ArticleEuropean radiology2017
MR signal in the sacroiliac joint space in spondyloarthritis: a new sign.
Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Performance of magnetic resonance imaging in the diagnosis of axial spondyloarthritis: a systematic literature review.Rheumatology (Oxford, England) · 2019Pooled it
- New Bone Formation in Axial Spondyloarthritis: A Review.RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin · 2024Review
- Sacroiliac joint beyond sacroiliitis-further insights and old concepts on magnetic resonance imaging.Skeletal radiology · 2022Review
- Evaluation of active inflammation, chronic structural damage, and response to treatment of sacroiliitis in axial spondyloarthritis using the Spondyloarthritis research consortium of Canada scoring system.BMC musculoskeletal disorders · 2022Article
- Baseline Severity of Sacroiliitis and Extensive Fat Metaplasia Predicts the Progression of Backfill at the Sacroiliac Joint in Patients With Axial Spondyloarthritis.Frontiers in immunology · 2022Article
- Structural changes in the sacroiliac joint on MRI and relationship to ASDAS inactive disease in axial spondyloarthritis: a 2-year study comparing treatment with etanercept in EMBARK to a contemporary control cohort in DESIR.Arthritis research & therapy · 2021Article
- An Omitted Radiological finding in the Pediatric Age Group: Physiological Sacroiliac Joint Vacuum Normal Variant.Spartan medical research journal · 2021Article
- The role of imaging in the diagnosis and management of axial spondyloarthritis.Nature reviews. Rheumatology · 2019Review
- MRI of the axial skeleton in spondyloarthritis: the many faces of new bone formation.Insights into imaging · 2019Review
- Imaging of sacroiliitis: Current status, limitations and pitfalls.Quantitative imaging in medicine and surgery · 2019Review
- Sacroiliac joints: anatomical variations on MR images.European radiology · 2018Article
- MRI of the sacroiliac joints in spondyloarthritis: the added value of intra-articular signal changes for a 'positive MRI'.Skeletal radiology · 2018Article
- Recent advances in ankylosing spondylitis: understanding the disease and management.F1000Research · 2018Review
- MRI assessment of bone marrow oedema in the sacroiliac joints of patients with spondyloarthritis: is the SPAIR T2w technique comparable to STIR?European radiology · 2017Article
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the diagnostic value of MR signal within the sacroiliac (SI) joint space in spondyloarthritis (SpA).
methodsA retrospective analysis of MRIs of SI joints was performed in 363 patients, aged 16-45 years, clinically suspected of sacroiliitis. Intra-articular SI joint MR signals were categorized as normal, high T1 signal, fluid signal, ankylosis or vacuum phenomenon (VP). These MRI findings were correlated with the final diagnosis, according to the ASAS criteria. Sensitivity, specificity, and positive and negative likelihood ratios (LR) and predictive values were calculated.
resultsPresence of intra-articular high T1 signal, fluid signal and ankylosis had a specificity of 95.8 %, 95.3 % and 99.5 % for SpA. High T1 signal, fluid signal and ankylosis were present in 38.4 %, 19.2 % and 17.9 % of SpA patients and in 4.2 %, 4.7 % and 0.5 % of patients without SpA, resulting in LR+ of 9.0, 4.1 and 37.9, respectively. VP was present in 13.2 % of SpA patients and in 20.8 % of patients without SpA, resulting in an LR+ of 0.6.
conclusionsPresence of high T1 signal, fluid signal and ankylosis within the SI joint on MRI have high specificity for SpA. High T1 signal is the most sensitive MRI feature within the SI joint for SpA. KEY POINTS: • MRI of the SI joints is typically obtained for diagnosis of spondyloarthritis. • The MR signal within the SI joint itself reflects features of spondyloarthritis. • Intra-articular high T1 signal, fluid signal and ankylosis are seen in spondyloarthritis. • The vacuum phenomenon makes spondyloarthritis less likely.
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