Aiming for a shorter rheumatoid arthritis MRI protocol: can contrast-enhanced MRI replace T2 for the detection of bone marrow oedema?

Stomp, W.; Krabben, A.; Heijde, Desirée van der; Huizinga, Tom W J; Bloem, Johan L.; Mil, Annette H M van der Helm-van; Reijnierse, M.

doi:10.1007/s00330-014-3272-0

Cited by 34 publications

(43 citation statements)

References 15 publications

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“…9,21 Contrast medium is not recommended for the diagnosis of SpA-associated sacroiliitis. 9,21,[23][24][25][26][27] However, it is of diagnostic importance for the differentiation of diagnoses other than axSpA, especially in the clinical setting of an infection and abscess formation. 21 Recently in a viewpoint article, some practical MRI concepts were addressed including the background theory of MRI acquisition, MRI sequences, and interpretation of signal intensities.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Top-Ten Tips for Effective Imaging of Axial Spondyloarthritis

Reijnierse

Eshed

Gaalen

2019

Semin Musculoskelet Radiol

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Axial spondyloarthritis (axSpA) is a chronic inflammatory condition that encompasses ankylosing spondylitis as well as nonradiographic axSpA and can lead to chronic pain, structural damage, and disability. The disease is strongly associated with the presence of human leukocyte antigen-B27. Early diagnosis of axSpA is significant due to new treatment regimens leading to reduction of inflammation and potentially delaying disease progression. Imaging of the sacroiliac joints and the spine plays an important role in the early diagnosis of spondyloarthritis. In the current review, the top-ten tips for the effective imaging of axSpA are presented to help both radiologists and rheumatologists in using imaging properly and effectively in their clinical practice.

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Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Top-Ten Tips for Effective Imaging of Axial Spondyloarthritis

Reijnierse

Eshed

Gaalen

2019

Semin Musculoskelet Radiol

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“…After 6–11 minutes, contrast reaches the synovial fluid, obscuring the synovium / fluid interface (1, 13, 14) . Imaging is then best performed between these times.…”

Section: Synovitismentioning

confidence: 99%

Reumatoidalne zapalenie stawów w badaniu MR i ultrasonografii

2017

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Rheumatoid arthritis is the most common inflammatory arthritis, affecting approximately 1% of the world’s population. Its pathogenesis has not been completely understood. However, there is evidence that the disease may involve synovial joints, subchondral bone marrow as well as intra- and extraarticular fat tissue, and may lead to progressive joint destruction and disability. Over the last two decades, significant improvement in its prognosis has been achieved owing to new strategies for disease management, the emergence of new biologic therapies and better utilization of conventional disease-modifying antirheumatic drugs. Prompt diagnosis and appropriate therapy have been recognized as essential for improving clinical outcomes in patients with early rheumatoid arthritis. Despite the potential of ultrasonography and magnetic resonance imaging to visualize all tissues typically involved in the pathogenesis of rheumatoid arthritis, the diagnosis of early disease remains difficult due to limited specificity of findings. This paper summarizes the pathogenesis phenomena of rheumatoid arthritis and describes rheumatoid arthritis-related features of the disease within the synovium, subchondral bone marrow and articular fat tissue on MRI and ultrasound. Moreover, the paper aims to illustrate the significance of MRI and ultrasound findings in rheumatoid arthritis in the diagnosis of subclinical and early inflammation, and the importance of MRI and US in the follow-up and establishing remission. Finally, we also discuss MRI of the spine in rheumatoid arthritis, which may help assess the presence of active inflammation and complications.

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“…The RA MRI Scoring (RAMRIS) system, a standardized semi-quantitative assessment of inflammatory soft tissue and destructive bone alteration, recommends that imaging should include T1-weighted sequences primarily to assess erosions, T2-weighted FS or STIR to evaluate BME and post-gadolinium T1Gd in combination with non-contrast T1-weighted images to evaluate synovitis and tenosynovitis [10, 11]. The RAMRIS does not describe the use of FS for post-contrast T1.…”

Section: Sequences and Protocolsmentioning

confidence: 99%

“…The RAMRIS does not describe the use of FS for post-contrast T1. In practice, however, it is commonly used to increase the visibility of enhancement and to differentiate enhancement from fatty tissue on fast spin echo sequences which exhibit a high signal of fat [11]. Thus, the standardised use of fat suppression in T1Gd sequence aids in identifying enhancing BME in the fatty bone marrow.…”

Section: Sequences and Protocolsmentioning

confidence: 99%

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Magnetic resonance imaging in inflammatory rheumatoid diseases

et al. 2016

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Magnetic resonance (MR) is used more and more frequently to diagnose changes in the musculoskeletal system in the course of rheumatic diseases, at their initial assessment, for treatment monitoring and for identification of complications. The article presents the history of magnetic resonance imaging, the basic principles underlying its operation as well as types of magnets, coils and MRI protocols used in the diagnostic process of rheumatic diseases. It enumerates advantages and disadvantages of individual MRI scanners. The principles of MRI coil operation are explained, and the sequences used for MR image analysis are described, particularly in terms of their application in rheumatology, including T1-, T2-, PD-weighted, STIR/TIRM and contrast-enhanced T1-weighted images. Furthermore, views on the need to use contrast agents to optimise diagnosis, particularly in synovitis-like changes, are presented. Finally, methods for the assessment of MR images are listed, including the semi-quantitative method by RAMRIS and quantitative dynamic examination.

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Aiming for a shorter rheumatoid arthritis MRI protocol: can contrast-enhanced MRI replace T2 for the detection of bone marrow oedema?

Cited by 34 publications

References 15 publications

Top-Ten Tips for Effective Imaging of Axial Spondyloarthritis

Top-Ten Tips for Effective Imaging of Axial Spondyloarthritis

Reumatoidalne zapalenie stawów w badaniu MR i ultrasonografii

Magnetic resonance imaging in inflammatory rheumatoid diseases

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