{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:07:05Z","timestamp":1788311225074,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to investigate the value and reliability of superb microvascular imaging (SMI) in detecting subclinical synovial inflammation in patients with inflammatory arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients with inflammatory arthritis who had achieved clinical remission were retrospectively analyzed and evaluated with SMI and power Doppler ultrasound (PDUS). Subclinical synovitis was graded by a semiquantitative score (0\u20133) for each imaging method. Imaging findings and synovitis scores were compared between the rheumatoid arthritis (RA) group and non\u2010RA group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty RA patients with 270 joints and 38 non\u2010RA patients with 112 joints were recruited. In all patients, the remission rates of SMI and PDUS were 73.7% and 79.7%, respectively. The remission rates by SMI were found lower and the sensitivity of SMI was higher than PDUS in both RA and non\u2010RA groups. Compared with PDUS, the number of joint count with synovial vascular flow signals was found to be significantly higher in SMI in each group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Moreover, semiquantitative ultrasound scores were found significantly higher with SMI in each joint (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SMI appears to be better than PDUS in detecting synovial signals in terms of joint number and vascularity scoring in monitoring disease activity in patients with inflammatory arthritis in clinical remission. Future research should focus on SMI and new ultrasound\u2010based activity scores to identify and achieve true remission.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23891","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T06:19:37Z","timestamp":1731392377000},"page":"469-476","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Superb Microvascular Imaging Is Better Than Power Doppler Ultrasound in Diagnosing Subclinical Synovitis in Patients With Inflammatory Arthritis in Remission"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6046-3486","authenticated-orcid":false,"given":"Esin","family":"Kurtulus Ozturk","sequence":"first","affiliation":[{"name":"Department of Radiology, Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8810-2869","authenticated-orcid":false,"given":"Ayse Bahar","family":"Kelesoglu Dincer","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5221-4831","authenticated-orcid":false,"given":"Saffet","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Radiology, Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"StatPearls","author":"Poudel P.","year":"2024"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547\u2010020\u201001141\u2010x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59091641"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2010.138461"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21972"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.40930"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","unstructured":"\u201cCriteria for Diagnosis of Behcet's Disease. International Study Group for Behcet's Disease.\u201dLancet 1990 335(8697) 1078\u20131080.","DOI":"10.1016\/0140-6736(90)92643-V"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis\u20102020\u2010219816"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.078451"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kev205"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis\u20102019\u2010216655"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40744\u2010018\u20100132\u20104"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22844"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kez231"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2021.112237"},{"issue":"1","key":"e_1_2_8_17_1","first-page":"6","article-title":"High Resolution Ultrasonography and Power Doppler in Evaluation of Disease Activity of Rheumatoid Arthritis Patients in Clinical Remission or Low Disease Activity","volume":"41","author":"Amin D. S.","year":"2020","journal-title":"Journal of Magnetic Resonance Imaging"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009742.2021.1876914"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X20915322"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e260"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.160193"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.161347"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/lupus\u20102016\u2010000184"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.926436"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010016\u20103326\u20106"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022185"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2017.05.004"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2017.1337288"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010018\u20104112\u20103"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10396\u2010019\u201000978\u20108"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10396\u2010021\u201001102\u20105"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2019.11.017"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims\u201021\u2010859"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.23068"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.23891","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T08:09:19Z","timestamp":1741939759000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.23891"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/jcu.23891"],"URL":"https:\/\/doi.org\/10.1002\/jcu.23891","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,11]]},"assertion":[{"value":"2024-09-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}