turn impacts patient management. Ultrasound has become a useful adjunct to clinical examination because it shows promise in evaluating clinical and subclinical inflammation (synovitis, enthesitis) as well as cartilage and bone erosive changes. However more collaborative research is needed to help define the normal appearance of the growing skeleton, clarify the significance of subclinical findings and develop useful definitions, imaging protocols and scoring systems of disease.

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Authors and Affiliations

  1. Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA

    Nancy A. Chauvin

  2. Department of Medical Imaging, University of Toronto, Toronto, ON, Canada

    Andrea S. Doria

  3. Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada

    Andrea S. Doria

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  1. Nancy A. Chauvin
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  2. Andrea S. Doria
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Correspondence to Nancy A. Chauvin.

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The authors have no financial interests, investigational or off-label uses to disclose.

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Chauvin, N.A., Doria, A.S. Ultrasound imaging of synovial inflammation in juvenile idiopathic arthritis. Pediatr Radiol 47, 1160–1170 (2017). https://doi.org/10.1007/s00247-017-3934-6

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  • DOI: https://doi.org/10.1007/s00247-017-3934-6

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