Diagnostic evaluation of the sacroiliac joints for axial spondyloarthritis: should MRI replace radiography?

被引：18

作者：

Poddubnyy, Denis ^{[1
,2
]}

Diekhoff, Torsten ^{[3
]}

Baraliakos, Xenofon ^{[4
]}

Hermann, Kay Geert A. ^{[3
]}

Sieper, Joachim ^{[1
]}

机构：

[1] Charite Univ Med Berlin, Dept Gastroenterol Infectiol & Rheumatol Includin, D-12203 Berlin, Germany

[2] German Rheumatism Res Ctr, Epidemiol Unit, Berlin, Germany

[3] Charite Univ Med Berlin, Dept Radiol, Berlin, Germany

[4] Ruhr Univ Bochum, Rheumazentrum Ruhrgebiet, Herne, Germany

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2022年 / 81卷 / 11期

关键词：

Spondyloarthritis; Spondylitis; Ankylosing; Magnetic Resonance Imaging; STRUCTURAL LESIONS; CRITERIA; RHEUMATOLOGISTS; RECOMMENDATIONS; CLASSIFICATION; RADIOLOGISTS;

D O I：

10.1136/ard-2022-222986

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The possibility of detection of structural damage on magnetic resonance imaging (MRI) of sacroiliac joints raises the question of whether MRI can substitute radiographs for diagnostic evaluation and to a further extent for classification of axial spondyloarthritis (axSpA). In this viewpoint, we will argue that it is time to replace conventional radiographs with MRI for the assessment of structural changes in sacroiliac joints. This message is based on current data on the following questions: (1) How reliable are conventional radiographs in the diagnosis of axSpA overall and radiographic axSpA in particular? (2) How does T1-weighted MRI compare to radiographs in the detection of sacroiliitis? (3) Are there now other (better) MRI sequences than T1-weighted, which might be more suitable for the detection of structural lesions? (4) Which MRI sequences should be performed for the diagnostic evaluation of the sacroiliac joints? (5) Do we have data to define sacroiliitis based on structural changes detected by MRI?

引用

页码：1486 / 1490

页数：5

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