Evidence map›Paper›PMID 39107080›Full record

ArticleAnnals of the rheumatic diseases2024

Development of international consensus on a standardised image acquisition protocol for diagnostic evaluation of the sacroiliac joints by MRI: an ASAS-SPARTAN collaboration.

Robert G W Lambert, Xenofon Baraliakos, Stephanie A Bernard, John A Carrino, Torsten Diekhoff, Iris Eshed, Kay Geert A Hermann, Nele Herregods, Jacob Jaremko, Lennart Bo Jans and 5 more

Abstract readConsensus Statement
In one paragraph

Article in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. [Axial spondyloarthritis].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Observational
  10. Year in Review: Axial Spondyloarthritis.Mediterranean journal of rheumatology · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Observational
  20. Article
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

15 authors.

Robert G W LambertRadiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada rlambert@ualberta.ca.ORCID http://orcid.org/0000-0003-0305-3290
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Ruhr University Bochum, Herne, Germany.ORCID http://orcid.org/0000-0002-9475-9362
Stephanie A BernardRadiology, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.ORCID http://orcid.org/0000-0002-8410-2295
John A CarrinoRadiology and Imaging, Hospital for Special Surgery, New York, New York, USA.ORCID http://orcid.org/0000-0003-3472-2469
Torsten DiekhoffDepartment of Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-3593-1449
Iris EshedRadiology, Sheba Medical Center, Tel Hashomer, Israel.ORCID http://orcid.org/0000-0002-4655-9606
Kay Geert A HermannDepartment of Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0001-6142-3814
Nele HerregodsRadiology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0003-0244-0168
Jacob JaremkoRadiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0001-5314-2297
Lennart Bo JansRadiology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0002-7909-2643
Anne Grethe JurikDepartment of Radiology, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-2571-0466
John M D O'NeillRadiology, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0001-6593-4400
Monique ReijnierseRadiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-6906-1851
Michael J TuiteRadiology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID http://orcid.org/0000-0001-9259-937X
Walter P MaksymowychMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-1291-1755

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA range of sacroiliac joint (SIJ) MRI protocols are used in clinical practice but not all were specifically designed for diagnostic ascertainment. This can be confusing and no standard diagnostic SIJ MRI protocol is currently accepted worldwide.

objectiveTo develop a standardised MRI image acquisition protocol (IAP) for diagnostic ascertainment of sacroiliitis.

methods13 radiologist members of Assessment of SpondyloArthritis International Society (ASAS) and the SpondyloArthritis Research and Treatment Network (SPARTAN) plus two rheumatologists participated in a consensus exercise. A draft IAP was circulated with background information and online examples. Feedback on all issues was tabulated and recirculated. The remaining points of contention were resolved and the revised IAP was presented to the entire ASAS membership.

resultsA minimum four-sequence IAP is recommended for diagnostic ascertainment of sacroiliitis and its differential diagnoses meeting the following requirements. Three semicoronal sequences, parallel to the dorsal cortex of the S2 vertebral body, should include sequences sensitive for detection of (1) changes in fat signal and structural damage with T1-weighting; (2) active inflammation, being T2-weighted with fat suppression; (3) bone erosion optimally depicting the bone-cartilage interface of the articular surface and (4) a semiaxial sequence sensitive for detection of inflammation. The IAP was approved at the 2022 ASAS annual meeting with 91% of the membership in favour.

conclusionA standardised IAP for SIJ MRI for diagnostic ascertainment of sacroiliitis is recommended and should be composed of at least four sequences that include imaging in two planes and optimally visualise inflammation, structural damage and the bone-cartilage interface.

Indexed as

ConsensusMagnetic Resonance ImagingSacroiliac JointSacroiliitisHumansArthritisAxial SpondyloarthritisMagnetic Resonance Imaging

Identifiers

PMID39107080
PMCPMC11671998

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Registered trials

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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.