Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 638-641
ZENG Ge, JIANG Junjie, SUN Xing, CONG Huiqin, LI Qiaofeng. Consistency analysis of micro-flow imaging and contrast-enhanced ultrasound in evaluating the condition and synovial blood flow of patients with rheumatoid arthritis[J]. Chinese Journal of General Practice, 2024, 22(4): 638-641. doi: 10.16766/j.cnki.issn.1674-4152.003469
Citation: ZENG Ge, JIANG Junjie, SUN Xing, CONG Huiqin, LI Qiaofeng. Consistency analysis of micro-flow imaging and contrast-enhanced ultrasound in evaluating the condition and synovial blood flow of patients with rheumatoid arthritis[J]. Chinese Journal of General Practice, 2024, 22(4): 638-641. doi: 10.16766/j.cnki.issn.1674-4152.003469
shu

Consistency analysis of micro-flow imaging and contrast-enhanced ultrasound in evaluating the condition and synovial blood flow of patients with rheumatoid arthritis

doi: 10.16766/j.cnki.issn.1674-4152.003469

  • Department of Special Inspection Department, Huzhou Third Municipal Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2021KY1098

  • Received Date: 2023-11-19
    Available Online: 2024-05-29
    Abstract
  •   Objective  To detect synovial blood flow by micro-flow imaging and contrast-enhanced ultrasound, and analyze the consistency of the two imaging methods in evaluating the condition of patients with rheumatoid arthriti.  Methods  A total of 50 patients with active rheumatoid arthritis who were treated in Huzhou Third Municipal Hospital from July 2019 to October 2022 were selected as the research objects. All patients were examined by micro-flow imaging and contrast-enhanced ultrasound, and the synovial blood flow of patients was recorded. After 6 months of treatment, the synovial blood flow of patients was evaluated by micro-flow imaging and contrast-enhanced ultrasound again, and the correlation between the results and laboratory indexes was analyzed by Spearman.  Results  Before treatment, the detection rate of blood flow signals in active patients (Kappa=0.730, P < 0.05) and synovial blood flow evaluation (Kappa=0.797, P < 0.05) were strongly consistent with each other in the micro-flow imaging and contrast-enhanced ultrasound. After 6 months ' treatment, the detection rate of blood flow signals (Kappa=0.845, P < 0.05) and synovial blood flow evaluation (Kappa=0.741, P < 0.05) of patients in remission were both consistent in the micro-flow imaging and contrast-enhanced ultrasound. Micro-flow imaging and contrast-enhanced ultrasound were positively correlated with erythrocyte sedimentation rate, CRP and rheumatoid factor levels in both active and remission stages (P < 0.05), and the correlation of micro-flow imaging was stronger than that of contrast-enhanced ultrasound.  Conclusion  Micro-flow imaging and contrast-enhanced ultrasound have strong consistency in the assessment of synovial blood flow in patients with rheumatoid arthritis in active stage and remission stage, and both have clinical guiding significance for disease assessment.

     

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