Evaluation of Minimally Invasive, Ultrasound-guided Synovial Biopsy Techniques by the OMERACT Filter-determining Validation Requirements

Humby, Frances; Kelly, Stephen; Bugatti, Serena; Manzo, Antonio; Filer, Andrew; Mahto, Arti; Fonseca, Joao Eurico; Lauwerys, Bernard; D'Agostino, Maria-Antonietta; Naredo, Esperanza; Lories, Rik; Montecucco, Carlomaurizio; Tak, Paul Peter; Fitzgerald, Oliver; Smith, Malcolm D; Veale, Douglas J; Choy, Ernest H; Strand, Vibeke; Pitzalis, Costantino

doi:10.3899/jrheum.141199

Evaluation of Minimally Invasive, Ultrasound-guided Synovial Biopsy Techniques by the OMERACT Filter-determining Validation Requirements

Author:

Humby, Frances

Kelly, Stephen ; Bugatti, Serena ; Manzo, Antonio ; Filer, Andrew ; Mahto, Arti ; Fonseca, Joao Eurico ; Lauwerys, Bernard ; D'Agostino, Maria-Antonietta ; Naredo, Esperanza ; Lories, Rik ; Montecucco, Carlomaurizio ; Tak, Paul Peter ; Fitzgerald, Oliver ; Smith, Malcolm D ; Veale, Douglas J ; Choy, Ernest H ; Strand, Vibeke ; Pitzalis, Costantino

Keywords:

Science & Technology, Life Sciences & Biomedicine, Rheumatology, SYNOVITIS, BIOPSY, RHEUMATOID ARTHRITIS, ULTRASOUND, RHEUMATOID-ARTHRITIS PATIENTS, SMALL JOINTS, THERAPEUTIC RESPONSE, TISSUE-ANALYSIS, BLOOD-CELLS, KNEE, ARTHROSCOPY, MACROPHAGES, INFLIXIMAB, EXPRESSION, Antirheumatic Agents, Arthritis, Rheumatoid, Female, Humans, Image-Guided Biopsy, Male, Minimally Invasive Surgical Procedures, Patient Safety, Practice Guidelines as Topic, Severity of Illness Index, Synovial Membrane, Synovitis, Treatment Outcome, Ultrasonography, Doppler, 1103 Clinical Sciences, 1107 Immunology, 1117 Public Health and Health Services, Arthritis & Rheumatology, 3202 Clinical sciences, 3204 Immunology

Abstract:

Because limited data currently support the clinical utility of peripherally expressed biomarkers in guiding treatment decisions for patients with rheumatoid arthritis, the search has turned to the disease tissue. The strategic aim of the Outcome Measures in Rheumatology (OMERACT) synovitis working group over the years has been to develop novel diagnostic and prognostic synovial biomarkers. A critical step in this process is to refine and validate minimally invasive, technically simple, robust techniques to sample synovial tissue, for use both in clinical trials and routine clinical practice. The objective of the synovitis working group (SWG) at OMERACT 12 (2014) was to examine whether recently developed ultrasound (US)-guided synovial biopsy techniques could be validated according to the OMERACT filter for future clinical use recommendation.