Polymyalgia rheumatica MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2], Ahmed Elsaiey, MBBCH [3]

Overview

MRI is used for the assessment of bursitis, synovitis, and tenosynovitis among patients with polymyalgia rheumatica (PMR). MRI is more sensitive than ultrasonography for the evaluation of iliopsoas bursitis and hip synovitis. A study has demonstrated that MRI of the shoulders facilitates the proper diagnosis in patients with the typical proximal symptoms of PMR with normal ESR values.

MRI

MRI is more sensitive than ultrasonography for the evaluation of the following cases associated with PMR:^[1]^[2]
- Iliopsoas bursitis
- Hip synovitis
- Bursitis
- Tenosynovitis

References

↑ Cantini F, Niccoli L, Nannini C; et al. (2005). “Inflammatory changes of hip synovial structures in polymyalgia rheumatica”. Clin. Exp. Rheumatol. 23 (4): 462–8. PMID 16095113.
↑ Cantini F, Salvarani C, Olivieri I, Niccoli L, Macchioni P, Boiardi L; et al. (2001). “Inflamed shoulder structures in polymyalgia rheumatica with normal erythrocyte sedimentation rate”. Arthritis Rheum. 44 (5): 1155–9. doi:10.1002/1529-0131(200105)44:5<1155::AID-ANR198>3.0.CO;2-N. PMID 11352249.

[pmid16095113-1] Cantini F, Niccoli L, Nannini C; et al. (2005). “Inflammatory changes of hip synovial structures in polymyalgia rheumatica”. Clin. Exp. Rheumatol. 23 (4): 462–8. PMID 16095113.

[pmid11352249-2] Cantini F, Salvarani C, Olivieri I, Niccoli L, Macchioni P, Boiardi L; et al. (2001). “Inflamed shoulder structures in polymyalgia rheumatica with normal erythrocyte sedimentation rate”. Arthritis Rheum. 44 (5): 1155–9. doi:10.1002/1529-0131(200105)44:5<1155::AID-ANR198>3.0.CO;2-N. PMID 11352249.

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