ArticlePediatric rheumatology online journal2015
Diagnositic value of pelvic enthesitis on MRI of the sacroiliac joints in enthesitis related arthritis.
Article in Pediatric rheumatology online journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 28 citations in OpenAlex.
- Radiographic entheseal lesions of the pelvic region are more prevalent in radiographic axSpA than in age- and sex-matched controls and are associated with more severe spinal disease.Clinical rheumatology · 2025Article
- Identifying enthesitis in the sacroiliac joints in patients with axial spondyloarthritis by readers of varying experience: impact of the learning progress.BMC rheumatology · 2024Article
- Profile of HLA-B27-positive enthesitis/spondylitis-related arthritis in Senegal, West Africa.Pediatric rheumatology online journal · 2024Article
- Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy.Sudanese journal of paediatrics · 2024Article
- MRI in pediatric sacroiliitis, what radiologists should know.Pediatric radiology · 2023Review
- [Acquired hip joint pathologies in childhood].Radiologie (Heidelberg, Germany) · 2022Article
- Normal subchondral high T2 signal on MRI mimicking sacroiliitis in children: frequency, age distribution, and relationship to skeletal maturity.European radiology · 2021Article
- Outcomes in Juvenile-Onset Spondyloarthritis.Frontiers in medicine · 2021Review
- Common incidental findings on sacroiliac joint MRI in children clinically suspected of juvenile spondyloarthritis.European journal of radiology open · 2020Article
- Magnetic Resonance Imaging of Enthesitis in Spondyloarthritis, Including Psoriatic Arthritis-Status and Recent Advances.Frontiers in medicine · 2020Review
- Enthesitis-related arthritis: current perspectives.Open access rheumatology : research and reviews · 2019Review
- ASAS definition for sacroiliitis on MRI in SpA: applicable to children?Pediatric rheumatology online journal · 2017Article
- [Imaging options in pediatric rheumatology].Zeitschrift fur Rheumatologie · 2016Review
- Imaging in Juvenile Spondyloarthritis.Current rheumatology reports · 2016Review
- Diagnostic Value of MRI of the Sacroiliac Joints in Juvenile Spondyloarthritis.Journal of the Belgian Society of Radiology · 2016Article
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Authors and funding
11 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo determine the prevalence and diagnostic value of pelvic enthesitis on MRI of the sacroiliac (SI) joints in enthesitis related arthritis (ERA).
methodsWe retrospectively studied 143 patients aged 6-18 years old who underwent MRI of the SI joints for clinically suspected sacroiliitis between 2006-2014. Patients were diagnosed with ERA according to the International League of Associations for Rheumatology (ILAR) criteria. All MRI studies were reassessed for the presence of pelvic enthesitis, which was correlated to the presence of sacroiliitis on MRI and to the final clinical diagnosis. The added value for detection of pelvic enthesitis and fulfilment of criteria for the diagnosis of ERA was studied.
resultsPelvic enthesitis was seen in 23 of 143 (16 %) patients. The most commonly affected sites were the entheses around the hip (35 % of affected entheses) and the retroarticular interosseous ligaments (32 % of affected entheses). MRI showed pelvic enthesitis in 21 % of patients with ERA and in 13 % of patients without ERA. Pelvic enthesitis was seen on MRI in 7/51 (14 %) patients with clinically evident enthesitis, and 16/92 (17 %) patients without clinically evident enthesitis. In 7 of 11 ERA-negative patients without clinical enthesitis but with pelvic enthesitis on MRI, the ILAR criteria could have been fulfilled, if pelvic enthesitis on MRI was included in the criteria. There is a high correlation between pelvic enthesitis and sacroiliitis, with sacroiliitis present in 17/23 (74 %) patients with pelvic enthesitis.
conclusionsPelvic enthesitis may be present in children with or without clinically evident peripheral enthesitis. There is a high correlation between pelvic enthesitis and sacroiliitis on MRI of the sacroiliac joints in children. As pelvic enthesitis indicates active inflammation, it may play a role in assessment of the inflammatory status. Therefore, it should be carefully sought and noted by radiologists examining MRI of the sacroiliac joints in children.
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