Consensus statements on the imaging of axial spondyloarthritis in Australia and New Zealand

Truong, S.; Saad, Nivene; Robinson, Philip C; Cowderoy, Greg; Lim, Irwin; Schachna, Lionel; Stebbings, Simon; Stuckey, Stephen; Taylor, Andrew; Whittle, Samuel L; Zochling, Jane; Bird, Paul; Brown, Matthew A.

doi:10.1111/1754-9485.12573

Cited by 9 publications

(10 citation statements)

References 65 publications

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“…The consensus statements in this paper were supported by evidence‐based literature, expert opinions, and references from previous recommendations and consensuses, including the 2014 EULAR recommendations for the diagnosis of axSpA, the 2014 ESSR consensus and the Australian and New Zealand consensus statements . A diagnostic algorithm for axSpA is proposed in Figure according to expert opinions with consideration for the accessibility of local clinical imaging modalities.…”

Section: Discussionmentioning

confidence: 71%

“…Recent studies (published from January 2013 to December 2017) were selected from the PubMed database and Google Scholar search engine for detailed analysis. Relevant clinical evidence described in the 2014 European League Against Rheumatism (EULAR) recommendations for the diagnosis of axSpA, the 2014 European Society of Musculoskeletal Radiology (ESSR) consensus and the Australian and New Zealand consensus statements also had been taken into consideration. The recommendations (Table ) were generated with systematic literature reviews during three expert consensus meetings, using the GRADE approach .…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, inflammatory and structural lesions shown on spine MRI may increase the diagnostic specificity . Sagittal plane should be used for imaging of the spine . However, the proportion of spinal inflammation in patients suspected of early axSpA with chronic back pain or without sacroiliitis was found quite low according to the DESIR and SPACE cohorts .…”

Section: Recommendationsmentioning

confidence: 99%

“…erosion, fat metaplasia and sclerosis) due to spondyloarthritis . The standard imaging planes for SIJ are oblique axial and coronal planes . Active inflammatory changes like BME should be visualized by STIR sequence or T2‐weighted fat‐suppressed (T2W FS) sequence, which depicts water with high sensitivity.…”

Section: Recommendationsmentioning

confidence: 99%

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Clinical practice recommendations for the use of imaging in the diagnosis and management of axial spondyloarthritis in Taiwan

et al. 2019

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Objective: Axial spondyloarthritis (axSpA) is a chronic inflammatory disease bearing challenges in early diagnosis. To improve clinical diagnosis and management of axSpA, recommendations were developed with current axSpA classification criteria and recent advances in medical imaging applications. Methods: A systematic literature review was conducted by 10 rheumatologists and radiologists in Taiwan to retrieve research evidence on the utilization of imaging modalities, including conventional radiography (CR), magnetic resonance imaging (MRI), computed tomography (CT), ultrasound (US), quantitative sacroiliac scintigraphy (QSS), and dual-energy X-ray absorptiometry (DXA). The panel of experts proposed six key issues on the role of imaging in early diagnosis of axSpA, monitoring of disease activity and structural changes, predicting treatment effects, and assessing complications such as osteoporosis and spinal fracture. The consensus was established on the basis of research evidence, clinical experiences and expert opinions. For each | 25 WEI Et al.

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Section: Discussionmentioning

confidence: 71%

Section: Methodsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

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Clinical practice recommendations for the use of imaging in the diagnosis and management of axial spondyloarthritis in Taiwan

et al. 2019

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“…International guidelines recommend the use of magnetic resonance imaging (MRI) to identify early sacroiliitis in patients without overt changes on plain radiographs . This approach can lead to an earlier diagnosis of axial SpA.…”

Section: Introductionmentioning

confidence: 99%

Assessing the construct validity of clinical tests to identify sacroiliac joint inflammation in patients with non‐radiographic axial spondyloarthritis

et al. 2019

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Aim: Magnetic resonance imaging (MRI) can be used to identify sacroiliac joint (SIJ) inflammation and provide an earlier diagnosis of nonradiographic axial spondyloarthritis (nrAxSpA). However, MRI is frequently a resource-limited examination. Our aim was to assess if a set of physical clinical tests can identify SIJ inflammation in patients with nrAxSpA. Methods: Twenty participants with nrAxSpA underwent two functional tests (active straight leg raise, and stork test on the support side) and four pain provocation tests (Gaenslen's, posterior pelvic pain provocation, Patrick's Faber and palpation of the long dorsal SIJ ligament) for the SIJ, and then proceeded to a contemporaneous reference standard MRI. The Spondyloarthritis Research Consortium of Canada scoring system (SPARCC) was used to score MRI. Specificity, sensitivity, and likelihood ratios (LR) were calculated for individual clinical tests, and for the composite of tests.Results: Pain provocation tests were superior to functional tests, which showed poor accuracy. The Patrick's Faber test was the best performing procedure (sensitivity 71%, specificity 75%, positive LR 2.9, negative LR 0.4). When combining the provocation tests, a positive test in one out of two tests demonstrated the strongest predictive value (sensitivity 86%, specificity 62%, positive LR 2.2, negative LR 0.2). Conclusions:Sacroiliac joint pain provocation tests correlate modestly with inflammation. The Patrick's Faber test showed the greater LR to identify SIJ inflammation in patients with nrAxSpA. SIJ pain provocation tests may offer a simple and cost-effective way of identifying patients with nrAxSpA who are most likely to have MRI evidence of inflammation. K E Y W O R D Sankylosing spondylitis, axial spondyloarthritis, magnetic resonance imaging, physical examination, sacroiliac joint

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Imaging of Degeneration, Inflammation, Infection, Ossification, and Calcification of the Intervertebral Disk

Bosmans

Goethem

Vanhoenacker³

2020

The Disc and Degenerative Disc Disease

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Consensus statements on the imaging of axial spondyloarthritis in Australia and New Zealand

Cited by 9 publications

References 65 publications

Clinical practice recommendations for the use of imaging in the diagnosis and management of axial spondyloarthritis in Taiwan

Clinical practice recommendations for the use of imaging in the diagnosis and management of axial spondyloarthritis in Taiwan

Assessing the construct validity of clinical tests to identify sacroiliac joint inflammation in patients with non‐radiographic axial spondyloarthritis

Imaging of Degeneration, Inflammation, Infection, Ossification, and Calcification of the Intervertebral Disk

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