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Richard J. Wakefield

Researcher at University of Leeds

Publications -  250
Citations -  17981

Richard J. Wakefield is an academic researcher from University of Leeds. The author has contributed to research in topics: Synovitis & Rheumatoid arthritis. The author has an hindex of 68, co-authored 242 publications receiving 16288 citations. Previous affiliations of Richard J. Wakefield include Chapel Allerton Hospital & St James's University Hospital.

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Guidelines for musculoskeletal ultrasound in rheumatology

TL;DR: US is most commonly used in the assessment of soft tissue disease or detection of fluid collection and can also be used to visualise other structures, such as cartilage and bone surfaces, and its ability to be repeated as often as necessary makes it particularly useful for the monitoring of treatment.
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An explanation for the apparent dissociation between clinical remission and continued structural deterioration in rheumatoid arthritis

TL;DR: Subclinical joint inflammation detected by imaging techniques explains the structural deterioration in RA patients in clinical remission who are receiving conventional therapy and reinforces the utility of imaging for the accurate evaluation of disease status and the prediction of structural outcome.
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The value of sonography in the detection of bone erosions in patients with rheumatoid arthritis: a comparison with conventional radiography.

TL;DR: Sonography is a reliable technique that detects more erosions than radiography, especially in early RA, and has potential in the management of patients with early RA/inflammatory arthritis.
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Presence of significant synovitis in rheumatoid arthritis patients with disease-modifying antirheumatic drug-induced clinical remission: evidence from an imaging study may explain structural progression.

TL;DR: Most RA patients who satisfied the remission criteria with normal findings on clinical and laboratory studies had imaging-detected synovitis, which may explain the observed discrepancy between disease activity and outcome in RA.