Сравнение рентгенографии и магнитно-резонансной томографии при диагностике остеоартрита суставов кистей

В статье обсуждаются возможности и поиск оптимальной концепции диагностики остеоартрита (ОА) суставов кистей. Представлены данные многочисленных исследований с акцентом на сравнение чувствительности и специфичности основных методик при данном виде патологии – стандартной рентгенографии и магнитно-резонансной томографии (МРТ). Определение самых ранних симптомов ОА позволяет заблаговременно прогнозировать развитие заболевания и приступить к его терапии. Cужение суставной щели – наиболее ранний рентгенологический симптом ОА, обусловленный потерей суставного хряща, которая наблюдается на поздних стадиях. МРТ, в отличие от рентгенографии, дает возможность визуализации суставного хряща, жидкости в полости сустава, отеков костного мозга и мягких тканей, но является более дорогостоящим и затратным по времени методом. Основная сложность заключается в отсутствии на данный момент стандартизированной системы оценки проявлений ОА суставов кистей по данным МРТ, а также недостаточным объемом приведенных в этой области исследований.

1. Picavet HS, Hazes JM. Prevalence of self reported musculoskeletal diseases is high. Ann Rheum Dis. 2003 Jul;62(7):644e50.

2. ACR. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum. 2000 Sep;43(9):1905e15. doi: 10.1002/1529-0131(200009)43:9<1905::AID-ANR1>3.0.CO;2-P

3. Lawrence RC, Hochberg MC, Kelsey JL, et al. Estimates of the prevalence of selected arthritic and musculoskeletal diseases in the United States. J Rheumatol. 1989;16:427-41.

4. Bagge E, Brooks P. Osteoarthritis in older patients. Optimum treatment. Drugs Aging. 1995;7:176-83. doi: 10.2165/00002512-199507030-00003

5. Kalichman L, Hernaandez-Molina G. Hand Osteoarthritis: An Epidemiological Perspective. Vol. 39 ISSN: 1532-866X ISO Abbreviation: Semin. Arthritis Rheum. Publication Date: 2010 Jun. PMID: 19482338.

6. Petersson IF. Occurrence of osteoarthritis of the peripherial joints in Europian populations. Ann Rheum Dis. 1996;55:659-61. doi: 10.1136/ard.55.9.659

7. Pereira D, Peleteiroyza B, AraЬjoyza J, et al. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthritis Cartilage. 2011;19(11):1270-85. doi: 10.1016/j.joca.2011.08.009

8. Kuhn VC, Scarcella DS, Suzuki RM, et al. Prevalence and Incidence of Hand Osteoarthritis and Upper Limb Complaints in Patients with Knee Osteoarthritis. Correlations among Functionality, Grip Strength, Changes in Body Mass Index and Symptoms among Patients in an Educational Osteoarthritis Program. Open J Orthoped. 2016;6:1-9. doi: 10.4236/ojo.2016.61001

9. Jonsson H, Helgadottir GP, Aspelund T, et al. Hand Osteoarthritis Severity is Associated with Total Knee Joint Replacements Independently of BMI. The Ages-Reykjavik Study. Open Rheumatol J. 2011 Jan 13;5:7-12. doi: 10.2174/1874312901105010007

10. Marshall M, Peat G, Nicholls E, et al. Subsets of symptomatic hand osteoarthritis in community-dwelling older adults in the United Kingdom: prevalence, inter-relationships, risk factor profiles and clinical characteristics at baseline and 3-years. Osteoarthr Cartilage. 2013;21:1674-84. doi: 10.1016/j.joca.2013.08.004

11. Altman R, Alarcon G, Appelrouth D, et al. The American College of Rheumatology criteria for the classification of osteoarthritis of the hand. Arthritis Rheum. 1990;33:1601-10. doi: 10.1002/art.1780331101

12. Zhang W, Doherty M, Leeb BF, et al. EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT. Ann Rheum Dis. 2009 Jan;68(1):8-17. doi: 10.1136/ard.2007.084772

13. Haara M. Osteoarthritis and Osteoporosis Assessed from Hand Radiographs: Prevalence, Determinants, and Associations with Morbidity and Mortality. 2006. University of Kuopio. Faculty of Medicine. Dissertation. ISSN: 1235-0303. ISBN: 951-27-0585-0

14. Maheu E, Altman RD, Bloch DA, et al. Design and conduct of clinical trials in patients with osteoarthritis of the hand: recommendations from a task force of the Osteoarthritis Research Society International. Osteoarthritis Cartilage. 2006;14:303-22. doi: 10.1016/j.joca.2006.02.010

15. Egger P, Cooper C, Hart DJ, et al. Patterns of joint involvement in osteoarthritis of the hand: the Chingford Study. J Rheumatol. 1995;22:1509-13.

16. Bijsterbosch J, Watt I, Meulenbelt I, et al. Clinical and radiographic disease course of hand osteoarthritis and determinants of outcome after 6 years. Ann Rheum Dis. 2011;70:68-73. doi: 10.1136/ard.2010.133017

17. Haugen IK, Slatkowsky-Christensen B, Boyesen P, et al. Synovitis and radiographic progression in non-erosive and erosive hand osteoarthritis: is erosive hand osteoarthritis a separate inflammatory phenotype? Osteoarthritis Cartilage. 2016;24:647-54. doi: 10.1016/j.joca.2015.11.014

18. Van der Kraan PM, van den Berg WB. Osteophytes: relevance and biology. Osteoarthritis Cartilage. 2007;15:237-44. doi: 10.1016/j.joca.2006.11.006

19. Conaghan PG, Hunter DJ, Maillefert JF, et al. Summary and recommendations of the OARSI FDA osteoarthritis Assessment of Structural Change Working Group. Osteoarthritis Cartilage. 2011;19:606-10. doi: 10.1016/j.joca.2011.02.018

20. Buckland-Wright C. Subchondral bone changes in hand and knee osteoarthritis detected by radiography. Osteoarthritis Cartilage. 2004;12 Suppl A:S10-9.

21. Verbruggen G, Veys EM. Numerical scoring systems for the anatomic evolution of osteoarthritis of the finger joints. Arthritis Rheum. 1996;39:308-20. doi: 10.1002/art.1780390221

22. Kloppenburg M, Kwok W-Y. Hand osteoarthritis – a heterogeneous disorder. Nat Rev Rheumatol. 2011;8:22-31. doi: 10.1038/nrrheum.2011.170

23. Damman W, Liu R, Bloem JL, et al. Bone marrow lesions and synovitis on MRI associate with radiographic progression after 2 years in hand osteoarthritis. Ann Rheum Dis. 2017 Jan;76(1):214-7. doi: 10.1136/annrheumdis-2015-209036. Epub 2016 Jun 20.

24. Buckland-Wright C, Macfarlane D, Jasani MK, Lynch J. Quantitative microfocal radiographic assessment of osteoarthritis of the knee from weight bearing tunnel and semiflexed standing views. J Rheumatol. 1994;21:1734-41.

25. Buckland-Wright C, Lynch J, Macfarlane D. Fractal signature analysis measures cancellous bone organisation in macroradiographs of patients with knee osteoarthritis. Ann Rheum Dis. 1996;55:748-55. doi: 10.1136/ard.55.10.749

26. Buckland-Wright JC, Lynch JA, Dave B. Early radiographic features in patients with anterior cruciate ligament rupture. Ann Rheum Dis. 2000;59:641-6. doi: 10.1136/ard.59.8.641

27. Jones JP. Subchondral osteonecrosis can conceivably cause disk degeneration and 'primary' osteoarthritis. In: Urbaniak JR, Jones JP, eds. Osteonecrosis. Rosemont: American Academy of Orthopaedic Surgeons; 1997. P. 135-42.

28. Tan AL, Toumi H, Benjamin M, et al. Combined high-resolution magnetic resonance imaging and histological examination to explore the role of ligaments and tendons in the phenotypic expression of early hand osteoarthritis. Ann Rheum Dis. 2006;65:1267-72. doi: 10.1136/ard.2005.050112

29. Buckland-Wright JC, Macfarlane DG, Lynch JA, Clark B. Quantitative microfocal radiographic assessment of progression in osteoarthritis of the hand. Arthritis Rheum. 1990;33:57-65. doi: 10.1002/art.1780330107

30. Lane LB, Bullough PG. Age related changes in the thickness of the calcified cartilage zone and the number of tidemarks in adult articular cartilage. J Bone Joint Surg. 1980;62:372-5. doi: 10.1302/0301-620X.62B3.7410471

31. Buckland-Wright JC, Macfarlane DG, Lynch JA. Sensitivity of radiographic features and specificity of scintigraphic imaging in hand osteoarthritis. Rev Rheum (Engl Ed). 1995;62 Suppl 1:14-26.

32. Patel N, Buckland-Wright JC. Advancement in the zone of calcified cartilage in osteoarthritic hands of patients detected by high definition macro-radiography. Osteoarthritis Cartilage. 1999;7:520-6. doi: 10.1053/joca.1999.0268

33. Buckland-Wright JC, Patel N. Pattern of advance- ment in the zone of calcified cartilage detected in hand osteoarthritis. Osteoarthritis Cartilage. 1999;7:S41-4.

34. Cheras PA, Freemont AJ, Sikorski JM. Intraosseus thrombosis in ischemic necrosis of bone and osteoarthritis. Osteoarthritis Cartilage. 1993;1:219-32. doi: 10.1016/S1063-4584(05)80328-0

35. Oegema TR, Thompson RC. The zone of calcified cartilage, its role in osteoarthritis. In: Kuettner KE, Scheleyerbach R, Peyron JG, Hascall VC, eds. Ar- ticular Cartilage in Osteoarthritis. New York: Raven Press; 1992. P. 319-31.

36. Bullough PG, Jagannath A. The morphology of the calcification front, its significance in joint function. J Bone Joint Surg. 1983;65B:72-8. doi: 10.1302/0301-620X.65B1.6337169

37. Oegema TR, Thompson RC. The histopathology and pathobiochemistry of cartilage-bone interface in osteoarthritis. In: Keuttner KE, Goldberg VM, eds. Osteoarthritic Disorders. Rosemont: Academy of Orthopaedic Surgeons; 1995. P. 205-17.

38. Kellgren JH, Moore R. Generalized osteoarthritis and Heberden's nodes. Br Med J. 1952;1:181-7. doi: 10.1136/bmj.1.4751.181

39. Crain DC, Washington DC. Interphalangeal osteoarthritis characterised by painful, inflammatory episodes resulting in deformity of the proximal and distal articulations. JAMA: J Am Med Assoc. 1961;175:1049-53. doi: 10.1001/jama.1961.03040120011003

40. Peter JB, Pearson CM, Marmor L. Erosive osteoarthritis of the hands. Arthritis Rheum. 1966;9:365-88.

41. Swagerty Jr DL, Hellinger D. Radiographic Assessment of Osteoarthritis. University of Kansas Medical Center, Kansas City, Kansas. Am Fam Phys. 2001;64:279-86.

42. Haugen IK, Englund M, Aliabadi P, et al. Prevalence, incidence and progression of hand osteoarthritis in the general population: The Framingham Osteoarthritis Study. Ann Rheum Dis. 2011;70:1581-6. doi: 10.1136/ard.2011.150078

43. Altman RD, Hochberg M, Murphy WA, et al. Atlas of individual radiographic features in osteoarthritis. Osteoarthritis Cartilage. 1995;3 Suppl A:3-70.

44. Marshall M, Nicholls E, Kwok W-Y, et al. EXTENDED REPORT Erosive osteoarthritis: a more severe form of radiographic hand osteoarthritis rather than a distinct entity? Ann Rheum Dis. 2015 Jan;74(1):136-41. doi: 10.1136/annrheumdis-2013-203948. Epub 2013 Oct 4.

45. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957;16:494-502.

46. Punzi L, Ramonda R, Sfriso P, et al. Erosive osteoarthritis. Best Pract Res Clin Rheumatol. 2004;18(5):739-58. doi: 10.1016/j.berh.2004.05.010

47. Cavasin F, Punzi L, Ramonda R, et al. Prevalence of erosive osteoarthritis of the hand in a population from Venitian area. Reumatismo. 2004;56:19-23.

48. Grainger AJ, Farrant JM, O'Connor PJ, et al. MR imaging of erosions in interphalangeal joint osteoarthritis: is all osteoarthritis erosive? Skeletal Radiol. 2007;36:737-45. doi: 10.1007/s00256-007- 0287-5

49. Kortekaas MC, Kwok W-Y, Reijnierse M, et al. Osteophytes and joint space narrowing are independently associated with pain in finger joints in hand osteoarthritis. Ann Rheum Dis. 2011;70:1835-7. doi: 10.1136/ard.2010.147553

50. Wittoek R, Jans L, Lambrecht V, et al. Reliability and construct validity of ultrasonography of soft tissue and destructive changes in erosive osteoarthritis of the interphalangeal finger joints: a comparison with MRI. Ann Rheum Dis. 2011;70:278-83. doi: 10.1136/ard.2010.134932

51. Wilder FV, Barrett JP, Farina IJ. Joint-specific prevalence of osteoarthritis of the hand. Osteoarthritis Cartilage. 2006 Sep;14(9):953-7. doi: 10.1016/j.joca.2006.04.013

52. Dahaghin S, Bierma-Zeinstra SM, Ginai AZ, et al. Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study). Ann Rheum Dis. 2005 May;64(5):682-7. Epub 2004 Sep 16. doi: 10.1136/ard.2004.023564

53. Ko SU, Jerome GJ, Simonsick EM, et al. Differential Gait Patterns by Falls History and knee pain status in Healthy Older Adults: Results From the Baltimore Longitudinal Study of Aging. J Aging Phys Act. 2018;26(4):577-82. doi: 10.1123/japa.2017-0225

54. Kellgren JH, Jeffrey MR, Ball J. The Epidemiology of Chronic Rheumatism. Volume II: Atlas of Standard Radiographs of Arthritis. Oxford: Blackwell Scientific Publications; 1963.

55. Spector TD, Cooper C. Radiographic assessment of osteoarthritis in population studies: whither Kellgren and Lawrence? Osteoarthritis Cartilage. 1993;1:203-6. doi: 10.1016/S1063-4584(05)80325-5

56. Maheu E, Cadet C, Gueneugues S, et al. Reproducibility and sensitivity to change of four scoring methods for the radiological assessment of osteoarthritis of the hand. Ann Rheum Dis. 2007;66:464-9. doi: 10.1136/ard.2006.060277

57. Guermazi A, Roemer FW, Burstein D, Hayashi D. Why radiography should no longer be considered a surrogate outcome measure for longitudinal assessment of cartilage in knee osteoarthritis. Arthritis Res Ther. 2011;13(6):247. doi: 10.1186/ar3488

58. Mazzuca SA, Brandt KD, Lane KA, Katz BP. Knee pain reduces joint space width in conventional standing anteroposterior radiographs of osteoarthritic knees. Arthritis Rheum. 2002;46:1223-7. doi: 10.1002/art.10256

59. Crema MD, Roemer FW, Marra MD, et al. Articular cartilage in the knee: current MR imaging techniques and applications in clinical practice and research. Radiographics. 2011;31:37-61. doi: 10.1148/rg.311105084

60. Amin S, LaValley MP, Guermazi A, et al. The relationship between cartilage loss on magnetic resonance imaging and radiographic progression in men and women with knee osteoarthritis. Arthritis Rheum. 2005;52:3152-9. doi: 10.1002/art.21296

61. Haugen IK, Lillegraven S, Slatkowsky-Christensen B, et al. Hand osteoarthritis and MRI: development and first validation step of the proposed Oslo Hand Osteoarthritis MRI score. Ann Rheum Dis. 2011;70:1033-8. doi: 10.1136/ard.2010.144527

62. Liu R, Damman W, Reijnierse M, et al. Bone marrow lesions on magnetic resonance imaging in hand osteoarthritis are associated with pain and interact with synovitis. Osteoarthritis Cartilage. 2018 Dec 1. doi: 10.1016/j.joca.2018.11.007

63. Haugen IK, Boyesen P, Slatkowsky-Christensen B, et al. Associations between MRI-defined synovitis, bone marrow lesions and structural features and measures of pain and physical function in hand osteoarthritis. Ann Rheum Dis. 2012;71:899-904. doi: 10.1136/annrheumdis-2011-200341

64. Kwok WY, Kortekaas MC, Reijnierse M, et al. MRI in hand osteoarthritis: Validation of the Oslo hand osteoarthritis MRIscoring method and association with pain. Osteoarthritis Cartilage. 2011;19 Suppl 1:S26-S27. doi: 10.1016/S1063-4584(11)60072-1

65. Tan AL, Grainger AJ, Tanner SF, et al. High-resolution magnetic resonance imaging for the assessment of hand osteoarthritis. Arthritis Rheum. 2005;52:2355-65. doi: 10.1002/art.21210

66. Peterfy CG, Janzen DL, Tirman PF, et al. 'Magicangle' phenomenon: a cause of increased signal in the normal lateral meniscus on short-TE MR images of the knee. AJR Am J Roentgenol. 1994;163:149-54. doi: 10.2214/ajr.163.1.8010202

67. Lewis AR, Nolan MJ, Hodgson RJ, et al. High resolution magnetic resonance imaging of the proximal interphalangeal joints. Correlation with histology and production of a three-dimensional data set. J Hand Surg Br. 1996;21:488-95. doi: 10.1016/S0266-7681(96)80053-2

68. Haugen IK, Boyesen P, Slatkowsky-Christensen B, et al. Comparison of features by MRI and radiographs of the interphalangeal finger joints in patients with hand osteoarthritis. Ann Rheum Dis. 2012;71:345-50. doi: 10.1136/annrheumdis-2011-200028