Imaging of sacroiliitis in early seronegative spondylarthropathy

Puhakka, K. BØcker; Jurik, A. G.; Egund, N.; Schiottz-Christensen, B.; Stengaard-Pedersen, K.; van Overeem Hansen, G.; Christiansen, J. VallØ
March 2003
Acta Radiologica;Mar2003, Vol. 44 Issue 2, p218
Academic Journal
Abstract Purpose: To analyze the type and frequency of abnormalities of the sacroiliac joint (SIJ) in early seronegative spondylarthropathy (SpA) by MR in comparison with CT and radiography, assess the most appropriate MR sequences to be used, and introduce a new way of grading MR abnormalities of the SIJ. Material and Methods: The SIJs of 41 patients with early SpA (median duration of inflammatory low back pain of 19 months) were evaluated by MR imaging using STIR, T1, T2, and T1 fat saturated (FS) sequences before and after i.v. Gd contrast medium followed by staging of abnormalities. The findings were compared with those obtained by CT and radiography. Results: MR and CT had equal efficacy superior to radiography in staging of erosions and osseous sclerosis. Only MR allowed visualization and grading of active inflammatory changes in the subchondral bone and surrounding ligaments in addition to bone marrow fatty accumulations. T2-weighted sequences did not contribute to assessment of sacroiliitis. Conclusion: MR of the SIJs is reliable in its visualization of joint erosions in early SpA and allows differentiation between active and chronic sacroiliitis. We recommend the following sequences: semicoronal T1 and both semicoronal and semiaxial STIR. If these images are normal, the examination can be finished; otherwise additional semicoronal T1 FS before and after i.v. contrast has to be performed as well as semiaxial post-contrast T1 FS.


Related Articles

  • 'Spinal degeneration: beyond degenerative disc disease': how to discriminate degeneration from spondylarthropathies? Vanhoenacker, Filip; Eyselbergs, Michiel; Cotten, Anne // Neuroradiology;Sep2011, Vol. 53, p175 

    The article focuses on the differences between spinal degeneration from degenerative disc disease and spondylarthropathies. Magnetic resonance imaging (MRI) in diagnosing vertebral osteitis, MRI of spinal inflammatory lesions in patients with ankylosing spondylitis, and the anatomy of vertebral...

  • Easy probability estimation of the diagnosis of early axial spondyloarthritis by summing up scores. Feldtkeller, Ernst; Rudwaleit, Martin; Zeidler, Henning // Rheumatology;Sep2013, Vol. 52 Issue 9, p1648 

    Objectives. Several sets of criteria for the diagnosis of axial SpA (including non-radiographic axial spondyloarthritis) have been proposed in the literature in which scores were attributed to relevant findings and the diagnosis requests a minimal sum of these scores. To quantitatively estimate...

  • Improvement in deployment of MRI of the sacroiliac joints in patients suspected for spondyloarthritis using a targeted intervention: a case study. Vossen, Maria H. E.; den Broeder, Alfons A.; Hendriks-Roelofs, Femke; van der Heijde, Désirée M. F. M.; Reijnierse, Monique // Rheumatology;May2013, Vol. 52 Issue 5, p933 

    Objective. To assess characteristics of deployment of MRI of the SI joints (MR-SI) in patients with suspected axial spondyloarthritis (SpA) before and after a targeted intervention. Methods. In a retrospective chart review study, all MR-SI performed in the period 1 April 2004 to 31 December 2010...

  • The Association of Myotonia Congenita and Ankylosing Spondylitis. Bağçacı, Sinan; Albayrak, İlknur; Karakaşlı, Sema; Küçükşen, Sami; Sallı, Ali // European Journal of General Medicine;2013, Vol. 10 Issue 1, p63 

    This is the first report about the association of ankylosing spondylitis and myotonia congenita. Ankylosing spondylitis is a systemic rheumatologic disease that is characterized by axial skeletal inflammation and accompanied by systemic involvement. The most significant findings of myotonia are...

  • Coexistence of Behcet's Disease and Ankylosing Spondylitis: Case Report. Nacır, Barış; Özdemirel, Ali Erhan; Saraçoğlu, Meryem; Genç, Hakan; Erdem, Hatice Rana // Journal of Physical Medicine & Rehabilitation Sciences / Fizikse;Mar2013, Vol. 16 Issue 1, p29 

    Behçet's disease (BD) and HLA-B27 positive ankylosing spondylitis (AS) coexistence is a rare occurrence with only few reports in the literature. We reported here a patient with coexisting BD and AS demonstrating both HLA-B27 and HLA-B51 positivity.

  • Modern imaging in the diagnosis and management of arthritis. Wakefield, Richard // Rheumatology;Apr2011 Supplement 3, Vol. 50 Issue suppl_3, piii16 

    Abstract not provided

  • Imaging Characteristics of Spondyloarthropathy. Hung-Ta Wu; Chung-Tei Chou; Hong-Jen Chiou; Cheng-Yen Chang // Current Rheumatology Reviews;2008, Vol. 4 Issue 2, p124 

    Seronegative spondyloarthropathy is a group of diseases composed of ankylosing spondylitis, psoriatic arthropathy, Reiter's syndrome, arthritis of inflammatory bowel disease, and undifferentiated spondyloarthropathy. These diseases share similar but variable radiological features....

  • MRT-Untersuchungen bei axialer und peripherer Spondyloarthritis. Baraliakos, X.; Braun, J. // Zeitschrift für Rheumatologie;Jan2012, Vol. 71 Issue 1, p27 

    The diagnosis of ankylosing spondylitis (AS) is based on the modified New York criteria and therefore on defined structural changes in the sacroiliac joint as detected by conventional radiographs. However, x-rays are not able to detect early stages of the disease in which inflammation...

  • CITATIONS AND CLINICIANS' NOTES: SPONDYLARTHROPATHY.  // Current Medical Literature: Rheumatology;2004, Vol. 23 Issue 2, p44 

    Presents clinicians' notes about spondylarthropathy. Treatment of refractory psoriatic arthritis with infliximab; Magnetic resonance imaging of sacroiliitis; Predictors of sacroiliitis.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics