Imaging techniques for assessing the hand in systemic sclerosis: a systematic review.
Mark Greveling, Veerle Koerselman, Simon Mastbergen et al.
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In 30 seconds
This systematic review evaluated imaging techniques for assessing hand involvement in systemic sclerosis (SSc) across 61 studies. It identified 25 distinct imaging methods, with vascular imaging being the most studied, particularly regarding Raynaud's phenomenon. MRI effectively detected subclinical inflammatory changes, while CT and optical methods showed potential for assessing calcinosis and skin fibrosis.
Key findings
- Twenty-five distinct imaging techniques were identified for assessing hand structures in SSc.
- Vascular imaging was most extensively studied, particularly for Raynaud's phenomenon.
- MRI consistently detected subclinical inflammatory and erosive changes in joints and soft tissues.
- CT techniques provided detailed assessments of calcinosis cutis.
Why it matters
Understanding the various imaging techniques available for SSc can enhance diagnosis and monitoring of hand involvement, which is crucial for managing functional impairment in patients. Improved imaging may lead to better treatment evaluations and outcomes.
What to keep in mind
Limited standardization and lack of longitudinal validation restrict clinical implementation of the imaging techniques.