Imaging of the nail unit in psoriatic patients: A systematic scoping review of techniques and terminology
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Imaging of the nail unit in psoriatic patients : A systematic scoping review of techniques and terminology. / Ortner, Vinzent Kevin; Mandel, Victor Desmond; Bertugno, Serena; Philipsen, Peter Alshede; Haedersdal, Merete.
I: Experimental Dermatology, Bind 31, Nr. 6, 2022, s. 828-840.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Imaging of the nail unit in psoriatic patients
T2 - A systematic scoping review of techniques and terminology
AU - Ortner, Vinzent Kevin
AU - Mandel, Victor Desmond
AU - Bertugno, Serena
AU - Philipsen, Peter Alshede
AU - Haedersdal, Merete
N1 - Publisher Copyright: © 2022 The Authors. Experimental Dermatology published by John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - Background: The growing interest in the visualization of psoriatic nail unit changes has led to the discovery of an abundance of image characteristics across various modalities. Objective: To identify techniques for non-invasive imaging of nail unit structures in psoriatic patients and review extracted image features to unify the diverse terminology. Methods: For this systematic scoping review, we included studies available on PubMed and Embase, independently extracted image characteristics, and semantically grouped the identified features to suggest a preferred terminology for each technique. Results: After screening 753 studies, 67 articles on the visualization of clinical and subclinical psoriatic changes in the nail plate, matrix, bed, folds and hyponychium were included. We identified 4 optical and 3 radiological imaging techniques for the assessment of surface (dermoscopy [n = 16], capillaroscopy [n = 12]), sub-surface (ultrasound imaging [n = 36], optical coherence tomography [n = 4], fluorescence optical imaging [n = 3]), and deep-seated psoriatic changes (magnetic resonance imaging [n = 2], positron emission tomography-computed tomography [n = 1]). By condensing 244 image feature descriptions into a glossary of 82 terms, overall redundancy was cut by 66.4% (37.5%–77.1%). More than 75% of these image features provide additional disease-relevant information that is not captured using conventional clinical assessment scales. Conclusions: This review has identified, unified, and contextualized image features and related terminology for non-invasive imaging of the nail unit in patients with psoriatic conditions. The suggested glossary could facilitate the integrative use of non-invasive imaging techniques for the detailed examination of psoriatic nail unit structures in research and clinical practice.
AB - Background: The growing interest in the visualization of psoriatic nail unit changes has led to the discovery of an abundance of image characteristics across various modalities. Objective: To identify techniques for non-invasive imaging of nail unit structures in psoriatic patients and review extracted image features to unify the diverse terminology. Methods: For this systematic scoping review, we included studies available on PubMed and Embase, independently extracted image characteristics, and semantically grouped the identified features to suggest a preferred terminology for each technique. Results: After screening 753 studies, 67 articles on the visualization of clinical and subclinical psoriatic changes in the nail plate, matrix, bed, folds and hyponychium were included. We identified 4 optical and 3 radiological imaging techniques for the assessment of surface (dermoscopy [n = 16], capillaroscopy [n = 12]), sub-surface (ultrasound imaging [n = 36], optical coherence tomography [n = 4], fluorescence optical imaging [n = 3]), and deep-seated psoriatic changes (magnetic resonance imaging [n = 2], positron emission tomography-computed tomography [n = 1]). By condensing 244 image feature descriptions into a glossary of 82 terms, overall redundancy was cut by 66.4% (37.5%–77.1%). More than 75% of these image features provide additional disease-relevant information that is not captured using conventional clinical assessment scales. Conclusions: This review has identified, unified, and contextualized image features and related terminology for non-invasive imaging of the nail unit in patients with psoriatic conditions. The suggested glossary could facilitate the integrative use of non-invasive imaging techniques for the detailed examination of psoriatic nail unit structures in research and clinical practice.
KW - imaging terminology
KW - non-invasive imaging
KW - psoriasis
KW - psoriatic arthritis
KW - psoriatic nail disease
U2 - 10.1111/exd.14572
DO - 10.1111/exd.14572
M3 - Review
C2 - 35353919
AN - SCOPUS:85128561005
VL - 31
SP - 828
EP - 840
JO - Experimental Dermatology
JF - Experimental Dermatology
SN - 0906-6705
IS - 6
ER -
ID: 313648769