Defining active sacroiliitis on MRI for classification of axial spondyloarthritis: update by the ASAS MRI working group

Autor: Martin Rudwaleit, Jürgen Braun, Irene E. van der Horst-Bruinsma, Xenofon Baraliakos, Filip Van den Bosch, P. Bakker, Walter P. Maksymowych, Alexander N. Bennett, Maxime Dougados, Denis Poddubnyy, Joachim Sieper, Kay-Geert A. Hermann, Désirée van der Heijde, Susanne Juhl Pedersen, Ulrich Weber, Robert Landewé, Robert G. W. Lambert, Monique Reijnierse, Anne Grethe Jurik, Mikkel Østergaard, Helena Marzo-Ortega, Ruben Burgos-Vargas
Přispěvatelé: Clinical Immunology and Rheumatology, Rheumatology, AII - Inflammatory diseases
Jazyk: angličtina
Rok vydání: 2016
Předmět:
medicine.medical_specialty
Pathology
Sacroiliac Joint/diagnostic imaging
Ankylosing Spondylitis
Sacroiliitis/diagnostic imaging
Immunology
General Biochemistry
Genetics and Molecular Biology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Rheumatology
Bone Marrow
Spondyloarthritis
Spondylarthritis
medicine
Immunology and Allergy
Humans
Sacroiliitis
Axial spondyloarthritis
Spondylitis
030203 arthritis & rheumatology
Sacroiliac joint
Ankylosing spondylitis
medicine.diagnostic_test
business.industry
Magnetic Resonance Imaging/standards
Magnetic resonance imaging
Sacroiliac Joint
medicine.disease
Magnetic Resonance Imaging
Spondylarthritis/classification
medicine.anatomical_structure
Mri diagnosis
Subchondral bone
Bone Marrow/diagnostic imaging
Practice Guidelines as Topic
Radiology
business
Zdroj: Lambert, R G W, Bakker, P A C, van der Heijde, D, Weber, U, Rudwaleit, M, Hermann, K-G A, Sieper, J, Baraliakos, X, Bennett, A, Braun, J, Burgos-Vargas, R, Dougados, M, Pedersen, S J, Jurik, A G, Maksymowych, W P, Marzo-Ortega, H, Østergaard, M, Poddubnyy, D, Reijnierse, M, van den Bosch, F, van der Horst-Bruinsma, I & Landewé, R 2016, ' Defining active sacroiliitis on MRI for classification of axial spondyloarthritis : update by the ASAS MRI working group ', Annals of the Rheumatic Diseases, vol. 75, no. 11, pp. 1958-1963 . https://doi.org/10.1136/annrheumdis-2015-208642
Annals of the rheumatic diseases, 75(11), 1958-1963. BMJ Publishing Group
Lambert, R G W, Bakker, P A C, van der Heijde, D, Weber, U, Rudwaleit, M, Hermann, K G, Sieper, J, Baraliakos, X, Bennett, A, Braun, J, Burgos-Vargas, R, Dougados, M, Pedersen, S J, Jurik, A G, Maksymowych, W P, Marzo-Ortega, H, Østergaard, M, Poddubnyy, D, Reijnierse, M, van den Bosch, F, van der Horst-Bruinsma, I & Landewé, R 2016, ' Defining active sacroiliitis on MRI for classification of axial spondyloarthritis : update by the ASAS MRI working group ', Annals of the Rheumatic Diseases, vol. 75, no. 11, pp. 1958-1963 . https://doi.org/10.1136/annrheumdis-2015-208642
Annals of the Rheumatic Diseases, 75(11), 1958-1963. BMJ Publishing Group
Lambert, R G W, Bakker, P A C, van der Heijde, D, Weber, U, Rudwaleit, M, Hermann, K G, Sieper, J, Baraliakos, X, Bennett, A, Braun, J, Burgos-Vargas, R, Dougados, M, Pedersen, S J, Jurik, A G, Maksymowych, W P, Marzo-Ortega, H, Østergaard, M, Poddubnyy, D, Reijnierse, M, van den Bosch, F, van der Horst-Bruinsma, I & Landewé, R 2016, ' Defining active sacroiliitis on MRI for classification of axial spondyloarthritis: update by the ASAS MRI working group ', Annals of the Rheumatic Diseases, vol. 75, no. 11, pp. 1958-1963 . https://doi.org/10.1136/annrheumdis-2015-208642
Annals of the Rheumatic Diseases, 75(11), 1958-1963
ISSN: 0003-4967
1958-1963
DOI: 10.1136/annrheumdis-2015-208642
Popis: ObjectivesTo review and update the existing definition of a positive MRI for classification of axial spondyloarthritis (SpA).MethodsThe Assessment in SpondyloArthritis International Society (ASAS) MRI working group conducted a consensus exercise to review the definition of a positive MRI for inclusion in the ASAS classification criteria of axial SpA. Existing definitions and new data relevant to the MRI diagnosis and classification of sacroiliitis and spondylitis in axial SpA, published since the ASAS definition first appeared in print in 2009, were reviewed and discussed. The precise wording of the existing definition was examined in detail and the data and a draft proposal were presented to and voted on by the ASAS membership.ResultsThe clear presence of bone marrow oedema on MRI in subchondral bone is still considered to be the defining observation that determines the presence of active sacroiliitis. Structural damage lesions seen on MRI may contribute to a decision by the observer that inflammatory lesions are genuinely due to SpA but are not required to meet the definition. The existing definition was clarified adding guidelines and images to assist in the application of the definition.ConclusionThe definition of a positive MRI for classification of axial SpA should continue to primarily depend on the imaging features of ‘active sacroiliitis’ until more data are available regarding MRI features of structural damage in the sacroiliac joint and MRI features in the spine and their utility when used for classification purposes.
Databáze: OpenAIRE
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