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Kun L, Gessl I, Filippou G, Ferrito M, Giacomelli R, Mandl P. Ultrasound in rheumatic and musculoskeletal diseases: From musculoskeletal to organ involvement. Joint Bone Spine 2025; 92:105920. [PMID: 40324716 DOI: 10.1016/j.jbspin.2025.105920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2025] [Revised: 04/28/2025] [Accepted: 04/29/2025] [Indexed: 05/07/2025]
Abstract
In last two decades, the use of ultrasound has assumed an increasingly important role in the assessment of almost all rheumatic and musculoskeletal diseases. Over the years, much advancement has been made in the sonographic evaluation of articular and periarticular structures, validating definitions of normal sonographic appearance of various types of tissues and structures as well as elementary sonographic lesions and scoring systems to apply in the detection and monitoring of inflammatory and structural lesions. Since extra-articular involvement is very common in rheumatic and musculoskeletal diseases, there is growing interest and evidence on how ultrasound can be applied to the examination of different tissues and organs beyond synovial joints. In this narrative review, we will provide an overview of the available data on the use of ultrasound in the musculoskeletal system (joint, tendon, enthesis, muscle) and extra-articular organs (cardiovascular system, salivary and lacrimal gland, lung, skin and nails), including elementary lesions, scoring systems and their relevance to diagnosis, monitoring, prediction and assessing treatment efficacy in rheumatic and musculoskeletal diseases.
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Affiliation(s)
- Lyubomyra Kun
- Rheumatology and Clinical Immunology, Department of Medicine, School of Medicine, University of Rome "Campus Bio-medico", Via Álvaro del Portillo 21, 00128 Rome, Italy
| | - Irina Gessl
- Division of Rheumatology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
| | - Georgios Filippou
- Rheumatology Department, IRCCS Ospedale Galeazzi - Sant'Ambrogio, Via Cristina Belgioioso 173, 20157 Milano, Italy; Department of Biomedical and Clinical Sciences, University of Milan, Via Giovanni Battista Grassi 74, 20157 Milano, Italy
| | - Matteo Ferrito
- Department of Clinical Science and Community Health, University of Milan, Via della Commenda 19, 20122 Milano, Italy; Department of Rheumatology and Medical Sciences, ASST Gaetano Pini-CTO, Via Gaetano Pini 9, 20122 Milano, Italy
| | - Roberto Giacomelli
- Rheumatology and Clinical Immunology, Department of Medicine, School of Medicine, University of Rome "Campus Bio-medico", Via Álvaro del Portillo 21, 00128 Rome, Italy; Clinical and Research Section of Rheumatology and Clinical Immunology, Fondazione Policlinico Campus Bio-medico, Via Álvaro del Portillo 200, 00128 Rome, Italy
| | - Peter Mandl
- Division of Rheumatology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
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