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The application value of MRI in the diagnosis of subclinical inflammation in patients with rheumatoid arthritis in remission

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, July 2018
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Title
The application value of MRI in the diagnosis of subclinical inflammation in patients with rheumatoid arthritis in remission
Published in
Journal of Orthopaedic Surgery and Research, July 2018
DOI 10.1186/s13018-018-0866-2
Pubmed ID
Authors

Huimei Zhang, Huajun Xu, Shifang Chen, Xinfeng Mao

Abstract

To explore the value of MRI in the diagnosis of subclinical inflammation in patients with early rheumatoid arthritis (RA) in remission and to predict the radiographic progression. A total of 76 of 156 patients with early RA in remission at 1 year and with available magnetic resonance imaging (MRI) data at baseline and at 12 months were included. Complete clinical and laboratory evaluations were conducted for the patients. MRI images were assessed according to the Rheumatoid Arthritis Magnetic Resonance Imaging Scoring (RAMRIS) system. Progression of bone erosions was defined as an increase of 1 or more units in annual RAMRIS score for erosions compared to baseline. At 1 year, the majority of patients with RA in sustained remission showed some inflammatory activity on MRI (43.4% synovitis, 39.5% bone marrow edema (BME), and 9.2% tenosynovitis), and 25 of the 76 patients (32.9%) showed MRI progression of bone erosions. A significant difference was observed in MRI BME and bone erosion at 1 year, with higher mean score in patients with progression compared to non-progression of erosions (BME, 4.8 ± 3.6 vs 3.1 ± 2.1, P = 0.01; bone erosion, 13.5 ± 9.6 vs 4.4 ± 3.6, P < 0.001). Persistent subclinical inflammations were shown in patients with sustained remission; BME in MRI may be a strong predictor of future radiographic progression of bone erosions in patients with persistent clinical remission.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 16%
Student > Doctoral Student 5 16%
Researcher 4 13%
Student > Bachelor 3 9%
Student > Ph. D. Student 3 9%
Other 5 16%
Unknown 7 22%
Readers by discipline Count As %
Medicine and Dentistry 14 44%
Computer Science 2 6%
Agricultural and Biological Sciences 2 6%
Psychology 2 6%
Business, Management and Accounting 1 3%
Other 1 3%
Unknown 10 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 July 2018.
All research outputs
#15,487,594
of 23,094,276 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#657
of 1,407 outputs
Outputs of similar age
#208,459
of 327,912 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#20
of 37 outputs
Altmetric has tracked 23,094,276 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,407 research outputs from this source. They receive a mean Attention Score of 3.6. This one has gotten more attention than average, scoring higher than 52% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,912 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.