{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T02:02:43Z","timestamp":1793930563141,"version":"4.8.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Synovitis is the underlying pathology in various arthritis, and sometimes, it is difficult to differentiate various arthritis clinically or even by imaging. The purpose of our study was to use shear wave elastography (SWE) to evaluate rheumatoid arthritis (RA) and tubercular (TB) arthritis and to differentiate them using synovial stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The prospective study was performed on Supersonic Imagine Aixplorer Ultrasound (USG) machine using a linear array probe SL10-2 (2\u201310 MHz). A total of 29 participants, 15 of RA (ACR\/EULAR criteria) and 14 of proven TB arthritis were included. Region of interest of 1 mm was applied on the hypertrophied synovium and quantitative SWE data in form of elasticity (kPa) and velocity (m\/s) were measured. Discrete categorical data were presented as n (%). Mean values were recorded along with standard deviation and the range of values. To find a maximal cutoff value of elasticity and velocity - receiver operating characteristic curve were plotted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean elasticity and velocity values were 54.81 \u00b1 10.6 kPa and 4.2 m\/s \u00b1 0.42 for RA and 37 \u00b1 10 kPa and 3.4 \u00b1 0.47 m\/s for TB group. Significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) was seen in elastic modulus values between rheumatoid and TB group with cutoff of 43.6 kPa to differentiate the two groups (sensitivity \u2013 86.7% and specificity \u2013 80%). Similar significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) results were seen with velocity values, with cutoff of 3.76 m\/s (sensitivity \u2013 86.7% and specificity \u2013 80%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SWE shows the potential to be a useful adjunct to gray scale and color Doppler USG in differentiating various arthritis on the basis of elastic properties of the synovium. Elastic modulus and velocity are useful SWE quantitative parameters for synovial evaluation and can differentiate RA and TB arthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmu.jmu_80_21","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:06:52Z","timestamp":1648080412000},"page":"30-35","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Role of Shear Wave Elastography of Synovium to Differentiate Rheumatoid and Tubercular Arthritis"],"prefix":"10.4103","volume":"30","author":[{"given":"Karamvir","family":"Chandel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Prakash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anindita","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aman","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendra K.","family":"Chouhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manavjit Singh","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240830","doi-asserted-by":"crossref","first-page":"176","DOI":"10.4103\/0971-3026.54873","article-title":"Imaging features of extraaxial musculoskeletal tuberculosis","volume":"19","author":"De Backer","year":"2009","journal-title":"Indian J Radiol Imaging"},{"key":"R2-7-20240830","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.3390\/microorganisms8091312","article-title":"Diagnosis of osteoarticular tuberculosis: Perceptions, protocols, practices, and priorities in the endemic and non-endemic areas of the world \u2013 A WAIOT view","volume":"8","author":"Agashe","year":"2020","journal-title":"Microorganisms"},{"key":"R3-7-20240830","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/S0140-6736(10)60826-4","article-title":"Rheumatoid arthritis","volume":"376","author":"Scott","year":"2010","journal-title":"Lancet"},{"key":"R4-7-20240830","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.2214\/AJR.08.2164","article-title":"Rheumatoid arthritis and tuberculous arthritis: Differentiating MRI features","volume":"193","author":"Choi","year":"2009","journal-title":"AJR Am J Roentgenol"},{"key":"R5-7-20240830","first-page":"399","article-title":"Tuberculous arthritis. 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