Table 1

Number of quadrants with bone erosions in finger joints, stratified by imaging modality and combinations thereof

Joint
Quadrants with erosions
Quadrants with no erosions on US, MRI or CR
Agreement
Sensitivity
Specificity






US + MRI + CR
US + MRI
MRI + RAD
US + CR
US only
MRI only
CR only

US versus MRI (%)
CR versus MRI (%)
US
CR
US
CR

MCP 2nd
10
10
2
1
2
7
3
205
225(94)
217(90)
0.64
0.41
0.98
0.98
     Est.
9
8
2
1
1
2
2
55
72(90)
66(82)




     Early
1
2
0
0
1
2
0
74
77(96)
75(94)




     Control
0
0
0
0
0
3
1
76
76(95)
76(95)





MCP 3rd
7
7
4
1
4
12
2
230
217(90)
214 (89)
0.47
0.37
0.97
0.98
     Est.
6
6
4
1
3
6
2
52
64(80)
62 (78)




     Early
1
1
0
0
1
2
0
75
77(96)
76 (95)




     Control
0
0
0
0
0
4
0
76
76(95)
76 (95)





MCP 4th
5
2
0
1
1
5
0
222
229 (97)
227 (96)
0.58
0.42
0.99
0.99
     Est.
4
1
0
1
1
5
0
64
69 (91)
68 (89)




     Early
1
1
0
0
0
0
0
78
80 (100)
79 (99)




     Control
0
0
0
0
0
0
0
80
80 (100)
80 (100)





MCP 5th
7
1
0
1
3
2
1
221
229 (97)
228 (97)
0.80
0.70
0.98
0.99
     Est.
6
0
0
1
2
0
0
67
73 (96)
73 (96)




     Early
1
1
0
0
1
0
1
76
78 (97)
77 (96)




     Control
0
0
0
0
0
2
0
78
78 (97)
78 (97)





PIP 2nd
0
0
0
0
6
1
1
212
212 (96)
212 (96)
-
-
0.97
0.99
     Est.
0
0
0
0
5
0
1
54
54 (90)
54 (90)




     Early
0
0
0
0
1
0
0
79
79 (99)
79 (99)




     Control
0
0
0
0
0
1
0
79
79 (99)
79 (99)





PIP 3rd
1
0
0
1
7
1
0
210
211 (96)
211 (96)
0.50
0.50
0.96
0.99
     Est.
1
0
0
1
6
1
0
51
52 (87)
52 (87)




     Early
0
0
0
0
1
0
0
79
79 (99)
79 (99)




     Control
0
0
0
0
0
0
0
80
80 (100)
80 (100)





PIP 4th
0
0
0
0
2
1
1
216
216 (98)
216(98)
-
-
0.99
0.99
     Est.
0
0
0
0
2
0
1
57
57 (95)
57 (95)




     Early
0
0
0
0
0
1
0
79
79 (99)
79 (99)




     Control
0
0
0
0
0
0
0
80
80 (100)
80 (100)





PIP 5th
0
0
0
0
1
0
4
215
215 (98)
215(98)
-
-
0.99
0.98
     Est.
0
0
0
0
0
0
2
58
58 (97)
58(97)




     Early
0
0
0
0
1
0
2
77
77 (96)
77(96)




     Control
0
0
0
0
0
0
0
80
80 (100)
80 (100)





Total
30
20
6
5
26
29
12
1,704
1,754 (96)
1,740 (95)
0.59
0.42
0.98
0.99
     Est.
26
15
6
5
20
14
8
458
499 (90)
490 (89)




     Early
4
5
0
0
6
5
3
617
626 (98)
621 (97)




     Control
0
0
0
0
0
10
1
629
629 (98)
629 (98)





The following numbers of joints were evaluated (1,832 in total): 240 MCP second, 240 MCP third, 236 MCP fourth, 236 MCP sixth, 220 PIP second, 220 PIP third, 220 PIP fourth, and 220 PIP fifth. All study participants included. CR, conventional radiography; early, early rheumatoid arthritis; Est., established rheumatoid arthritis; MCP, metacarpophalangeal joint; MRI, magnetic resonance imaging; PIP, proximal interphalangeal joint; US, ultrasonography.

Szkudlarek et al. Arthritis Research & Therapy 2006 8:R52   doi:10.1186/ar1904