RAMRIS

BONE EROSIONS

      • Grade 1 1–10% of bone eroded
      • Grade 2 11-20%
      • Grade 3 21-30%
      • Grade 4 31-40%
      • Grade 5 41-50% etc


Grade carpal bones, distal radius, distal ulna, proximal and distal parts of CMC, MCP joints.
Amount of erosion v total bone volume
BONE EDEMA

      • 0 No oedema
      • 1 1-33% bone edematous
      • 2 34-66%
      • 3 67-100%


SYNOVITIS

Assessed in 3 wrist regions DRUJ, RCJ, MCJ/CMCJ AND MCPJ
      • Grade 0 Normal
      • Grade 1 Mild 1/3 of max synovial volume
      • Grade 2 Moderate
      • Grade 3 Severe 3/3 of max synovial volume