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Heading Toward a Modern Imaging Approach in Juvenile Idiopathic Arthritis

  • IMAGING (P CONAGHAN, SECTION EDITOR)
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Abstract

MR imaging and musculoskeletal ultrasound are expanding their utility in the assessment of patients with chronic inflammatory arthritis. These imaging techniques, by providing additional and more sensitive information over clinical examination and conventional radiographs, are promising tools for the diagnosis, prognosis and assessment of treatment efficacy in patients with juvenile idiopathic arthritis (JIA). Owing to the peculiarities of the growing skeleton, knowledge of imaging in healthy children is of high priority. A sound understanding of growth-related changes is of foremost value in establishing whether the apparent changes on joint surface reflect real damage or are actually part of normal development. This review explores current evidence and suggests a new workflow for imaging in JIA, in which conventional and modern imaging modalities can be integrated for optimal management.

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Conflict of Interest

The GASLINI Hospital (the public hospital at which Alberto Martini works as a full-time employee) has received contributions to support the research activities of the network of PRINTO (www.printo.it) from Bristol-Myers Squibb, Centocor Research & Development, GlaxoSmithKline, Novartis, Pfizer, Roche, Sanofi Aventis, and Schwarz Biosciences GmbH.

Alberto Martini has served as a consultant for Abbott Laboratories, Boehringer, Italfarmaco, Bristol-Myers Squibb, MedImmune, Novartis, NovoNordisk, Sanofi Aventis, Roche, Servier, and Pfizer; has received grant support from Bristol-Myers Squibb, Centocor Research & Development, GlaxoSmithKline, Novartis, Pfizer, Roche, Sanofi Aventis, and Schwarz Biosciences GmbH; and has served on speakers bureaus and had travel/accommodations expenses covered/reimbursed by Abbott Laboratories, Bristol-Myers Squibb, Astellas, Boehringer, Italfarmaco, MedImmune, Novartis, NovoNordisk, Pfizer, Sanofi Aventis, Roche, and Servier.

Stefano Lanni and Clara Malattia declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Istituto Giannina Gaslini, Pediatria II, Largo G. Gaslini 5, 16147, Genova, Italy

    Stefano Lanni, Alberto Martini & Clara Malattia

  2. Department of Pediatrics, University of Genoa, Genoa, Italy

    Alberto Martini & Clara Malattia

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  1. Stefano Lanni
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  2. Alberto Martini
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Correspondence to Clara Malattia.

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Lanni, S., Martini, A. & Malattia, C. Heading Toward a Modern Imaging Approach in Juvenile Idiopathic Arthritis. Curr Rheumatol Rep 16, 416 (2014). https://doi.org/10.1007/s11926-014-0416-9

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