Asymptomatic sacroiliitis in inflammatory bowel disease assessment by computed tomography

McEniff, Niall; Eustace, S; McCarthy, C. F.; O’Malley, Martin; O’Moráin, Colm; Hamilton, S.

doi:10.1016/0899-7071(95)00046-s

Cited by 58 publications

(57 citation statements)

References 17 publications

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“…The semicoronal CT technique has gained wide acceptance for evaluation of the SIJs with regard to sacroiliitis [2,7,8,20,21,22,23]. It is diagnostically preferable to axial CT because it allows an overall view of the SIJs simultaneously showing the cartilaginous and the ligamentous part of the joint.…”

Section: Discussionmentioning

confidence: 99%

Effective radiation dose from semicoronal CT of the sacroiliac joints in comparison with axial CT and conventional radiography

2002

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The aim of this study was to evaluate the radiation dose given by semicoronal CT of the sacroiliac joints (SIJs) in comparison with axial CT and conventional radiography. The total effective radiation doses given by serial contiguous semicoronal and axial CT, using 5-mm slices, 120 kV and 330 mAs, were determined by measurement of organ doses using an anthropomorphic Rando Alderson phantom paced with thermoluminescence dosimeters. The doses given by conventional anteroposterior (AP) and oblique projections of the SIJs were determined similarly. In a female the total effective dose by semicoronal CT was found to be more than six times lower than by axial CT and 2.5 times lower than the dose use to obtain a conventional AP radiograph, the values being 102, 678, and 255 µSv, respectively. The effective dose by semicoronal CT was only a little higher than the dose given to obtain two oblique radiographs. In a male with lead protection of the gonads the dose by semicoronal CT was four times lower than by axial CT, but higher than by conventional radiography. In conclusion, the effective dose by semicoronal CT of the SIJs is lower than by axial CT, and in females a semicoronal CT implies a lower effective radiation dose that used to obtain an AP radiograph.

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Section: Discussionmentioning

confidence: 99%

Effective radiation dose from semicoronal CT of the sacroiliac joints in comparison with axial CT and conventional radiography

2002

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“…However, in contrast to previous studies, only 2% of patients had radiologically evident sacroiliitis using conventional radiologic imaging. Although many recent studies have used magnetic resonance imaging (MRI) and CT scanning to ascertain sacroiliitis [3,4], even the original study by Wright and Watkinson [5] in 1965 found sacroiliitis in 18% of UC patients by plain radiology. The reasons for the discrepancy may be that the IBSEN study patients had only been followed for 6 years, that radiographs of the sacroiliac are notoriously difficult to interpret, and that only 406 of the original 654 patients actually had sacroiliac radiographs performed.…”

Section: Spondyloarthropathiesmentioning

confidence: 99%

Extraintestinal complications of inflammatory bowel disease

Orchard

2003

Curr Gastroenterol Rep

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Recent studies of extraintestinal manifestations (EIMs) of inflammatory bowel disease (IBD) have demonstrated the importance of genetic predisposition in the etiology of musculoskeletal and cutaneous manifestations. In addition, small studies have shown infliximab to be effective in treating troublesome EIMs, particularly in pyoderma gangrenosum. Other trials have examined the safety of cyclooxygenase-2-specific nonsteroidal inflammatory drugs in IBD. Further work has been done on osteoporosis in IBD, and the American Gastroenterological Association has published a technical review and management guidelines for osteoporosis in a range of gastrointestinal disorders. However, despite further publications, debate remains concerning whether IBD patients with osteoporosis have a significant increase in fracture risk, and whether the bone loss is related to the disease or to its treatment.

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“…Whereas type Ⅰ peripheral arthritis is associated with intestinal disease activity [1] , SI, especially in its asymptomatic for m, is equally present in CD and UC [38,54] , and seems more related to duration of IBD. Taken together, SI is one of the most frequent joint inflammations found in IBD patients [39] .…”

mentioning

confidence: 99%

Clinical features and epidemiology of spondyloarthritides associated with inflammatory bowel disease

Salvarani

Fries

2009

WJG

107

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Inflammation of axial and/or peripheral joints is one of the most frequent extra-intestinal manifestations complicating the clinical course and therapeutic approach in inflammatory bowel diseases (IBD). The frequency of these complications seems to be similar for both diseases, Crohn's disease and ulcerative colitis. Arthritis associated with IBD belongs to the category of spondyloarthropathies. Axial involvement ranges from isolated inflammatory back pain to ankylosing spondylitis, whereas peripheral arthritis is noted in pauciarticular and in polyarticular disease. Asymptomatic radiological involvement of the sacroiliac joints is reported to occur in up to 50% of patients. Other musculoskeletal manifestations such as buttock pain, dactylitis, calcaneal enthesitis, and thoracic pain are frequently underdiagnosed and, consequently, are not treated appropriately. Several diagnostic approaches and criteria have been proposed over the past 40 years in an attempt to correctly classify and diagnose such manifestations. The correct recognition of spondylarthropathies needs an integrated multidisciplinary approach in order to identify common therapeutic strategies, especially in the era of the new biologic therapies.

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Asymptomatic sacroiliitis in inflammatory bowel disease assessment by computed tomography

Cited by 58 publications

References 17 publications

Effective radiation dose from semicoronal CT of the sacroiliac joints in comparison with axial CT and conventional radiography

Effective radiation dose from semicoronal CT of the sacroiliac joints in comparison with axial CT and conventional radiography

Extraintestinal complications of inflammatory bowel disease

Clinical features and epidemiology of spondyloarthritides associated with inflammatory bowel disease

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