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Local Rheumatoid Arthritis and Radiation Synovectomy

  • Chapter
Radiotherapy for Non-Malignant Disorders

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

The approach to treatment of rheumatoid arthritis is undergoing fundamental change, and the concept that early and aggressive suppression of inflammation and control of disease activity may slow the rate of disease progression is increasingly accepted [22]. Nonsteroidal anti-inflammatory and slow-acting antirheumatic drugs are indisputably the primary treatment modalities in rheumatoid arthritis (RA). However, persistent synovitis in one or a few joints despite general response to medical treatment is a frequent problem and requires specific attention. In rheumatoid synovitis, not all joints are equally affected or responsive to medical treatment, and the reasons for this are unclear. Factors such as anatomical complexity and weight bearing may explain why persistent synovitis is often present in the knee joint [53].

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  1. Division of Radiology and Nuclear Medicine, Limmattal Hospital, Urdorferstrasse 100, 8952, Schlieren, Switzerland

    Georg M. Kacl MD (Co-Chair)

  2. Department of Physical Medicine and Rehabilitation, University Hospital Munich, Marchioninistr. 15, 81377, Munich, Germany

    Gerold Stucki MD, MS (Professor Chair)

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Editors and Affiliations

  1. Department of Radiation Oncology and Therapeutic Radiology, Alfried-Krupp-Hospital, Alfried-Krupp-Strasse 21, Postfach 10 22 43, 45117, Essen, Germany

    Michael Heinrich Seegenschmiedt MD (Professor) (Professor)

  2. Strahlenklinik Klinikum Duisburg, Zu den Rehwiesen 9, 47055, Duisburg, Germany

    Hans-Bruno Makoski MD (Professor) (Professor)

  3. Department of Radiation Biology, St. Bartolomew’s Medical College, Charterhouse Square, London, EC1M 6BQ, UK

    Klaus-Rüdiger Trott MD (Professor) (Professor)

  4. Hylda Cohn/American Cancer Society, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

  5. College of Medicine, Drexel University, Broad & Vine Sts., Mail Stop 200, Philadelphia, PA, 19102-1192, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

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Kacl, G.M., Stucki, G. (2008). Local Rheumatoid Arthritis and Radiation Synovectomy. In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_32

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