Evidence map›Paper›PMID 39317418›Full record

GuidelineAnnals of the rheumatic diseases2024

Clinical information on imaging referrals for suspected or known axial spondyloarthritis: recommendations from the Assessment of Spondyloarthritis International Society (ASAS).

Torsten Diekhoff, Chiara Giraudo, Pedro M Machado, Michael Mallinson, Iris Eshed, Hildrun Haibel, Kay Geert Hermann, Manouk de Hooge, Lennart Jans, Anne Grethe Jurik and 12 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. [Spondylitis and spondylodiscitis].Radiologie (Heidelberg, Germany) · 2025
    Review
  6. Article
  7. 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

22 authors.

Torsten DiekhoffDepartment of Radiology, Freie Universität Berlin, Berlin, Germany torsten.diekhoff@charite.de.ORCID http://orcid.org/0000-0003-3593-1449
Chiara GiraudoDepartment of Medicine, University of Padova, Padova, Italy.
Pedro M MachadoDepartment of Neuromuscular Diseases, University College London, London, UK.ORCID http://orcid.org/0000-0002-8411-7972
Michael MallinsonAnkylosing Spondylitis International Federation (ASIF), London, UK.
Iris EshedRadiology, Sheba Medical Center, Tel Hashomer, Israel.ORCID http://orcid.org/0000-0002-4655-9606
Hildrun HaibelMed. Dep I, Rheumatology, Charité University, Berlin, Germany.
Kay Geert HermannDepartment of Radiology, Freie Universität Berlin, Berlin, Germany.
Manouk de HoogeVIB Center of Inflammation Research, Ghent University, Gent, Belgium.ORCID http://orcid.org/0000-0002-0652-9808
Lennart JansRadiology, Ghent University Hospital, Ghent, Belgium.
Anne Grethe JurikDepartment of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Robert Gw LambertRadiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0003-0305-3290
Walter MaksymowychMedicine, University of Alberta, Edmonton, Alberta, Canada.
Helena Marzo-OrtegaSection of Musculoskeletal Disease, Leeds Institute of Molecular Medicine, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-9683-3407
Victoria Navarro-CompánRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-4527-852X
Mikkel ØstergaardCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet Glostrup, Glostrup, Denmark.ORCID http://orcid.org/0000-0003-3690-467X
Susanne Juhl PedersenDepartment of Rheumatology, Copenhagen University Hospital Glostrup, Glostrup, Denmark.
Monique ReijnierseRadiology, Leiden University Medical Center, Leiden, The Netherlands.
Martin RudwaleitInternal Medicine and Rheumatology, Klinikum Bielefeld Rosenhöhe, Bielefeld, Germany.ORCID http://orcid.org/0000-0001-5445-548X
Fernando A SommerfleckRheumatology, Instituto de Rehabilitacion Psicofisica, Buenos Aires, Argentina.
Ulrich WeberRheumatology, Practice Zenit, Schaffhausen, Switzerland.ORCID http://orcid.org/0000-0001-6701-670X
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Ruhr University Bochum, Herne, Germany.ORCID http://orcid.org/0000-0002-9475-9362
Denis PoddubnyyDepartment of Gastroenterology, Infectious Diseases and Rheumatology (including Nutrition Medicine), Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4537-6015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to establish expert consensus recommendations for clinical information on imaging requests in suspected/known axial spondyloarthritis (axSpA), focusing on enhancing diagnostic clarity and patient care through guidelines. MATERIALS AND

methodsA specialised task force was formed, comprising 7 radiologists, 11 rheumatologists from the Assessment of Spondyloarthritis International Society (ASAS) and a patient representative. Using the Delphi method, two rounds of surveys were conducted among ASAS members. These surveys aimed to identify critical elements for imaging referrals and to refine these elements for practical application. The task force deliberated on the survey outcomes and proposed a set of recommendations, which were then presented to the ASAS community for a decisive vote.

resultsThe collaborative effort resulted in a set of six detailed recommendations for clinicians involved in requesting imaging for patients with suspected or known axSpA. These recommendations cover crucial areas, including clinical features indicative of axSpA, clinical features, mechanical factors, past imaging data, potential contraindications for specific imaging modalities or contrast media and detailed reasons for the examination, including differential diagnoses. Garnering support from 73% of voting ASAS members, these recommendations represent a consensus on optimising imaging request protocols in axSpA.

conclusionThe ASAS recommendations offer comprehensive guidance for rheumatologists in requesting imaging for axSpA, aiming to standardise requesting practices. By improving the precision and relevance of imaging requests, these guidelines should enhance the clinical impact of radiology reports, facilitate accurate diagnosis and consequently improve the management of patients with axSpA.

Indexed as

Axial SpondyloarthritisDelphi TechniqueReferral and ConsultationConsensusDiagnosis, DifferentialHumansMagnetic Resonance ImagingRheumatologistsRheumatologySocieties, MedicalTomography, X-Ray Computedaxial spondyloarthritishealth services researchmagnetic resonance imagingpatient care team

Identifiers

PMID39317418
PMCPMC11671888

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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.