PMID- 24670135 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20161125 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 24 IP - 6 DP - 2014 Nov TI - Weighting with the Lansbury articular index improves the correlation of ultrasound score with serum matrix metalloproteinase-3 level in rheumatoid arthritis patients. PG - 915-9 LID - 10.3109/14397595.2014.888794 [doi] AB - OBJECTIVE: To determine whether weighting improves the correlation of ultrasound (US) score with serum matrix metalloproteinase-3 (MMP-3) level in rheumatoid arthritis (RA). METHODS: As ultrasound examination was performed on 100 RA patients, and the severity of synovial effusion and synovial hypertrophy and the blood flow were semi-quantitatively graded from 0 to 3 by using the gray-scale (GS) and power Doppler (PD) modes. We then calculated the sums of the scores of the 28 joints of each patient in the 2 modes, that is, the GS28 and PD28 scores, as well as the respective scores weighted using the Lansbury articular index (LAI, shoulder and elbow, x 12; wrist, x 8; and knee, x 24)-Lans GS28 and Lans PD28 scores. RESULT: The Lans PD28 score showed a higher correlation with MMP-3 (r = 0.591; 95% confidence interval, 0.446-0.705, p < 0.0001) than the existing measures. The scores of the large joints-the knee, shoulder, and elbow-correlated well with the serum MMP-3 level. CONCLUSION: Weighting with the LAI can improve the correlation of US findings with serum MMP-3 level. Bidirectional approach based on both serum MMP-3 level and US scores can further improve the assessment of disease activity in RA patients. FAU - Gorai, Misa AU - Gorai M AD - Department of Internal Medicine and Rheumatology, Juntendo University Faculty of Medicine , Tokyo , Japan. FAU - Ogasawara, Michihiro AU - Ogasawara M FAU - Matsuki, Yuko AU - Matsuki Y FAU - Yamada, Yusuke AU - Yamada Y FAU - Murayama, Go AU - Murayama G FAU - Sugisaki, Nagachika AU - Sugisaki N FAU - Nemoto, Takuya AU - Nemoto T FAU - Ando, Seiichiro AU - Ando S FAU - Minowa, Kentaro AU - Minowa K FAU - Kon, Takayuki AU - Kon T FAU - Tada, Kurisu AU - Tada K FAU - Matsushita, Masakazu AU - Matsushita M FAU - Yamaji, Ken AU - Yamaji K FAU - Tamura, Naoto AU - Tamura N FAU - Takasaki, Yoshinari AU - Takasaki Y LA - eng PT - Journal Article DEP - 20140326 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Biomarkers) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Arthritis, Rheumatoid/*blood/*diagnostic imaging MH - Biomarkers/blood MH - Female MH - Humans MH - Joints/*diagnostic imaging MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Severity of Illness Index MH - Synovial Membrane/*diagnostic imaging MH - Ultrasonography MH - Young Adult OTO - NOTNLM OT - Lansbury articular index OT - Matrix metalloproteinase-3 OT - Rheumatoid arthritis OT - Ultrasound EDAT- 2014/03/29 06:00 MHDA- 2015/06/26 06:00 CRDT- 2014/03/28 06:00 PHST- 2014/03/28 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] AID - 10.3109/14397595.2014.888794 [doi] PST - ppublish SO - Mod Rheumatol. 2014 Nov;24(6):915-9. doi: 10.3109/14397595.2014.888794. Epub 2014 Mar 26.