MR Imaging of the Spine and Sacroiliac Joints for Spondyloarthritis: Influence on Clinical Diagnostic Confidence and Patient Management

Carmona, Raj; Harish, Srinivasan; Linda, Dorota D.; Ioannidis, George; Matsos, Mark; Khalidi, Nader

doi:10.1148/radiol.13121675

Cited by 30 publications

(12 citation statements)

References 17 publications

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“…27 If inflammatory arthritides are considered, MR imaging (MRI) would be the favored initial imaging modality because of its high sensitivity and ability to detect concurrent noninflammatory causes of pain. 28,29 When degenerative disease is absent, posterior hip pain originating from the spine is usually secondary to a herniated disc, in which case MRI can be used to confirm the diagnosis. 30 Proximal hamstring tendinopathy is sometimes referred to as hamstring syndrome and can produce symptoms mimicking sciatica in addition to focal posterior hip pain.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

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Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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“…MRI of the sacroiliac joints (SIJs) is the preferred imaging examination in patients with back pain clinically suspected to have axial spondyloarthritis (SpA) when pelvic radiographs show normal or equivocal findings 1. Global assessment of SIJ MRI is the common diagnostic approach with simultaneous evaluation of T1-weighted spin echo (T1SE) and short τ inversion recovery (STIR) sequences globally, not restricted to a single lesion type.…”

Section: Introductionmentioning

confidence: 99%

Candidate lesion-based criteria for defining a positive sacroiliac joint MRI in two cohorts of patients with axial spondyloarthritis

et al. 2014

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“…Whole-body MRI allows global recognition and assessment not only of marrow edema adjacent to affected joints, but significantly in the early stages of the disease can identify enthesitis before bone marrow changes have become established, allowing early institution of aggressive treatments, which improve patient outcomes. 81 In established ankylosing spondylitis, early stages are characterized by inflammatory marrow edema adjacent to the sacroiliac joints and peripheral entheses. Similar changes are evident at the vertebral corners; however, an almost identical appearance can be seen in the spine in degenerative disk disease and caution is required with interpretation.…”

Section: Infectious and Inflammatory Disordersmentioning

confidence: 99%

Whole‐body MRI of bone marrow: A review

Hynes

Hughes

Cunningham

et al. 2019

Magnetic Resonance Imaging

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Technical advances in the last two decades have allowed rapid, high‐resolution whole‐body magnetic resonance imaging (WBMRI). MRI allows unparalleled visualization and detail in the imaging of bone marrow and surrounding soft tissues. The properties of nuclear magnetic resonance allow superb characterization of bone marrow constituents. WBMRI allows superb characterization of the different types of bone marrow and their natural evolution during the life cycle. Diffusion‐weighted WBMRI is an exciting development that adds functional information to anatomical detail. The mainstay of WBMRI for bone marrow abnormalities to date has centered upon staging multiple myeloma and other hematologic bone marrow conditions, and as a valuable tool in quantifying skeletal metastases. Increasingly, WBMRI is being utilized in a variety of additional malignant and nonmalignant conditions. Due to the absence of ionizing radiation, WBMRI represents a valuable screening tool in areas such as malignant transformation in hereditary multifocal exostoses or for the development of ischemic marrow insult in at‐risk patients. An additional novel area of use includes postmortem WBMRI for characterization of skeletal injuries. This article provides a state‐of‐the‐art and current review of WBMRI of the bone marrow and highlights potential future areas of development. Level of Evidence: 5 Technical Efficacy Stage: 3 J. MAGN. RESON. IMAGING 2019. J. Magn. Reson. Imaging 2019;50:1687–1701.

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MR Imaging of the Spine and Sacroiliac Joints for Spondyloarthritis: Influence on Clinical Diagnostic Confidence and Patient Management

Abstract: MR imaging of the spine and sacroiliac joints significantly influences the diagnostic confidence of rheumatologists regarding clinical features and overall diagnoses of axial spondyloarthritis, and consequently significantly affects treatment plans.

Cited by 30 publications

References 17 publications

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Candidate lesion-based criteria for defining a positive sacroiliac joint MRI in two cohorts of patients with axial spondyloarthritis

Whole‐body MRI of bone marrow: A review

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