Table 1

Imaging modalities in RS3PE

Imaging modalityCharacteristics that help to establish a diagnosis of RS3PEComments
X-ray Erosions are classically absent.Most commonly used. Easily available. Cost-effective.
Ultrasonography Tenosynovitis.*Easily available and cost-effective.
Contrast-enhanced color Doppler ultrasound Hypervascularity in tendons and joints. Useful for inflammatory edema, synovitis and effusion.*Reliable, easily accessible, cost-effective.
MRI Best method for detection of small amounts of effusion.Availability and costs may limit its use.
  • *Extensor>flexor.

  • RS3PE, remitting seronegative symmetrical synovitis with pitting edema.