Imaging in ankylosing spondylitis

Østergaard, Mikkel; Lambert, Robert G.

doi:10.1177/1759720x11436240

Cited by 58 publications

(43 citation statements)

References 38 publications

(78 reference statements)

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“…In general, CR detects structural changes of the bone, such as squaring, erosion of vertebral body, and new bone formation (syndesmophytes) or bamboo spine, which are the consequences of inflammation usually found in the later stages of AS . Conventional radiography has a low sensitivity and inconsistency in inflammatory identification .…”

Section: Recommendationsmentioning

confidence: 99%

“…For other active inflammatory lesions in SIJ, synovitis should be detected by T1W post‐Gd, and capsulitis and enthesitis may also be better detected on contrast‐enhanced T1W FS images . In addition, the evaluation of structural features, especially erosions, through T1W sequence should be used as a supplementary approach to facilitate the early diagnosis of axSpA …”

Section: Recommendationsmentioning

confidence: 99%

“…Although radiation exposure hazard in CT is a general concern when making a diagnostic decision, local practice may advocate the use of CT before MRI due to the advantages in lower cost, faster and more reliable acquisition, and higher spatial resolution. Nevertheless, CT is inferior to MRI and US in detecting soft‐tissue changes, which may restrict its imaging application …”

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: Recommendationsmentioning

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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“…MRI has also allowed SpA to be diagnosed in 75% of patients missed by conventional radiographs [121314]. In one study, MRI allowed early diagnosis of sacroilitis in 39.5% patients without radiological changes as well as ruling out active lesions in 60.4% of cases with sacroilitis changes on conventional radiographs based on the modified New York criteria [15]. …”

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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“…Contrast-enhanced MRI studies increase further the sensitivity for detecting early sacroilitis. [37]…”

Section: Diagnosis Of Dengue and Chikungunyamentioning

confidence: 99%

Laboratory support in the diagnosis of uveitis

Majumder

Sridharan

Biswas

2013

Indian J Ophthalmol

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Intraocular inflammations are still a diagnostic challenge for ophthalmologists. It is often difficult to make a precise etiological diagnosis in certain situations. Recently, there have been several advances in the investigations of uveitis, which has helped the ophthalmologists a lot in the management of such clinical conditions. A tailored approach to laboratory diagnosis of uveitic cases should be directed by the history, patient's symptoms and signs, and clinical examination. This review summarizes various modalities of laboratory investigations and their role in the diagnosis of uveitis.

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Imaging in ankylosing spondylitis

Cited by 58 publications

References 38 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

Classification Terminology and Definitions in Reporting of MRI in Axial Spondyloarthritis

Laboratory support in the diagnosis of uveitis

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