Challenges in interpreting sacroiliac magnetic resonance imaging for the diagnosis of axial spondyloarthritis

Ouali, Zakaria El; Gossec, Laure

doi:10.1016/j.jbspin.2022.105470

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…While inflammation can only be detected by MRI, structural changes can be assessed with both MRI and radiographs. 2 …”

Section: Introductionmentioning

confidence: 99%

Sensitivity to change of structural outcomes in axial spondyloarthritis after 10 years of follow up. Data from the DESIR cohort

López-Medina,

Molto,

Sepriano

et al. 2024

RMD Open

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ObjectiveTo evaluate the sensitivity to change in structural imaging outcomes over 10 years of follow-up in patients with axial spondyloarthritis (axSpA).MethodsPatients with axSpA from the Devenir des Spondyloarthropathies Indifferénciées Récentes cohort were included. Radiographs and MRIs of the sacroiliac joints (SIJ) and spine were obtained at baseline and at 1, 2, 5 and 10 years. The yearly rate of change of each structural outcome was analysed using generalised estimating equation models, including all patients with ≥1 score from ≥1 reader from ≥1 reading wave, using the time (years) as an explanatory variable and adjusting for reader and wave. All outcomes were standardised, and the relative standardised rate of change was calculated (ie, the standardised rate of an outcome divided by the rate of a reference outcome).ResultsA total of 659 patients (46% males and mean age 33.6 years) were included. The most sensitive outcome to change in the SIJ (both MRI and radiographs) was the presence of ≥3 fatty lesions at a specific timepoint, with a relative standardised rate of change per year of 5.28 using the modified New York criteria as reference.Similarly, the most sensitive to change (in both MRI and radiographs) outcome in the spine was the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS; relative standardised yearly change 1.76) using ≥1 syndesmophyte as reference.ConclusionMRI structural outcomes in the SIJ (ie, fatty lesions) are more sensitive to change than radiographic outcomes. Conversely, the mSASSS remains the most sensitive method, even when compared with MRI of the spine.

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“…While inflammation can only be detected by MRI, structural changes can be assessed with both MRI and radiographs. 2 …”

Section: Introductionmentioning

confidence: 99%

Sensitivity to change of structural outcomes in axial spondyloarthritis after 10 years of follow up. Data from the DESIR cohort

López-Medina,

Molto,

Sepriano

et al. 2024

RMD Open

View full text Add to dashboard Cite

show abstract

Standardized reporting for systematic global evaluation of axial spondyloarthritis: An evidence-based and consensus-driven initiative

Ruyssen-Witrand,

Caillet-Portillo,

Najm

et al. 2024

Joint Bone Spine

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Challenges in interpreting sacroiliac magnetic resonance imaging for the diagnosis of axial spondyloarthritis

Cited by 2 publications

References 24 publications

Sensitivity to change of structural outcomes in axial spondyloarthritis after 10 years of follow up. Data from the DESIR cohort

Sensitivity to change of structural outcomes in axial spondyloarthritis after 10 years of follow up. Data from the DESIR cohort

Standardized reporting for systematic global evaluation of axial spondyloarthritis: An evidence-based and consensus-driven initiative

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