Recommendations of the ESSR Arthritis Subcommittee for the Use of Magnetic Resonance Imaging in Musculoskeletal Rheumatic Diseases

Sudoł‐Szopińska, Iwona; Jurik, Anne Grethe; Eshed, Iris; Jans, Lennart; Grainger, Andrew J.; Østergaard, Mikkel; Klauser, Andrea; Cotten, Anne; Wick, Marius M.C.; Maas, Mario; Miese, Falk; Egund, Niels; Boutry, Nathalie; Rupreht, Mitja; Reijnierse, M.; Oei, Edwin H.G.; Meier, Reinhard; Pj, O'Connor; Feydy, A.; Mascarenhas, Vasco; Plagou, Athena; Simoni, Paolo; Platzgummer, Hannes; Rennie, Winston J.; Mester, Á.; Teh, James; Robinson, Philip; Guglielmi, Giuseppe; Åström, Gunnar; Schueller-Weiderkamm, Claudia

doi:10.1055/s-0035-1564696

Cited by 109 publications

(67 citation statements)

References 49 publications

(60 reference statements)

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“…However, it is more expensive than conventional radiographs, is less available and may involve longer imaging times. MRI Protocols can be based on the recent recommendations, published by the ESSR arthritis subcommittee and essentially involves imaging of the Spine and SIJ [16]. …”

Section: Mri In Ax-spamentioning

confidence: 99%

Classification Terminology and Definitions in Reporting of MRI in Axial Spondyloarthritis

Ramdin

Moorthy

Rennie

2017

Journal of the Belgian Society of Radiology

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Spondyloarthritis (SpA) is a group of chronic inflammatory conditions which severely impact quality of life. Several criteria have been developed in the past to aid the diagnosis of SpA based on symptoms and radiographic changes during the course of the disease. However, it takes several years before structural changes manifest on conventional radiographs, leading to a diagnostic delay of 6 to 10 years. The use of MRI and its incorporation into the Assessment of Spondyloarthritis (ASAS) criteria, has radically changed the diagnosis of SpA in the last decade by allowing visualisation of both active and chronic inflammatory changes and enabling clinicians to recognise SpA during it’s early stage and initiate treatment. An understanding of the various terminology used in the divisions of disease presentations and their relevant imaging findings are key, along with the use of clear definitions of structural and inflammatory changes on MRI, in ensuring accurate diagnosis and classification of SpA.

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Section: Mri In Ax-spamentioning

confidence: 99%

Classification Terminology and Definitions in Reporting of MRI in Axial Spondyloarthritis

Ramdin

Moorthy

Rennie

2017

Journal of the Belgian Society of Radiology

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“…Magnetic resonance imaging protocols should be adjusted taking into consideration scanner specifications, available coils and image quality in particular sequences [2]. …”

Section: Sequences and Protocolsmentioning

confidence: 99%

“…Thinner sections should ideally be performed for small joints [2], especially of the hands. For large joints (knee, shoulder, hip, ankle), the 3 mm thickness should be used.…”

Section: Sequences and Protocolsmentioning

confidence: 99%

“…They enable the diagnosis of pathological changes within the synovium, subchondral bone marrow and adipose tissue [2] . …”

Section: Sequences and Protocolsmentioning

confidence: 99%

“…Despite this, MRI is more and more common in rheumatic patients at early stages of the diagnosis, for treatment monitoring, early detection of complications as well as in confirming remission [2]. In spondyloarthritides, MRI findings can be the basis for implementing biological treatment.…”

Section: Introductionmentioning

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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Automatic quantification of bone marrow edema on MRI of the wrist in patients with early arthritis: A feasibility study

Aizenberg

Roex

Nieuwenhuis

et al. 2017

Magnetic Resonance in Med

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PurposeTo investigate the feasibility of automatic quantification of bone marrow edema (BME) on MRI of the wrist in patients with early arthritis.MethodsFor 485 early arthritis patients (clinically confirmed arthritis of one or more joints, symptoms for less than 2 years), MR scans of the wrist were processed in three automatic stages. First, super‐resolution reconstruction was applied to fuse coronal and axial scans into a single high‐resolution 3D image. Next, the carpal bones were located and delineated using atlas‐based segmentation. Finally, the extent of BME within each bone was quantified by identifying image intensity values characteristic of BME by fuzzy clustering and measuring the fraction of voxels with these characteristic intensities within each bone. Correlation with visual BME scores was assessed through Pearson correlation coefficient.ResultsPearson correlation between quantitative and visual BME scores across 485 patients was r=0.83, P<0.001.ConclusionsQuantitative measurement of BME on MRI of the wrist has the potential to provide a feasible alternative to visual scoring. Complete automation requires automatic detection and compensation of acquisition artifacts. Magn Reson Med 79:1127–1134, 2018. © 2017 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Recommendations of the ESSR Arthritis Subcommittee for the Use of Magnetic Resonance Imaging in Musculoskeletal Rheumatic Diseases

Cited by 109 publications

References 49 publications

Classification Terminology and Definitions in Reporting of MRI in Axial Spondyloarthritis

Classification Terminology and Definitions in Reporting of MRI in Axial Spondyloarthritis

Magnetic resonance imaging in inflammatory rheumatoid diseases

Automatic quantification of bone marrow edema on MRI of the wrist in patients with early arthritis: A feasibility study

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