CEMIR Consensus guidelines among North Africa Rheumatologists for the use of Ultrasound in Rheumatoid Arthritis

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Published Feb 15, 2026
https://doi.org/10.62438/tunismed.v103i12.6361
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Vol. 103 No. 12 (2025): Tunis Med Dec 2025

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Imane El Binoune
Rheumatology Department A, Al Ayachi Hospital, Ibn Sina University Hospital, 11000, Rabat-Salé, Faculty of Medicine and Pharmacy of Rabat, Med V University, 10100, Morocco
https://orcid.org/0000-0003-1959-0824
Rachid Bahiri
Rheumatology Department A, Al Ayachi Hospital, Ibn Sina University Hospital, 11000, Rabat-Salé, Faculty of Medicine and Pharmacy of Rabat, Med V University, 10100, Morocco
Abdellah El Maghraoui
Private practice. Mohamed V Avenue, Bait Lahm Street, Building B, Apartment 6. Mohamed VI University. Rabat, Morocco
Assia Haddouch
Ben Aknoun Specialized Hospital for the Musculoskeletal System, Faculty of Medicine, University of Medical Sciences, 16000 Algiers, Algeria
Imen Bencharif
Ibn Badis University Hospital Center, Constantine, Faculty of Medicine, University of Constantine 3, 25000, Algeria
Samy Slimani
Rheumatology Clinic, Batna, Faculty of Medicine, Batna University 2, 05000, Algeria.
Sawssen Miladi
Mongi Slim Hospital, La Marsa, Tunis, Faculty of Medicine of Tunis, University of Tunis el Manar, 2010, Tunisia
Hiba Boussaa
Mongi Slim Hospital, La Marsa, Tunis, Faculty of Medicine of Tunis, University of Tunis el Manar, 2010, Tunisia
Houda Ajlani
El Yasminet Hospital, Ben Arous, Faculty of Medicine of Tunis, University of Tunis el Manar, 2010, Tunisia
Kawther Ben Abdelghani
Mongi Slim Hospital, La Marsa, Tunis, Faculty of Medicine of Tunis, University of Tunis el Manar, 2010, Tunisia

Abstract

Musculoskeletal ultrasound has become an essential tool in the management of rheumatoid arthritis (RA), particularly for early diagnosis, assessment of disease activity, treatment monitoring, and decision-making during remission. It also contributes to improving the accuracy of interventional procedures. In Maghreb countries, its use has expanded significantly through local and international training initiatives. In this article, the Maghreb Committee of Experts in Rheumatologic Imaging (CEMIR) proposes practical recommendations, tailored to the regional context, to optimize the use of ultrasound in RA at all stages of patient management.


 

Keywords:

Rheumatoid arthritis, musculoskeletal ultrasound, early diagnosis, Doppler, therapeutic monitoring, recommendations, Maghreb

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