{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:44:58Z","timestamp":1771037098157,"version":"3.50.1"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiol Bras"],"abstract":"<jats:p>Abstract  Objective: To describe the prevalence of magnetic resonance imaging (MRI) findings in patients with the clinical diagnosis of polymyalgia rheumatica (PMR).  Materials and Methods: Sixteen consecutive patients with untreated PMR, meeting the American College of Rheumatology criteria, underwent MRI examinations of the shoulder(s), hip(s), or both, depending on clinical complaints. Six patients also underwent MRI of the spine.  Results: We evaluated 24 shoulders, among which we identified subacromial-subdeltoid bursitis in 21 (87.5%), glenohumeral joint effusion in 17 (70.8%), and fluid distention of the long head of the biceps tendon sheath in 15 (62.5%). Peritendinitis and capsular edema were observed in 21 (87.5%) and 17 (70.8%) shoulders, respectively. We also evaluated 17 hips, identifying hip joint effusion in 12 (70.6%), trochanteric bursitis in 11 (64.7%), peritendinitis in 17 (100%), and capsular edema in 14 (82.4%). All six of the patients who underwent MRI of the spine were found to have interspinous bursitis.  Conclusion: Subacromial-subdeltoid bursitis, glenohumeral joint effusion, and hip joint effusion are common findings in patients with PMR. In addition, such patients appear to be highly susceptible to peritendinitis and capsular edema. There is a need for case-control studies to validate our data and to determine the real impact that these findings have on the diagnosis of PMR by MRI.<\/jats:p>","DOI":"10.1590\/0100-3984.2021.0151","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T19:45:48Z","timestamp":1658864748000},"source":"Crossref","is-referenced-by-count":2,"title":["Magnetic resonance imaging findings in patients with polymyalgia rheumatica"],"prefix":"10.1590","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3164-9449","authenticated-orcid":false,"given":"Renata Vidal","family":"Le\u00e3o","sequence":"first","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6603-4340","authenticated-orcid":false,"given":"Ana Luisa Garcia","family":"Calich","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5766-5546","authenticated-orcid":false,"given":"Isidio","family":"Calich","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4747-5081","authenticated-orcid":false,"given":"Marcelo Bordalo","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5709-6029","authenticated-orcid":false,"given":"Paulo Victor Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5205-1609","authenticated-orcid":false,"given":"Denise Tokechi","family":"Amaral","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1815-916X","authenticated-orcid":false,"given":"Renata Fernandes Batista","family":"Pereira","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3155-9395","authenticated-orcid":false,"given":"Marcos Felippe de Paula","family":"Correa","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022,7,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1002\/art.34356","article-title":"2012 Provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism\/American College of Rheumatology collaborative initiative","volume":"64","author":"Dasgupta B","year":"2012","journal-title":"Arthritis Rheum"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.semarthrit.2017.04.001","article-title":"Contemporary prevalence estimates for giant cell arteritis and polymyalgia rheumatica, 2015","volume":"47","author":"Crowson CS","year":"2017","journal-title":"Semin Arthritis Rheum"},{"key":"ref3","first-page":"1694","article-title":"Trends in the incidence of polymyalgia rheumatica over a 30 year period in Olmsted County, Minnesota, USA","volume":"29","author":"Doran MF","year":"2002","journal-title":"J Rheumatol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1002\/art.30155","article-title":"The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases","volume":"63","author":"Crowson CS","year":"2011","journal-title":"Arthritis Rheum"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/01.rhu.0000231381.21179.e6","article-title":"Peripheral musculoskeletal manifestations in polymyalgia rheumatica","volume":"12","author":"Ceccato F","year":"2006","journal-title":"J Clin Rheumatol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1093\/rheumatology\/39.3.283","article-title":"The incidence and clinical characteristics of peripheral arthritis in polymyalgia rheumatica and temporal arteritis: a prospective study of 231 cases","volume":"39","author":"Gran JT","year":"2000","journal-title":"Rheumatology (Oxford)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"369","DOI":"10.3109\/s10165-007-0595-6","article-title":"Clinical characteristics of polymyalgia rheumatica in Japanese patients: evidence of synovitis and extracapsular inflammatory changes by fat suppression magnetic resonance imaging","volume":"17","author":"Mori S","year":"2007","journal-title":"Mod Rheumatol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1002\/1529-0131(200105)44:5<1155::AID-ANR198>3.0.CO;2-N","article-title":"Inflamed shoulder structures in polymyalgia rheumatica with normal erythrocyte sedimentation rate","volume":"44","author":"Cantini F","year":"2001","journal-title":"Arthritis Rheum"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"3496","DOI":"10.1002\/art.22942","article-title":"Evidence for a different anatomic basis for joint disease localization in polymyalgia rheumatica in comparison with rheumatoid arthritis","volume":"56","author":"Marzo-Ortega H","year":"2007","journal-title":"Arthritis Rheum"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"761","DOI":"10.3109\/14397595.2015.1008725","article-title":"MRI findings of the shoulder and hip joint in patients with polymyalgia rheumatica","volume":"25","author":"Ochi J","year":"2015","journal-title":"Mod Rheumatol"},{"key":"ref11","first-page":"1837","article-title":"Comparison of extracapsular changes by magnetic resonance imaging in patients with rheumatoid arthritis and polymyalgia rheumatica","volume":"28","author":"McGonagle D","year":"2001","journal-title":"J Rheumatol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s00296-007-0331-8","article-title":"Late onset undifferentiated spondyloarthritis presenting with polymyalgia rheumatica features: description of seven cases","volume":"27","author":"Olivieri I","year":"2007","journal-title":"Rheumatol Int"},{"key":"ref13","first-page":"120","article-title":"Fat suppression magnetic 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Arthritis Rheum"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"2188","DOI":"10.1136\/annrheumdis-2015-207395","article-title":"Whole-body MRI of patients with polymyalgia rheumatica identifies a distinct subset with complete patient-reported response to glucocorticoids","volume":"74","author":"Mackie SL","year":"2015","journal-title":"Ann Rheum Dis"},{"key":"ref21","first-page":"27","article-title":"The relationship between high-signal intensity changes in the glenohumeral joint capsule on MRI and clinical shoulder symptoms","volume":"22","author":"Tasaki A","year":"2020","journal-title":"Asia Pac J Sports Med Arthrosc Rehabil Technol"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1136\/ard.2007.084723","article-title":"Cervical interspinous bursitis in active polymyalgia rheumatica","volume":"67","author":"Salvarani C","year":"2008","journal-title":"Ann Rheum Dis"},{"key":"ref23","first-page":"526","article-title":"Lumbar interspinous bursitis in active polymyalgia rheumatica","volume":"31","author":"Salvarani C","year":"2013","journal-title":"Clin Exp Rheumatol"},{"key":"ref24","first-page":"A2300","article-title":"Low back pain and MRI-abnormalities: atypical polymyalgia rheumatica","volume":"155","author":"Wlazlo N","year":"2011","journal-title":"Ned Tijdschr Geneeskd"}],"container-title":["Radiologia Brasileira"],"original-title":["Achados de resson\u00e2ncia magn\u00e9tica em pacientes com polimialgia reum\u00e1tica"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0100-39842022005003204&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T19:46:09Z","timestamp":1658864769000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-39842022005003204&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,8]]},"references-count":24,"alternative-id":["S0100-39842022005003204"],"URL":"https:\/\/doi.org\/10.1590\/0100-3984.2021.0151","relation":{},"ISSN":["1678-7099"],"issn-type":[{"value":"1678-7099","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,8]]}}}