the Relationship Between the Activity of Rheumatoid Arthritis（RA） and Popliteal/Epitrochlear Lymph Node Morphology and the Drainage of Hand/Foot Superficial Lymphatic Vessels
Overview
- Phase
- Not Applicable
- Intervention
- indocyanine green(ICG)
- Conditions
- Rheumatoid Arthritis
- Sponsor
- Shanghai University of Traditional Chinese Medicine
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- T-initial
- Last Updated
- 9 years ago
Overview
Brief Summary
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
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients fulfilling the classification criteria of American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2009 (scores more than 6 points)
- •Health participants normal in the test of blood/urine/stool routine, liver and kidney functions, electrocardiogram and without obvious medical history
- •Age 18 to 65 years
- •Fulling understood the whole trial and written informed consent.
Exclusion Criteria
- •Participants will be excluded when they combined with:
- •other types of autoimmune diseases such as ankylosing spondylitis, systemic lupus erythematosus, scleroderma, etc.,
- •lymphatic system disorders, such as lymphoma, lymphangitis and lymphatic edema due to lymphatic flow disorders,
- •disorders that effect the circulation of lymph or blood vessels such as hemangiomas,
- •tumors or cancer,
- •operation history within a year, such as joint orthopedics, tumor resection, etc.,
- •allergies or allergic to iodine, or radioactive iodine treatment within the last year,
- •with metal objects inside, such as pacemakers or nails,
- •the skin for the ultrasound inspection not intact such as eczema,ulceration, etc.,
- •lactation or pregnancy women or preparation to be pregnant within the next half year,
Arms & Interventions
the patients group
0.1ml, 5mg/ml indocyanine green(ICG) will be injected subcutaneously to aid visualization in NIR
Intervention: indocyanine green(ICG)
the health group
0.1ml, 5mg/ml indocyanine green(ICG) will be injected subcutaneously to aid visualization in NIR
Intervention: indocyanine green(ICG)
Outcomes
Primary Outcomes
T-initial
Time Frame: after the injection of ICG from the first day to the fourth day after
the time that it takes for the ICG to be detected in vessels
Secondary Outcomes
- lymphatic node transverse/longitudinal diameter ratio(the second day after enrollment)
- T-max(after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after)
- S-max(after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after)
- %Clearance(after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after)
- Pulse(after the injection of ICG, 1day after, 2 days after, 3 days after and 4days after)
- lymphatic node size(the second day after enrollment)
- lymphatic node shape(the second day after enrollment)
- lymphatic node types of edges(the second day after enrollment)
- lymphatic node thickness of cortex/medulla(the second day after enrollment)
- lymphatic node homogeneity(the second day after enrollment)
- lymphatic node hilum(the second day after enrollment)
- lymphatic node blood flow signal(the second day after enrollment)