ArticleEuropean radiology2022
Comparison of zero echo time MRI with T1-weighted fast spin echo for the recognition of sacroiliac joint structural lesions using CT as the reference standard.
Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 40 citations in OpenAlex.
- High performance of low-dose ultrahigh-resolution photon-counting detector CT for sacroiliac joint assessment in axial spondyloarthritis.European journal of radiology open · 2026Article
- Diagnostic performance and reader confidence of MRI-derived CT-like images in patients with femoral head necrosis.European radiology experimental · 2026Article
- Deep learning reconstruction of zero echo time magnetic resonance imaging: diagnostic performance in axial spondyloarthritis.European radiology · 2026Article
- ZTE MRI for Rotator Cuff Tear Arthropathy: Integrated Bone-Muscle Analysis and Its Association with Pseudoparesis.Journal of clinical medicine · 2025Article
- Recent advances and insights into imaging of axial spondyloarthritis.Skeletal radiology · 2025Review
- Current Landscape of Short-T2 Imaging Techniques in the Musculoskeletal System: The Past, Present and Future.Journal of magnetic resonance imaging : JMRI · 2025Review
- Deep learning-enhanced zero echo time MRI for glenohumeral assessment in shoulder instability: a comparative study with CT.Skeletal radiology · 2025Article
- Assessment of sacroiliitis using zero echo time magnetic resonance imaging: a comprehensive evaluation.Pediatric radiology · 2025Article
- Development of international consensus on a standardised image acquisition protocol for diagnostic evaluation of the sacroiliac joints by MRI: an ASAS-SPARTAN collaboration.Annals of the rheumatic diseases · 2024Article
- Deep learning-based pseudo-CT synthesis from zero echo time MR sequences of the pelvis.Insights into imaging · 2024Article
- Utility of Zero-Echo time sequence as an adjunct for MR evaluation of degenerative disease in the cervical spine.Skeletal radiology · 2024Article
- Precision medicine in axial spondyloarthritis: current opportunities and future perspectives.Therapeutic advances in musculoskeletal disease · 2024Review
- Assessment of glenoid bone loss and other osseous shoulder pathologies comparing MR-based CT-like images with conventional CT.European radiology · 2023Article
- Sacroiliac joint MRI for diagnosis of ax-SpA: algorithm to improve the specificity of the current ASAS MRI criteria.European radiology · 2023Article
- Article
- MRI in pediatric sacroiliitis, what radiologists should know.Pediatric radiology · 2023Review
- Zero echo time MRI improved detection of erosions and sclerosis in the sacroiliac joint in comparison with LAVA-flex.Frontiers in endocrinology · 2023Article
- Detailed bone assessment of the sacroiliac joint in a prospective imaging study: comparison between computed tomography, zero echo time, and black bone magnetic resonance imaging.Skeletal radiology · 2022Article
- Future of Low-Dose Computed Tomography and Dual-Energy Computed Tomography in Axial Spondyloarthritis.Current rheumatology reports · 2022Review
- Assessment of Solid Pulmonary Nodules or Masses Using Zero Echo Time MR Lung Imaging: A Prospective Head-to-Head Comparison With CT.Frontiers in oncology · 2022Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the diagnostic performance of zero echo time (ZTE) MRI in the depiction of structural lesions of sacroiliac joints (SIJs) in patients with the suspicion of sacroiliitis compared with T1-weighted fast spin echo (T1 FSE), using CT as the reference standard.
methodsForty patients with suspicion of sacroiliitis underwent both CT and MR scans of SIJs with 80 SIJs (160 bone articular surfaces) included for analysis. Two readers independently scored SIJs for structural lesions on CT and MR images. The diagnostic capability of ZTE MRI and T1 FSE were compared by the McNemar test, using CT as the reference standard. Agreements of diagnosis and sum scores of lesions between MR sequences and CT as well as between readers were also investigated using Cohen's κappa tests and intraclass correlation coefficients.
resultsDiagnostic accuracy of ZTE MRI was higher than that of T1 FSE for erosions, sclerosis, and joint space changes (e.g., joint space changes: 91.3% vs 75.0%). ZTE MRI also improved sensitivity for detection of erosions and sclerosis (e.g., erosions at the joint level: 98.2% vs 80.0%) as well as specificity for detection of joint space changes (93.0% vs 67.4%). ZTE MRI had more consistency with CT than T1 FSE for both diagnosis and sum scores. Inter-reader agreements were higher for CT and ZTE MRI than those for T1 FSE.
conclusionsZTE MRI showed superior diagnostic performance in the depiction of SIJ structural lesions compared with routine T1-weighted MRI and had reliability comparable to CT. KEY POINTS: • ZTE MRI can provide CT-like bone contrast for the depiction of osseous structural lesions of the sacroiliac joints. • ZTE MRI showed superior diagnostic performance than conventional T1 FSE in the detection of osseous structural lesions of sacroiliitis, using CT as the reference standard. • In terms of inter-reader reliability, ZTE MRI performed comparably to CT and better than conventional T1 FSE.
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