Why is Ultrasound Imaging Used Instead of X-Ray for Rheumatoid Arthritis?
Sufferers of rheumatoid arthritis can become quite accustomed to x-rays, as this has always been the best way for doctors to monitor joint degeneration. When a physician begins to see “discrete bony destruction” in its early stages, it is usually a precursor to a more severe case of rheumatoid arthritis. While the common x-ray machine has played a major role in evaluating this type of erosion, it is not always sensitive enough when the disease is in the early stages. In other words, a more significant amount of joint destruction would need to take place in order for the x-ray machine to catch it.
Much of the focus on treating rheumatoid arthritis has been on early detection and intervention, which has prompted medical professionals to look at other modalities of imaging. These have included MRI (Magnetic Resonance Imaging) and ultrasound. While MRI has proven to be sensitive enough for the detection of early rheumatoid arthritis, it can be very expensive. As a result, ultrasound machines are becoming a more attractive option. Not only is it much less expensive to use, it does not expose a patient to any radiation, and recent advancements in ultrasound machines have made it highly effective. Compared with standard x-ray imaging, ultrasound machines were found to be far superior in the detection of early bone erosion.
Looking at the results of a recent study of 100 rheumatoid arthritis sufferers, far more abnormalities were detected in more patients when ultrasound was used. In fact, upon further analysis it was found that bone erosions were 6.5 times more likely to be found using ultrasound machines than with x-ray films. Researchers familiar with these results have concluded that ultrasound is a much more reliable method than x-ray radiography at detecting bone erosion in patients with rheumatoid arthritis.






