{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:19:46Z","timestamp":1789841986286,"version":"4.0.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2020,4]]},"DOI":"10.1007\/s10067-020-04960-5","type":"journal-article","created":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T19:02:36Z","timestamp":1580583756000},"page":"1091-1099","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Experience of musculoskeletal ultrasound scanning improves physicians\u2019 physical examination skills in assessment of synovitis"],"prefix":"10.1007","volume":"39","author":[{"given":"Aiko","family":"Saku","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Furuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manami","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Furuya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazumasa","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Fukuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichi","family":"Suehiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohei","family":"Makita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Tamachi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Takatori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Maezawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Suto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotaro","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Hirose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,1]]},"reference":[{"key":"4960_CR1","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1136\/annrheumdis-2016-210715","volume":"76","author":"JS Smolen","year":"2017","unstructured":"Smolen JS, Landew\u00e9 R, Bijlsma J, Burmester G, Chatzidionysiou K, Dougados M et al (2017) EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis 76:960\u2013977","journal-title":"Ann Rheum Dis"},{"key":"4960_CR2","doi-asserted-by":"publisher","first-page":"890","DOI":"10.1002\/art.37848","volume":"65","author":"D Nakagomi","year":"2013","unstructured":"Nakagomi D, Ikeda K, Okubo A, Iwamoto T, Sanayama Y, Takahashi K et al (2013) Ultrasound can improve the accuracy of the 2010 American College of Rheumatology\/European League against rheumatism classification criteria for rheumatoid arthritis to predict the requirement for methotrexate treatment. Arthritis Rheum 65:890\u2013898","journal-title":"Arthritis Rheum"},{"key":"4960_CR3","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1136\/annrheumdis-2017-212830","volume":"77","author":"N Paulshus Sundlis\u00e6ter","year":"2018","unstructured":"Paulshus Sundlis\u00e6ter N, Aga AB, Olsen IC, Hammer HB, Uhlig T, van der Heijde D et al (2018) Clinical and ultrasound remission after 6 months of treat-to-target therapy in early rheumatoid arthritis: associations to future good radiographic and physical outcomes. Ann Rheum Dis 77:1421\u20131425","journal-title":"Ann Rheum Dis"},{"key":"4960_CR4","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3109\/s10165-012-0628-7","volume":"23","author":"SY Kawashiri","year":"2013","unstructured":"Kawashiri SY, Suzuki T, Okada A, Yamasaki S, Tamai M, Nakamura H, Origuchi T, Mizokami A, Uetani M, Aoyagi K, Eguchi K, Kawakami A (2013) Musculoskeletal ultrasonography assists the diagnostic performance of the 2010 classification criteria for rheumatoid arthritis. Mod Rheumatol 23:36\u201343","journal-title":"Mod Rheumatol"},{"key":"4960_CR5","doi-asserted-by":"publisher","first-page":"1967","DOI":"10.3899\/jrheum.130556","volume":"40","author":"K Ikeda","year":"2013","unstructured":"Ikeda K, Nakagomi D, Sanayama Y, Yamagata M, Okubo A, Iwamoto T et al (2013) Correlation of radiographic progression with the cumulative activity of synovitis estimated by power Doppler ultrasound in rheumatoid arthritis: difference between patients treated with methotrexate and those treated with biological agents. J Rheumatol 40:1967\u20131976","journal-title":"J Rheumatol"},{"key":"4960_CR6","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1136\/ard.2004.023929","volume":"64","author":"E Naredo","year":"2005","unstructured":"Naredo E, Bonilla G, Gamero F, Uson J, Carmona L, Laffon A (2005) Assessment of inflammatory activity in rheumatoid arthritis: a comparative study of clinical evaluation with grey scale and power Doppler ultrasonography. Ann Rheum Dis 64:375\u2013381","journal-title":"Ann Rheum Dis"},{"key":"4960_CR7","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1002\/acr.22303","volume":"66","author":"T Iwamoto","year":"2014","unstructured":"Iwamoto T, Ikeda K, Hosokawa J, Yamagata M, Tanaka S, Norimoto A, Sanayama Y, Nakagomi D, Takahashi K, Hirose K, Sugiyama T, Sueishi M, Nakajima H (2014) Prediction of relapse after discontinuation of biologic agents by ultrasonographic assessment in patients with rheumatoid arthritis in clinical remission: high predictive values of total gray-scale and power Doppler scores that represent residual synovial inflammation before discontinuation. Arthritis Care Res 66:1576\u20131581","journal-title":"Arthritis Care Res"},{"key":"4960_CR8","doi-asserted-by":"publisher","first-page":"2248","DOI":"10.1002\/art.23682","volume":"58","author":"E Naredo","year":"2008","unstructured":"Naredo E, Moller I, Cruz A, Carmona L, Garrido J (2008) Power Doppler ultrasonographic monitoring of response to anti\u2013tumor necrosis factor therapy in patients with rheumatoid arthritis. Arthritis Rheum 58:2248\u20132256","journal-title":"Arthritis Rheum"},{"key":"4960_CR9","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1111\/1756-185X.12402","volume":"19","author":"SK Joplin","year":"2016","unstructured":"Joplin SK, van der Zwan R, Bagga H, Joshua F, Wong PK (2016) Pilot study assessing the novel use of musculoskeletal ultrasound in patients with rheumatoid arthritis to improve patient attitudes and adherence to medication. Int J Rheum Dis 19:658\u2013664","journal-title":"Int J Rheum Dis"},{"key":"4960_CR10","doi-asserted-by":"publisher","first-page":"150658","DOI":"10.1155\/2015\/150658","volume":"2015","author":"S Joplin","year":"2015","unstructured":"Joplin S, van der Zwan R, Joshua F, Wong PK (2015) Medication adherence in patients with rheumatoid arthritis: the effect of patient education, health literacy, and musculoskeletal ultrasound. Biomed Res Int 2015:150658","journal-title":"Biomed Res Int"},{"key":"4960_CR11","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1093\/rheumatology\/keu447","volume":"54","author":"PP Cheung","year":"2015","unstructured":"Cheung PP, Lahiri M, Teng GG, Lim AY, Lau TC, Lateef A et al (2015) A randomized controlled trial for improving patient self-assessment of synovitis in rheumatoid arthritis with education by ultrasonography: the RAEUS Study. Rheumatology (Oxford) 54:1161\u20131169","journal-title":"Rheumatology (Oxford)"},{"key":"4960_CR12","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.3899\/jrheum.111433","volume":"39","author":"M Ogasawara","year":"2012","unstructured":"Ogasawara M, Murayama G, Yamada Y, Nemoto T, Kageyama M, Toyama S, Kusaoi M, Onuma S, Kon T, Sekiya F, Sugimoto K, Matsudaira R, Matsushita M, Tada K, Kempe K, Yamaji K, Tamura N, Takasaki Y (2012) Autofeedback from ultrasound images provides rapid improvement in palpation skills for identifying joint swelling in rheumatoid arthritis. J Rheumatol 39:1207\u20131214","journal-title":"J Rheumatol"},{"key":"4960_CR13","first-page":"506","volume":"31","author":"G Murayama","year":"2013","unstructured":"Murayama G, Ogasawara M, Nemoto T, Yamada Y, Ando S, Minowa K, Kon T, Tada K, Matsushita M, Yamaji K, Tamura N, Takasaki Y (2013) Clinical miscount of involved joints denotes the need for ultrasound complementation in usual practice for patients with rheumatoid arthritis. Clin Exp Rheumatol 31:506\u2013514","journal-title":"Clin Exp Rheumatol"},{"key":"4960_CR14","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1186\/s12891-017-1747-2","volume":"18","author":"C Sifuentes-Cant\u00fa","year":"2017","unstructured":"Sifuentes-Cant\u00fa C, Contreras-Y\u00e1\u00f1ez I, Saldarriaga L, Lozada AC, Guti\u00e9rrez M, Pascual-Ramos V (2017) The added value of musculoskeletal ultrasound to clinical evaluation in the treatment decision of rheumatoid arthritis outpatients: physician experience matters. BMC Musculoskelet Disord 18:390","journal-title":"BMC Musculoskelet Disord"},{"key":"4960_CR15","doi-asserted-by":"publisher","first-page":"2569","DOI":"10.1002\/art.27584","volume":"62","author":"D Aletaha","year":"2010","unstructured":"Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd et al (2010) 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology\/European League against rheumatism collaborative initiative. Arthritis Rheum 62:2569\u20132581","journal-title":"Arthritis Rheum"},{"key":"4960_CR16","doi-asserted-by":"publisher","first-page":"e000428","DOI":"10.1136\/rmdopen-2016-000428","volume":"3","author":"MA D'Agostino","year":"2017","unstructured":"D'Agostino MA, Terslev L, Aegerter P, Backhaus M, Balint P, Bruyn GA et al (2017) Scoring ultrasound synovitis in rheumatoid arthritis: a EULAR-OMERACT ultrasound taskforce-part 1: definition and development of a standardised, consensus-based scoring system. RMD Open 3:e000428","journal-title":"RMD Open"},{"key":"4960_CR17","doi-asserted-by":"publisher","first-page":"e000427","DOI":"10.1136\/rmdopen-2016-000427","volume":"3","author":"L Terslev","year":"2017","unstructured":"Terslev L, Naredo E, Aegerter P, Wakefield RJ, Backhaus M, Balint P et al (2017) Scoring ultrasound synovitis in rheumatoid arthritis: a EULAR-OMERACT ultrasound taskforce-part 2: reliability and application to multiple joints of a standardised consensus-based scoring system. RMD Open 3:e000427","journal-title":"RMD Open"},{"key":"4960_CR18","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1136\/annrheumdis-2015-208103","volume":"75","author":"I Padovano","year":"2016","unstructured":"Padovano I, Costantino F, Breban M, D\u2019Agostino MA (2016) Prevalence of ultrasound synovial inflammatory findings in healthy subjects. Ann Rheum Dis 75:1819\u20131823","journal-title":"Ann Rheum Dis"},{"key":"4960_CR19","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1002\/art.37954","volume":"65","author":"M Witt","year":"2013","unstructured":"Witt M, Mueller F, Nigg A, Reindl C, Leipe J, Proft F, Stein N, Hammitzsch A, Mayer S, Dechant C, Schulze-Koops H, Grunke M (2013) Relevance of grade 1 gray-scale ultrasound findings in wrists and small joints to the assessment of subclinical synovitis in rheumatoid arthritis. Arthritis Rheum 65:1694\u20131701","journal-title":"Arthritis Rheum"},{"key":"4960_CR20","first-page":"730","volume":"10","author":"R Woods","year":"2018","unstructured":"Woods R, Wisniewski SJ, Lueders DR, Pittelkow TP, Larson DR, Finnoff JT (2018) Can ultrasound be used to improve the palpation skills of physicians in training? A Prospective Study PM R 10:730\u2013737","journal-title":"A Prospective Study PM R"},{"key":"4960_CR21","doi-asserted-by":"publisher","first-page":"294","DOI":"10.11152\/mu.2013.2066.183.ruz","volume":"18","author":"A Ruiz-Curiel","year":"2016","unstructured":"Ruiz-Curiel A, D\u00edaz-Barreda MD, Gonz\u00e1lez-Rodr\u00edguez M, Mart\u00edn-Delgado T, Medrano-Anto\u00f1azas A, Mu\u00f1oz-Gonz\u00e1lez R, Perales-Torres S, S\u00e1nchez-Montero J, Janta I, Nieto JC, Collado-Yurrita L, L\u00f3pez-Longo FJ, Naredo E (2016) Musculoskeletal ultrasound: an effective tool to help medical students improve joint inflammation detection? Med Ultrason 18:294\u2013298","journal-title":"Med Ultrason"},{"key":"4960_CR22","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/1472-6920-12-99","volume":"12","author":"M Swamy","year":"2012","unstructured":"Swamy M, Searle RF (2012) Anatomy teaching with portable ultrasound to medical students. BMC Med Educ 12:99","journal-title":"BMC Med Educ"},{"key":"4960_CR23","doi-asserted-by":"publisher","first-page":"734","DOI":"10.5811\/westjem.2016.8.31387","volume":"17","author":"JS Rempell","year":"2016","unstructured":"Rempell JS, Saldana F, DiSalvo D, Kumar N, Stone MB, Chan W, Luz J, Noble VE, Liteplo A, Kimberly H, Kohler MJ (2016) Pilot point-of-care ultrasound curriculum at Harvard Medical School: early experience. West J Emerg Med 17:734\u2013740","journal-title":"West J Emerg Med"},{"key":"4960_CR24","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s12891-017-1406-7","volume":"18","author":"EM Bauer","year":"2017","unstructured":"Bauer EM, Ben-Artzi A, Duffy EL, Elashoff DA, Vangala SS, Fitzgerald J et al (2017) Joint-specific assessment of swelling and power Doppler in obese rheumatoid arthritis patients. BMC Musculoskelet Disord 18:99","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"4960_CR25","first-page":"49","volume":"37","author":"J Goossens","year":"2018","unstructured":"Goossens J, Coustet B, Palazzo E, Dieud\u00e9 P, Ottaviani S (2018) Overweight and obesity affect clinical assessment of synovitis in rheumatoid arthritis: comparison of ultrasonography and clinical exam. Clin Exp Rheumatol 37(1):49\u201354","journal-title":"Clin Exp Rheumatol"},{"key":"4960_CR26","doi-asserted-by":"publisher","first-page":"1743","DOI":"10.1136\/annrheumdis-2017-211569","volume":"76","author":"MD George","year":"2017","unstructured":"George MD, \u00d8stergaard M, Conaghan PG, Emery P, Baker DG, Baker JF (2017) Obesity and rates of clinical remission and low MRI inflammation in rheumatoid arthritis. Ann Rheum Dis 76:1743\u20131746","journal-title":"Ann Rheum Dis"},{"key":"4960_CR27","doi-asserted-by":"publisher","first-page":"2261","DOI":"10.3899\/jrheum.150224","volume":"42","author":"C Vidal","year":"2015","unstructured":"Vidal C, Barnetche T, Morel J, Combe B, Da\u00efen C (2015) Association of body mass index categories with disease activity and radiographic joint damage in rheumatoid arthritis: a systematic review and metaanalysis. J Rheumatol 42:2261\u20132269","journal-title":"J Rheumatol"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-020-04960-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10067-020-04960-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-020-04960-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,31]],"date-time":"2021-01-31T00:21:50Z","timestamp":1612052510000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10067-020-04960-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["4960"],"URL":"https:\/\/doi.org\/10.1007\/s10067-020-04960-5","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,1]]},"assertion":[{"value":"10 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2019","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 January 2020","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2020","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"This study was approved by the ethics committee of Chiba University School of Medicine (reference number: 2214). All procedures in this study were in accordance with the 1964 Helsinki declaration and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all patients and physicians who participated in this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}