Table 1.
RA features | Radiography | Grey scale ultrasound | Doppler (color/power) | Bone scan | CT | MRI |
---|---|---|---|---|---|---|
Early changes | ||||||
Synovial thickening | − | ++ | +++ | − | + | +++ |
Effusion | + | ++ | ++ | − | + | +++ |
Synovial vascularity | − | − | +++ | − | − | +++ |
Bone marrow oedema | − | − | − | + | − | +++ |
Tenosynovitis | − | ++ | +++ | − | − | +++ |
Joint space widening | + | − | − | − | +++ | + |
Late changes | ||||||
Osteopenia | ++ | − | − | − | ++ | − |
Erosions | + | ++ | + | + | +++ | +++ |
Bony ankyloses | ++ | + | − | − | +++ | + |
Alignment deformity | +++ | − | − | − | +++ | + |
Stress fractures | ++ | + | − | +++ | ++ | +++ |
RA – Rheumatoid Arthritis; CT – Computed Tomography; MRI – Magnetic Resonance Imaging; ‘−’ – not useful; ‘+’ – limited utility; ‘++’ – definitely useful; ‘+++’ – modality of choice.