Imaging update in inflammatory arthritis

Sudoł‐Szopińska, Iwona; Giraudo, Chiara; Oei, Edwin H.G.; Jans, Lennart

doi:10.1016/j.jcot.2021.101491

Cited by 3 publications

(9 citation statements)

References 56 publications

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“…Bone bud—new bone products that are not bridging the joint [ 68 ]. In axial PsA syndesmophytes extend into the SIJ space, while in AS, they are across the SIJ space [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

MRI Findings in Axial Psoriatic Spondylarthritis

et al. 2023

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Psoriatic arthritis is a significant medical condition with a high prevalence, a wide variety of non-specific symptoms, and a high degree of overlap with other spondylarthritis disorders, particularly ankylosing spondylitis. Hence, knowledge of the magnetic resonance imaging (MRI) manifestations and a multidisciplinary strategy are required for the better management of these patients. We searched publications from the last 10 years and focused on the most relevant ones which discussed the classification criteria, the MRI characteristics of axial psoriatic arthritis, the importance of MRI for follow up, and the reliability of skin and synovial biopsy. Axial spondylarthritis can be diagnosed and followed up on using the well-established MRI technique and, additionally, a biopsy. The analysis and concordance between them can provide new directions for future studies.

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“…Bone bud—new bone products that are not bridging the joint [ 68 ]. In axial PsA syndesmophytes extend into the SIJ space, while in AS, they are across the SIJ space [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

MRI Findings in Axial Psoriatic Spondylarthritis

et al. 2023

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“…It is the most suitable technique for detecting synovial hypertrophy and bone marrow edema (BME) [ 1 ]. Compared with US, MRI has the advantages of allowing the three-dimensional evaluation of the peripheral and axial joints and the detection of inflammatory osteitis that cannot be visualized with radiography and US [ 46 , 47 , 48 ]. Additionally, MRI allows the evaluation of the complex or deep-seated joints.…”

Section: Update In Magnetic Resonance Imagingmentioning

confidence: 99%

“…Concerning the imaging protocols for scanning SIJ, additional new MRI sequences, such as volume-interpolated breath-hold examination (VIBE) and MRI-based synthetic CT (BoneMRI), improve the performance of osseous abnormalities, such as erosions, sclerosis, and ankylosis ( Figure 8 and Figure 9 ). VIBE is a 3D gradient echo (GRE) MRI sequence that has the advantage of higher spatial resolution, lower partial volume effects, and multiplanar reconstruction [ 46 , 88 , 89 ]. BoneMRI is a deep-learning-based technology generating CT-like images from three-dimensional T1-weighted multiple gradient echo sequences (3DT1MGEs) [ 90 ].…”

Section: Update In Magnetic Resonance Imagingmentioning

confidence: 99%

“…MRI is the method of choice to assess axial joints such as the TMJ and sacroiliac joints, as well as the soft tissue and osseous inflammation in all the joints that are hard to be evaluated by clinical examination and US, such as the hip, shoulder, and cervical spine. Advances in the hardware and software of US and MRI scanners have continuously increased our ability to make early diagnoses, follow up on the disease, and assess treatment response and clinical outcome [ 46 ]. Semiquantitative and quantitative assessments introduced in the recent years, along with specific definitions of lesions in the pediatric population, have allowed more objective evaluation and standardization of assessment [ 46 ].…”

Section: Update In Magnetic Resonance Imagingmentioning

confidence: 99%

“…Advances in the hardware and software of US and MRI scanners have continuously increased our ability to make early diagnoses, follow up on the disease, and assess treatment response and clinical outcome [ 46 ]. Semiquantitative and quantitative assessments introduced in the recent years, along with specific definitions of lesions in the pediatric population, have allowed more objective evaluation and standardization of assessment [ 46 ].…”

Section: Update In Magnetic Resonance Imagingmentioning

confidence: 99%

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Advances in Musculoskeletal Imaging in Juvenile Idiopathic Arthritis

et al. 2022

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Over the past decade, imaging of inflammatory arthritis in juvenile arthropathies has significantly advanced due to technological improvements in the imaging modalities and elaboration of imaging recommendations and protocols through systematic international collaboration. This review presents the latest developments in ultrasound (US) and magnetic resonance imaging (MRI) of the peripheral and axial joints in juvenile idiopathic arthritis. In the field of US, the ultra-wideband and ultra-high-frequency transducers provide outstanding spatial resolution. The more sensitive Doppler options further improve the assessment and quantification of the vascularization of inflamed tissues, and shear wave elastography enables the diagnosis of tissue stiffness. Concerning MRI, substantial progress has been achieved due to technological improvements in combination with the development of semiquantitative scoring systems for the assessment of inflammation and the introduction of new definitions addressing the pediatric population. New solutions, such as superb microflow imaging, shear wave elastography, volume-interpolated breath-hold examination, and MRI-based synthetic computed tomography open new diagnostic possibilities and, at the same time, pose new challenges in terms of clinical applications and the interpretation of findings.

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Whole-Body MRI at Initial Presentation of Chronic Recurrent Multifocal Osteomyelitis, Juvenile Idiopathic Arthritis, Their Overlapping Syndrome, and Non-Specific Arthropathy

Lanckoroński,

Gietka,

Mańczak

et al. 2024

JCM

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(1) Background: Whole-body magnetic resonance imaging (WB-MRI) is central to defining total inflammatory burden in juveniles with arthritis. Our aim was to determine and compare the initial distribution of lesions in the WB-MRI in patients with chronic recurrent multifocal osteomyelitis (CRMO), juvenile idiopathic arthritis (JIA), their overlapping syndrome (OS), and with Non-specific Arthropathy (NA). (2) Methods: This retrospective single center study was performed on an Avanto 1.5-T MRI scanner with a dedicated multichannel surface coil system. A total of 173 pediatric patients were included with the following final diagnoses: CRMO (15.0%), JIA (29.5%), OS (4.6%), and NA (50.9%). (3) Results: Bone marrow edema (BME) was the most common abnormality, being seen in 100% patients with CRMO, 88% with OS, 55% with JIA, and 11% with NA. The bones of the lower extremities were the most affected in all compared entities. Effusion was seen in 62.5% children with OS, and in 52.9% with JIA, and in CRMO and NA, the exudate was sporadic. Enthesitis was found in 7.8% of patients with JIA and 3.8% with CRMO, and myositis was seen in 12.5% of patients with OS and in 3.9% with JIA. (4) Conclusions: The most frequent indication for WB-MRI in our center was JIA. The most common pathology in all rheumatic entities was BME, followed by effusion mainly seen in in OS and JIA. Enthesitis and myositis were less common; no case was observed in NA.

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Imaging update in inflammatory arthritis

Cited by 3 publications

References 56 publications

MRI Findings in Axial Psoriatic Spondylarthritis

MRI Findings in Axial Psoriatic Spondylarthritis

Advances in Musculoskeletal Imaging in Juvenile Idiopathic Arthritis

Whole-Body MRI at Initial Presentation of Chronic Recurrent Multifocal Osteomyelitis, Juvenile Idiopathic Arthritis, Their Overlapping Syndrome, and Non-Specific Arthropathy

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