To observe the relationship between the activity of rheumatoid arthritis and popliteal/epitrochlear lymph node morphology and the drainage of hand/foot superficial lymphatic vessels
Rheumatoid Arthritis patients and health participants will be recruited in our research. Then the classification of American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2009 will be used to identify rheumatoid arthritis patients. The measurement of disease activity are Disease Activity Score 28 (DAS28) combined with the synovitis, bone edema and bone erosion of hand and wrist detected by magnetic resonance (MR) and Doppler ultrasound (DUS).The morphology of lymph node in popliteal/epitrochlear are scanned by 3-dimensional MR and DUS. The drainage of hand/foot superficial lymphatic vessels are detected in sight of near infrared ray (NIR) with the applying of Indocyanine Green (ICG) subcutaneously. We'll conduct correlation analysis to reveal the relationship between the activity of Rheumatoid Arthritis and lymph nodes morphology and lymphatic vessels drainage.
Study Type
OBSERVATIONAL
Enrollment
21
ICG will be injected into the dorsal of hand/foot
Longhua Hospital, Shanghai University of TCM
Shanghai, Shanghai Municipality, China
RECRUITINGLonghua Hospital, Shanghai University of TCM
Shanghai, China
RECRUITINGT-initial
the time that it takes for the ICG to be detected in vessels
Time frame: after the injection of ICG from the first day to the fourth day after
S-max
the maximum ICG signal intensity observed in the target lymph node during the first day imaging session
Time frame: after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after
T-max
the time it takes for a nodes in cubital fossa or popliteal space to achieve maximal ICG signal intensity
Time frame: after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after
%Clearance
an assessment of ICG wash out through the lymphatics and is quantified as the percent difference of ICG signal intensity between the two ICG-NIR images from a certain region at a) S-max (first day) and b) 24 hours post ICG injection,
Time frame: after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after
Pulse
ICG pulses that pass the a certain region within 400 seconds.
Time frame: after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after
lymphatic node size
Time frame: the second day after enrollment
lymphatic node shape
Time frame: the second day after enrollment
lymphatic node transverse/longitudinal diameter ratio
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Time frame: the second day after enrollment
lymphatic node types of edges
Time frame: the second day after enrollment
lymphatic node thickness of cortex/medulla
Time frame: the second day after enrollment
lymphatic node homogeneity
Time frame: the second day after enrollment
lymphatic node hilum
Time frame: the second day after enrollment
lymphatic node blood flow signal
Time frame: the second day after enrollment