Evidence map›Paper›PMID 35803614›Full record

ArticleRMD open2022

Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis.

Rosalinde Stal, Xenofon Baraliakos, Désirée van der Heijde, Floris van Gaalen, Sofia Ramiro, Rosaline van den Berg, Monique Reijnierse, Juergen Braun, Robert Landewé, Alexandre Sepriano

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
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  5. Axial Imaging in Spondyloarthritis.Rheumatic diseases clinics of North America · 2024
    Review
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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

10 authors at 3 institutions in 3 countries.

Rosalinde StalRheumatology, Leiden University Medical Center, Leiden, The Netherlands r.a.stal@lumc.nl.ORCID 0000-0002-6706-3933
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Ruhr University Bochum, Bochum, Germany.ORCID 0000-0002-9475-9362
Désirée van der HeijdeRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5781-158X
Floris van GaalenRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-8448-7407
Sofia RamiroRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-8899-9087
Rosaline van den BergRheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Monique ReijnierseRadiology, Leiden University Medical Center, Leiden, The Netherlands.
Juergen BraunRheumazentrum Ruhrgebiet, Ruhr University Bochum, Bochum, Germany.ORCID 0000-0002-9156-5095
Robert LandewéRheumatology, Zuyderland Medical Centre Heerlen, Heerlen, The Netherlands.ORCID 0000-0002-0577-6620
Alexandre SeprianoRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-1954-0229
Leiden University Medical Center · NLRheumazentrum Ruhrgebiet · DEZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the associations between MRI detected vertebral corner inflammation (VCI) and vertebral corner fat deposition (VCFD) on whole spine low-dose CT scan (ldCT) detected syndesmophyte formation and growth.

methodsPatients from the Sensitive Imaging in Ankylosing Spondylitis cohort underwent MRI (baseline, 1 year and 2 years) and ldCT (baseline and 2 years). MR images were scored by three readers for VCI and VCFD, MRI patterns were defined by presence of VCI and/or VCFD over 2 years. LdCT images were scored by two central readers for presence and size of syndesmophytes and change was calculated for new or new/grown syndesmophytes. Multilevel generalised estimated equations were used to test the associations between VCI and VCFD and syndesmophyte development.

resultsFifty radiographic patients with axial spondyloarthritis were included (mean age 49 years, 86% male, 78% HLA-B27+). Absence of both VCI and VCFD protected against syndesmophyte development (ORs 0.36-0.37). Presence of VCI and/or VCFD increased the risk of syndesmophyte development (ORs 1.73-2.60). Out of all corners with a new or new/grown syndesmophyte, 47% of corners according to reader 1 and 44% according to reader 2 had neither VCI nor VCFD preceding the bone formation.

conclusionsVCI and VCFD were positively associated with syndesmophyte development. This has been shown for the first time for syndesmophytes detected on ldCT and also in the thoracic spine. However, almost half of all bone formation occurred in corners without VCI or VCFD, suggesting the presence of these lesions in yearly MRIs does not fully clarify the development of syndesmophytes.

Indexed as

Axial SpondyloarthritisMuscular DiseasesDisease ProgressionFemaleHumansInflammationMagnetic Resonance ImagingMaleMiddle AgedTomography, X-Ray Computedinflammationmagnetic resonance imagingspondylitis, ankylosing

Identifiers

PMID35803614
PMCPMC9272129
OpenAlexW4284960019

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.