Evidence map›Paper›PMID 25916392›Full record

ArticleEuropean radiology2016

Optimizing the MRI protocol of the sacroiliac joints in Spondyloarthritis: which para-axial sequence should be used?

Chiara Giraudo, Silvia Magnaldi, Michael Weber, Antonia Puchner, Hannes Platzgummer, Franz Kainberger, Claudia Schueller-Weidekamm

Abstract read
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In one paragraph

Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Chiara GiraudoDivision of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria.
Silvia MagnaldiDipartimento di Radiologia e Diagnostica per Immagini, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Michael WeberDivision of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria.
Antonia PuchnerDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria.
Hannes PlatzgummerDivision of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria.
Franz KainbergerDivision of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria.
Claudia Schueller-WeidekammDivision of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, Vienna, 1090, Austria. claudia.schueller-weidekamm@meduniwien.ac.at.
Medical University of Vienna · ATVienna General Hospital · ATFondazione Poliambulanza Istituto Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo assess the diagnostic value of para-axial T2w-TSE (paT2) and fat-suppressed proton density (paPD-FS) MRI sequences for the evaluation of the sacroiliac joint (SIJ) of patients with axial Spondylarthritis (SpA). MATERIALS AND

methodsOne hundred and six patients with clinical findings suggestive of SpA underwent an MR protocol of the SIJ with additional paPD-FS (41 patients) and paT2 (105 patients). Acute (bone marrow oedema [BME], enthesitis, capsulitis, synovitis) and chronic findings (erosions, ankylosis) were assessed by paPD-FS and compared with the gold standard post-contrast sequences, whereas chronic features (because of the lack of fat suppression) were evaluated on paT2 and compared with pcT1.

resultspaPD-FS demonstrated high sensitivity (98.9 %) and specificity (99.1 %) for BME; sensitivity and specificity for synovitis and enthesitis were 100 %; 85.7 % and 100 %, respectively, for capsulitis. paPD-FS and paT2 showed 100 % sensitivity and specificity for ankylosis; for erosions, paT2 demonstrated 85.3 % sensitivity and 100 % specificity, whereas paPD-FS, respectively, 98 % and 100 %. DISCUSSION: PaT2 and paPD-FS provided precious information enabling an accurate interpretation of the heterogeneous findings of SpA. paPD-FS showed good results in detecting acute and chronic lesions and its inclusion in a routine MR examination of the SIJ could increase the diagnostic performance of a pre-contrast protocol. KEY POINTS: Para-axial sequence should be included in a routine MRI protocol for SpA. Acute and chronic findings can be evaluated on para-axial PD-FS. Para-axial PD-FS is superior to para-axial T2-W in SpA.

Indexed as

AdultFemaleHumansMagnetic Resonance ImagingMaleReproducibility of ResultsROC CurveSacroiliac JointSpondylarthritisAcute diseaseChronic diseaseMRISacroiliitisSpondylarthritis

Identifiers

PMID25916392
OpenAlexW2037956455

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.