Ces radiol. 2017, 71(1):27-40 | DOI: 10.55095/CesRadiol2017/002

Current approach to axial spondyloarthritis imagingReview article

Eva Korčáková1, Jindra Brtková2, Jindřiška Gatterová3, David Suchý4
1 Klinika zobrazovacích metod LF UK a FN, Plzeň
2 Radiodiagnostická klinika LF UK a FN, Hradec Králové
3 Revmatologický ústav, Praha
4 Oddělení klinické farmakologie LF UK a FN, Plzeň

An early diagnosis and an early initiation of treatment is a major factor affecting the future quality of life of the patients with axial spondyloarthritis (AxSpA). In the paper we summarize the recent knowledge on the imaging AxSpA focusing on the diagnosis of the early stages. We evaluate the benefits and applicability of imaging methods. We present to readers the classification schemes which are used for diagnosis and monitoring the therapy of axial spondyloarthritis. Finally, we discuss the differential diagnosis.

Keywords: axial spondyloarthritis, magnetic resonance, active sacroiliitis, bone marrow oedema
Grants and funding:

Podpořeno projektem Ministerstva zdravotnictví ČR Koncepční rozvoj výzkumné instituce 00669806 - FN Plzeň, grantem IGA MZ ČR 13326 a projektem CZ.1.05/2.1.00/03.0076 Evropského fondu pro regionální rozvoj.

Accepted: January 15, 2017; Published: March 1, 2017  Show citation

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Korčáková E, Brtková J, Gatterová J, Suchý D. Current approach to axial spondyloarthritis imaging. Ces radiol. 2017;71(1):27-40. doi: 10.55095/CesRadiol2017/002.
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    References

    1. Braun J, Baraliakos X, Golder W, et al. Analysing chronic spinal changes in ankylosing spondylitis: a systematic comparison of conventional X rays with magnetic resonance imaging using established and new scoring systems. Ann Rheum Dis 2004; 63: 1046-1055. Go to original source... Go to PubMed...
    2. Sieper J, Rudwaleit M, Braliakos X, et al. The assessment of spondyloarthritis international society (ASAS) handbook: a guide to assess spondyloarthritis. Ann Rheum Dis 2009; 68(Suppl II): ii1-ii44. Go to original source... Go to PubMed...
    3. van der Linden S, Valkenburg H, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. Arthritis and Rheumatism 1984; 27: 361-368. Go to original source... Go to PubMed...
    4. Akgul O, Ozgocmen s. Classification criteria for spondyloarthropaties, World J Orthop 2011; 2(12): 107-115. Go to original source...
    5. Rudwaleit M, van der Heijde D, Landewe R, et al. The development of assessment of spondyloarthritis international society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis 2009; 68: 777-783. Go to original source... Go to PubMed...
    6. Mandl P, Navarro-Compán V, Terslev L, et al. EULAR recommendation for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis 2015; 0: 1-13. Go to original source... Go to PubMed...
    7. Weber U, Zubler V, Zhao Z, et al. Does spinal MRI add incremental diagnostic value to MRI of the sacroiliac joints alone in patients with non-radiographic axial spondylarthritis? Ann Rheum Dis 2015; 74: 985-992. Go to original source... Go to PubMed...
    8. Lambert R, Bakker P, Heijde D, et al. Defining active sacroiliitis on MRI for classification of axial spondylarthritis: update by the ASAS MRI working group. Ann Rheum Dis 2016; 0: 1-6. Go to original source... Go to PubMed...
    9. Maksymowych WP, Inman RD, Solenen D, et al. Spondyloarthritis research consortium of canada magnetic resonance imaging index for assessment of sacroiliac joint inflammation in ankylosing spondylitis. Arthritis Rheum 2005; 53(5): 703-709. Go to original source... Go to PubMed...
    10. Salaffi F, Carotti M, Garofalo G, et al. Radiological scoring methods for ankylosing spondylitis: a comparison between the Bath Ankylosing Spondylitis Radiology Index and the modified Stoke Ankylosing Spondylitis Spine Score. Clin Exp Rheumatol 2007; 25: 67-74.
    11. Wanders A, Landewe R, Spoorengerg A, et al. What is the most appropriate radiologic scoring metod for ankylosing spondylitis? Arthritis & Rheumatism 2004; 50: 2622-2632. Go to original source... Go to PubMed...
    12. Poddubnyy D, Rudwaleit M, Haibel H, et al. Rates and predictors of radiographic sacroiliitis progression over 2 years in patients with axial spondyloarthritis. Ann Rheum Dis 2011; 70: 1369-1374. Go to original source... Go to PubMed...
    13. Mau W, Zeidler H, Mau R, et al. Clinical features and prognosis of patients with possible ankylosing spondylitis. Results of a 10-year followup. J Rheumatol 1988; 15: 1109-1114.
    14. Pavelka K. Časná diagnostika ankylozující spondylitidy. Vnitř. Lék. 2006; 52: 726-729.
    15. Bennett A, McGonagle D, O'Connor P, et al. Severity of baseline magnetic resonance imaging-evident sacroiliitis and HLA-B27 status in early inflammatory back pain predict radiographically evident ankylosing spondylitis at eight years, Artritis & rheumatism 2008; 58: 3413-3418. Go to original source... Go to PubMed...
    16. Althoff CE, Feist E, Burova E, et al. Magnetic resonance imaging of active sacroiliitis: do we really need gadolinium? Eur J Radiol 2009; 71: 232-236. Go to original source... Go to PubMed...
    17. Baraliakos X, Hermann KG, Landewe R, et al. Assessement of acute spinal inflammation in patients with ankylosing spondylitis by magnetic resonance imaging: a comparison between contrast enhanced T1 and short tau inversin recovery (STIR) sequences. Ann Rheum Dis 2005; 64: 1141-1144. Go to original source... Go to PubMed...
    18. Hermann KA, Bollow M. Magnetic resonance imaging of the axial skeleton in rheumatoid disease, Best practice & research clinical rheumatology 2004; 18: 881-907. Go to original source... Go to PubMed...
    19. Kim NR, Choi JY, Hong SH. "MR corner sign": Value for predicting presence of ankylosing spondylitis. AJR 2008; 191: 124-128. Go to original source... Go to PubMed...
    20. van Onna M, van Tubergen A, van der Heijde DM. Bone marrow edema on magnetic resonance imaging (MRI) of the sacroiliac joints is associated with development of fatty lesion on MRI over a 1-year interval in patients with early inflammatory low back pain: a 2-year followup study. J Rhematol 2014; 41(6): 1088-1094. Go to original source... Go to PubMed...
    21. Korčáková E, Mírka H, Suchý D. Úloha magnetické rezonance v diagnostickém algoritmu séronegativních spondylartritid. Ces Radiol 2014; 68(4): 282-288.
    22. Lacout A, Rousselin B, Pelage JP. CT and MRI of spine and sacroiliac involvement in spondyloarthropathy. AJR 2008; 191: 1016-1023. Go to original source... Go to PubMed...
    23. Klauser A, De Zordo T, Bellmann-Weiler R, et al. Feasibility of second-generation ultrasound contrast media in the detection of active sacroiliitis, Arthritis & Rheumatism, 2009; 61: 909-916. Go to original source... Go to PubMed...
    24. Klauser A, Haltern E, Frauscher F, et al. Inflammatory low back pain: high negative predictive value of contrast-enhanced color doppler ultrasound in the detection of inflamed sacroiliac joints, Arthritis & Rheumatism 2005; 53: 440-444. Go to original source... Go to PubMed...
    25. Klauser A, De Zordo T, Feuchtner G, et al. Feasibility of ultrasound-guided sacroiliac joint injection considering sonoanatomic landmarks at two different levels in cadavers and patients, Arthritis & Rheumatism 2008; 59(11): 1618-1624. Go to original source... Go to PubMed...
    26. Fischer D, Pfirrmann CH, Zubler V. High bone turnover assessed by 18F-fluoride PET/CT in the spine and sacroiliac joints of patients with ankylosing spondylitis: comparison with inflammatory lesions detected by whole body MRI, EJNMMI Research 2012; 2: 38. Go to original source... Go to PubMed...
    27. Hušáková M. Léčba axiální spondyloartritidy, Farmakoterapie 2014; 10(6): 717-724.
    28. Forejtová Š. Ankylozující spondylitida a současné možnosti farmakoterapie. Remedia 2013; 6: 382-389.
    29. Pavelka K, Forejtová Š, Chroust K. Biologická léčba axiálních spondylartritid. Remedia 2009; 4: 256-262.

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