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A 51-year-old female had a medical checkup by a neighboring hospital, and ultrasonography (US) detected a tumor of 9.5 mm in diameter in the posterior segment 6 (S6) of the liver.
Among 17 cases with focal involvement, contrast-enhanced US detected 50 /55 lesions demonstrated by reference tools.
Calprotectin levels have been found to reflect the ongoing inflammation, and at the three-month examination both calprotectin and the US detected synovitis were significantly reduced.
This explains why x-ray found some bone changes that were not revealed by US and MRI and why US detected some pathologies (small bone proliferations, DIP synovitis, and insertional changes) more frequently than MRI.
Often US detected inflammation in patients clinically in remission, irrespective of the remission criteria used.
In the 8 patients who had history of scrotal trauma, US detected testicular rupture in 1 patients, scrotal haematomas in 2 patients.
In addition, US detected subclinical synovitis is not well appreciated by clinical assessment alone.
MRI detected all nine, whereas mammography combined with US detected only four.
US detected a higher frequency of DIP joint changes in the PsA patients compared with RA patients.
US detected at least one tophus in all joints where MRI found nodules considered to be tophi.
Although US is not as sensitive to detect bone erosions than MRI, US detected erosions have a high specificity [ 43].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com