MRI in spondyloarthritis:When and how?
| Autor: | Georg Kröber, Ulrich Weber |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Sacroiliac Joint/diagnostic imaging Radiography Sensitivity and Specificity Unmet needs Magnetic Resonance Imaging/methods 03 medical and health sciences 0302 clinical medicine Rheumatology Spondylarthritis ankylosing spondylitis Diagnosis Spondyloarthritis medicine Humans 030212 general & internal medicine Axial spondyloarthritis 030203 arthritis & rheumatology Sacroiliac joint Ankylosing spondylitis business.industry Spondylarthritis/diagnostic imaging Early disease Reproducibility of Results Sacroiliac Joint Structural lesions medicine.disease Bone marrow edema Classification Magnetic Resonance Imaging medicine.anatomical_structure Healthcare settings Radiology business MRI |
| Zdroj: | Kröber, G & Weber, U 2018, ' MRI in spondyloarthritis : When and how? ', Current Opinion in Rheumatology, vol. 30, no. 4, pp. 324-333 . https://doi.org/10.1097/BOR.0000000000000512 |
| DOI: | 10.1097/BOR.0000000000000512 |
| Popis: | Purpose of review To summarize recent advances and challenges of using MRI toward early recognition of axial spondyloarthritis (SpA). Recent findings Low-grade bone marrow edema (BME) on sacroiliac joint (SIJ) MRI is nonspecific and may be misleading in recognition of axial SpA. Structural features on SIJ MRI along with BME may not only facilitate recognition of early disease, but also enhance specificity. Structural lesions on MRI and low-dose computed tomography are highly concordant, adding to criterion validity of SIJ MRI. There is accumulating evidence that SIJ MRI due to superior reliability of structural lesions may supplant the traditional imaging approach by pelvic radiographs in healthcare settings in which MRI is readily available. Pilot initiatives exploring the bone remodeling cascade in SIJs showed early reparative response upon biological treatment. Methodological challenges regarding evaluation and data processing of imaging examinations need to be addressed to enhance reproducibility and specificity of imaging in SpA. Summary Evaluation of SIJ MRI is contextual incorporating structural lesions and BME. MRI is but one element in pattern recognition toward diagnosis. An unmet need is dissemination of advances in imaging in SpA to the broad community of rheumatologists and radiologists. |
| Databáze: | OpenAIRE |
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