Imaging in Axial Spondyloarthritis:What is Relevant for Diagnosis in Daily Practice?
| Autor: | Walter P. Maksymowych, Anne Grethe Jurik, Robert G. W. Lambert, Ulrich Weber |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Sacroiliac Joint/diagnostic imaging INFLAMMATORY BACK-PAIN Pain RADIOGRAPHIC PROGRESSION Imaging ACCESSORY SACROILIAC JOINT Magnetic resonance imaging Rheumatology Daily practice Internal medicine Health care Diagnosis Spondyloarthritis medicine Back pain Humans Medical physics CLASSIFICATION CRITERIA ARTHRITIS SUBCOMMITTEE Axial spondyloarthritis Sacroiliac joint Ankylosing spondylitis medicine.diagnostic_test business.industry Spondylarthritis/diagnostic imaging ANKYLOSING-SPONDYLITIS BONE-MARROW EDEMA medicine.disease C-REACTIVE PROTEIN Rheumatology practice Radiography medicine.anatomical_structure OSTEITIS CONDENSANS ILII Female medicine.symptom business PELVIC RADIOGRAPHS |
| Zdroj: | Weber, U, Jurik, A G, Lambert, R G W & Maksymowych, W P 2021, ' Imaging in Axial Spondyloarthritis : What is Relevant for Diagnosis in Daily Practice? ', Current Rheumatology Reports, vol. 23, 66 . https://doi.org/10.1007/s11926-021-01030-w Weber, U, Jurik, A G, Lambert, R G W & Maksymowych, W P 2021, ' Imaging in Axial Spondyloarthritis : What is Relevant for Diagnosis in Daily Practice? ', Current Rheumatology Reports, vol. 23, no. 8, 66 . https://doi.org/10.1007/s11926-021-01030-w |
| DOI: | 10.1007/s11926-021-01030-w |
| Popis: | Purpose of Review: To explore how imaging may assist diagnosing axial spondyloarthritis in rheumatology practice. Recent Findings: A diagnosis of axial spondyloarthritis is based on pattern recognition by synthesizing clinical, laboratory, and imaging findings. In health care settings providing low threshold access to advanced imaging, sacroiliac joint MRI is the preferred imaging modality in clinically suspected axial spondyloarthritis. In daily routine, the optimum protocol to assess suspected inflammatory back pain combines sacroiliac joint and spine MRI fitting a 30-min slot. Contextual assessment of concomitant structural and active MRI lesions is key to enhance diagnostic utility. In women with postpartum back pain suggestive of axial spondyloarthritis, recent reports advocate waiting 6–12 months after delivery before acquiring sacroiliac joint MRI. Major unmet needs are consistent MRI protocols, standardized training modules on how to evaluate axial MRI, and timely dissemination of imaging advances into mainstream practice both in rheumatology and in radiology. Summary: In rheumatology practice, MRI has become indispensable to help diagnose early axial spondyloarthritis. However, major gaps in training and knowledge transfer to daily care need to be closed. |
| Databáze: | OpenAIRE |
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