M. Ostergaard et al., EFFECT OF INTRAARTICULAR OSMIC ACID ON SYNOVIAL-MEMBRANE VOLUME AND INFLAMMATION, DETERMINED BY MAGNETIC-RESONANCE-IMAGING, Scandinavian journal of rheumatology, 24(1), 1995, pp. 5-12
The changes in MR-determined synovial membrane volume, early synovial
enhancement, and cartilage and bone erosions after osmic acid knee syn
ovectomy were studied. Gadolinium-DTPA enhanced magnetic resonance ima
ging (MRI) of 18 knees with persistent arthritis was performed before
and 1 month after treatment. The synovial membrane volume was signific
antly reduced (median -52%) in all 9 patients brought into clinical re
mission (p<0.01), while no significant change was found in patients wi
th clinical relapse. The early synovial enhancement was not significan
tly changed. MRI revealed progressive erosive changes in 2 patients. T
he lime of relapse was correlated to a MR-erosion score, but not to ea
rly synovial enhancement or volumes of synovium or effusion (Spearman
tests). MRI-deternined synovial membrane volumes and early synovial en
hancement may be objective quantitative markers of inflammation. MR-sc
ores of cartilage and bone erosions are sensitive to progressive chang
es occurring within a month.