Imaging modality | Characteristics that help to establish a diagnosis of RS3PE | Comments |
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.