Table 5

Sensitivity and specificity of US, x-ray, and clinical examination, with MRI as the standard reference method

US sensitivity

US specificity

X-ray sensitivity

X-ray specificity

Clinical examination sensitivity

Clinical examination specificity


Bone erosions

MCP joint

0.56

0.93

0.38

0.99

NA

NA

PIP joint

0.57

0.88

0.40

0.95

NA

NA

DIP joint

0.00

0.99

0.67

0.97

NA

NA

Bone proliferations

MCP joint

0.00

0.97

0.00

0.96

NA

NA

PIP joint

0.50

0.96

0.00

0.96

NA

NA

DIP joint

1.00

0.95

1.00

0.98

NA

NA

Synovitis

MCP joint

0.70

0.88

NA

NA

0.31

0.74

PIP joint

0.50

0.88

NA

NA

0.25

0.76

DIP joint

0.40

0.87

NA

NA

0.00

0.83

Tenosynovitis

MCP joint

0.38

0.99

NA

NA

NA

NA

PIP joint

1.00

0.86

NA

NA

NA

NA

DIP joint

0.67

0.98

NA

NA

NA

NA

Insertional changes

Extensor tendons

0.50

0.96

NA

NA

NA

NA

Flexor tendons

1.00

0.95

NA

NA

NA

NA

Capsular/extracapsular changes

1.00

0.88

NA

NA

NA

NA


The imaging modalities were ultrasonography (US), magnetic resonance imaging (MRI), projection radiography (x-ray), and clinical examination. DIP, distal interphalangeal; MCP, metacarpophalangeal; NA, not applicable; PIP, proximal interphalangeal.

Wiell et al. Arthritis Research & Therapy 2007 9:R119   doi:10.1186/ar2327

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