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Value of Ultrasound in Rheumatologic Diseases
강태영,Laura Horton,Paul Emery,Richard J. Wakefield 대한의학회 2013 Journal of Korean medical science Vol.28 No.4
The use of musculoskeletal ultrasound in rheumatology clinical practice has rapidly increased over the past decade. Ultrasound has enabled rheumatologists to diagnose,prognosticate and monitor disease outcome. Although international standardization remains a concern still, the use of ultrasound in rheumatology is expected to grow further as costs fall and the opportunity to train in the technique improves. We present a review of value of ultrasound, focusing on major applications of ultrasound in rheumatologic diseases.
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Recent Trends of Ultrasound in Rheumatology
( Tae Young Kang ),( Richard J Wakefield ),( Paul Emery ) 대한류마티스학회 2016 대한류마티스학회지 Vol.23 No.1
Owing to the ability of musculoskeletal ultrasound (US) to depict cross sectional images of synovial joint and related structures, US has become the most reliable tool for evaluation of arthritic activity of rheumatoid arthritis (RA). US can detect early synovitis, assess disease activity, and determine true remission in patients with RA. US also can detect early enthesitis in patients with spondyloarthropathies. In addition, US can provide a reliable tool for measuring skin thickness in patients with systemic sclerosis. With guidance of injection or aspiration, US can result in a better clinical outcome. Thus, educational needs and research networks are increasing. We present a review of rheumatology US, focusing on recent trends and advances. (J RheumDis 2016;23:11-18)
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( Seoung Wan Nam ),( Richard J Wakefi Eld ),( Paul Emery ),( Tae Young Kang ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: The use of musculoskeletal ultrasound (US) in rheumatology has rapidly advanced over the past decade, demonstrating its usefulness in the diagnosis and assessment of arthritis. Targeted Ultrasound Initiative (TUI) is an international research network which aims to promote US as a standard outcome measure in patients with rheumatoid arthritis. In collaboration with the TUI, to conduct the fi rst study in Korea to investigate current practices in US use among Korean rheumatologists. Methods: We translated the global TUI survey into Korean and augmented it to ascertain the current status and use of US by Korean rheumatologists. In February 2013, we sent e-mails to all Korean College of Rheumatology (KCR) members; survey ran from March until June 2013; paper surveys sent to KCR members who did not respond to the e-mail survey. Results: This study enrolled 108 rheumatologists which covered about a half of the total Korean rheumatologists. Rheumatologists in hospitals and private clinics use US to examine between one to fi ve patients daily; they use US for diagnosis more than monitoring and receive compensation of about US$30-50 per patient. There are marked differences in the rates of US usage between rheumatologists who work in private practice compared with tertiary hospitals. Korean rheumatologists not currently using US in their practice appear eager to do so. Most current US users reported using it primarily for diagnosing either suspected arthritis (77. 8%) or undifferentiated arthritis (64. 4%). The most commonly cited barrier was insuffi cient time for examination. Conclusions: This survey provides important insights into the current status of US in rheumatology in Korea and highlights several priorities; specifi cally, greater provision of formal training, standardization of reporting, and accrual of greater experience among US users. If these needs are addressed, all rheumatology departments in Korea are likely to use US or have access to it in the future.
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