Assessment of disease activity in patients with rheumatoid arthritis using optical spectral transmission measurements, a non-invasive imaging technique

M. van Onna*, D.F. ten Cate, K.L. Tsoi, A.J. Meier, J.W. Jacobs, A.A. Westgeest, P.B. Meijer, M.C. van Beek, W.H. Rensen, J.W. Bijlsma

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objectives In rheumatoid arthritis (RA), treat-to-target strategies require instruments for valid detection of joint inflammation. Therefore, imaging modalities are increasingly used in clinical practice. Optical spectral transmission (OST) measurements are non-invasive and fast and may therefore have benefits over existing imaging modalities. We tested whether OST could measure disease activity validly in patients with RA.

Methods In 59 patients with RA and 10 patients with arthralgia, OST, joint counts, Disease Activity Score (DAS) 28 and ultrasonography (US) were performed. Additionally, MRI was performed in patients with DAS28

Results At the joint level, OST and US performed similarly inproximal interphalangeal-joints (area under the receiver-operating curve (AUC) of 0.79, p

Conclusions In this pilot study, OST performed moderately in the detection of joint inflammation in patients with RA. Further studies are needed to determine the diagnostic performance in a new cohort of patients with RA.

Original languageEnglish
Pages (from-to)511-518
Number of pages8
JournalAnnals of the Rheumatic Diseases
Volume75
Issue number3
Early online date9 Oct 2015
DOIs
Publication statusPublished - Mar 2016

Keywords

  • ULTRASOUND SCORE
  • SYNOVITIS
  • ULTRASONOGRAPHY
  • RELIABILITY
  • JOINTS
  • REMISSION
  • FINGER

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