Evidence map›Paper›PMID 39030373›Full record

ArticleEuropean radiology2025

Standardized reporting of spine and sacroiliac joints in axial spondyloarthritis MRI: from the ESSR-Arthritis Subcommittee.

Winston J Rennie, Anne Cotten, Anne Grethe Jurik, Frederic Lecouvet, Lennart Jans, Patrick Omoumi, Filippo Del Grande, Danoob Dalili, Alberto Bazzocchi, Fabio Becce and 25 more

Abstract read
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In one paragraph

Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. When it is not sacroiliitis.Skeletal radiology · 2025
    Review
  4. Whole-body MRI in arthritis.Skeletal radiology · 2025
    Review
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

35 authors.

Winston J RennieDepartment of Radiology, University Hospitals of Leicester NHS Trust, Loughborough University, Loughborough, UK. Winston.rennie@uhl-tr.nhs.uk.ORCID http://orcid.org/0000-0002-4737-7206
Anne CottenCHU Lille, Service de Radiologie et Imagerie Musculosquelettique, Lille, France.
Anne Grethe JurikDepartment of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Frederic LecouvetDepartment of Radiology, Cliniques Universitaires Saint-Luc, UCLouvain, Brussels, Belgium.
Lennart JansDepartment of Radiology and Nuclear Medicine, Ghent University Hospital, Ghent, Belgium.
Patrick OmoumiDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland.
Filippo Del GrandeInstitute of Imaging of Southern of Switzerland (F.D.G.), EOC, Bellinzona, Switzerland.
Danoob DaliliDepartment of Radiology, Epsom and St Hellier University Hospitals NHS Trust, London, UK.
Alberto BazzocchiDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Fabio BecceDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Dennis K BieleckiDepartment of Diagnostic Imaging, Kings College Hospital, London, UK.
Mikael BoesenDepartment of Radiology, Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark.
Torsten DiekhoffDepartment of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Andrew GraingerDepartment of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Giuseppe GuglielmiDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy.
Robert HemkeDepartment of Radiology and Nuclear Medicine, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Kay Geert A HermannDepartment of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Nele HerregodsDepartment of Radiology and Nuclear Medicine, Ghent University Hospital, Ghent, Belgium.
Amanda IsaacSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Gordana IvanacDepartmentof Diagnostic and Interventional Radiology, University Hospital Dubrava, School of Medicine University of Zagreb, Zagreb, Croatia.
Franz KainbergerDepartment of Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Andrea KlauserDepartment of Radiology, Medical University Innsbruck, Innsbruck, Austria.
Salvatore MarsicoDepartment of Radiology, Hospital del Mar, Barcelona, Spain.
Vasco MascarenhasMusculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.
Philip O'ConnorNIHR Leeds Biomedical Research Centre, Leeds, UK.
Edwin OeiDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Vittorio PansiniRicerche Diagnostiche, Bari, Italy.
Olympia Papakonstantinou2nd Department of Radiology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Anna ZejdenDepartment of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Monique ReijnierseDepartment of Radiology, Leiden University Medical Center, Leiden, Netherlands.
Andrea B RosskopfRadiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Amit ShahDepartment of Radiology, University Hospitals of Leicester NHS Trust, Loughborough University, Loughborough, UK.
Iwona Sudol-SzopinskaDepartment of Radiology, The National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Frederiek LalooDepartment of Radiology, General Hospital Sint-Lucas Ghent, Ghent, Belgium.
Chiara GiraudoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesApply a modified Delphi-based approach and produce a practical, radiology-specific set of definitions for interpretation and standardization of the multiple MRI findings in axial spondyloarthritis (ax-SpA), specifically to aid the general radiologist with a musculoskeletal interest, working with gold standard basic MRI protocols. MATERIALS AND

methodsWe report the results of a modified Delphi-based consensus of 35 experts from 13 countries in the Arthritis Subcommittee of the European Society of Musculoskeletal Radiology (ESSR). Seventeen definitions were created (i.e., nine for the spine and eight for the sacroiliac joint) and two Delphi rounds were conducted on an electronic database, collated and revised by the project leader with agreement. Group leads were appointed for each definition following the first round. Final definitions included only those that reached a consensus > 80%; if > 50% agreed on exclusion consensus, definitions were excluded. Final results have been shared during the Arthritis meeting at the Annual ESSR Congress.

resultsFourteen definitions, eight for the spine and six for the sacroiliac joint were agreed for standardized reporting. Andersson's, anterior corner sclerotic and costovertebral joint inflammatory lesions of the spine, with active and non-active erosions, and fat metaplasia of the sacroiliac joint reaching the highest consensus (≥ 95%). More than 50% of the experts agreed to exclude joint space inflammation in the sacroiliac joint and tissue backfill. Syndesmophytes reached 76% agreement.

conclusionsAgreed definitions by expert radiologists using a modified Delphi process, should allow standardized actionable radiology reports and clarity in reporting terminology of ax-SpA. CLINICAL RELEVANCE STATEMENT: The proposed definitions will support reporting from musculoskeletal and general radiologists working with gold-standard basic MRI, improve confidence in lesion assessment, and standardize terminology to provide actionable reports on MRI in patients with ax-SpA. KEY POINTS: Experts applied a modified Delphi method to optimize the definitions of MRI findings of ax-SpA. After two Delphi rounds and one in-person meeting, fourteen definitions reached the agreement threshold. These consensus-based definitions will aid in actionable reporting specifically for the general radiologist with a musculoskeletal interest.

Indexed as

Delphi TechniqueMagnetic Resonance ImagingSacroiliac JointSpineAxial SpondyloarthritisConsensusEuropeHumansAxial spondyloarthritisDelphi methodMagnetic resonance imaging

Identifiers

PMID39030373

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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.