Evidence map›Paper›PMID 41026439›Full record

ArticleLa Radiologia medica2025

Results of an expert Delphi consensus from the Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Society of Rheumatology (SIR) on standardized requesting and reporting magnetic resonance imaging in patients with suspected or known axial spondyloarthritis.

Fausto Salaffi, Marina Carotti, Fabio Martino, Emilio Filippucci, Sonia Farah, Roberta Ramonda, Andrea Doria, Roberto Caporali, Marcello Govoni, Piercarlo Sarzi-Puttini and 24 more

Erratum issuedAbstract readConsensus Statement
In one paragraph

Article in La Radiologia medica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Fausto SalaffiRheumatology Unit, Università Politecnica delle Marche, "Carlo Urbani" Hospital, Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy.
Marina CarottiDepartment of Radiological Sciences - Division of Clinical Radiology, University Hospital Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.
Fabio MartinoSant'Agata Radiology Center, Bari, Italy.
Emilio FilippucciRheumatology Unit, Università Politecnica delle Marche, "Carlo Urbani" Hospital, Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy.
Sonia FarahRheumatology Unit, Università Politecnica delle Marche, "Carlo Urbani" Hospital, Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy.
Roberta RamondaRheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padua, Italy.
Andrea DoriaRheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padua, Italy.
Roberto CaporaliDepartment of Rheumatology and Medical Sciences, ASST Gaetano Pini-CTO, Milan, Italy.
Marcello GovoniRheumatology Unit, Azienda Ospedaliero-Universitaria S. Anna, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Piercarlo Sarzi-PuttiniDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Alberto BatticiottoRheumatology Unit, Internal Medicine Department, ASST Sette Laghi, Ospedale di Circolo, Fondazione Macchi, Varese, Italy.
Luca CeccarelliPediatric and Adult Cardiothoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Maurizio RossiniRheumatology Unit, Department of Medicine, University of Verona, Verona, Italy.
Enrico ScaranoDepartment of Radiology, "San Carlo" Hospital, Potenza, Italy.
Luca Maria SconfienzaDepartment of Biomedical Sciences for Health, University of Milan, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Stefania VioRadiology Unit II, Integrated Complex, Azienda Ospedaliera - University Hospital of Padua, Padua, Italy.
Carlo MasciocchiDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Alessandro MudaSection of Radiology, Department of Radiology, IRCCS San Martino University Hospital, University of Genoa, Genoa, Italy.
Ernesto La PagliaUnit of Diagnostic Imaging, Humanitas Cellini, Turin, Italy.
Massimo De FilippoDepartment of Medicine and Surgery, Section of Radiology, University of Parma, Maggiore Hospital, Parma, Italy.
Marcello ZappiaDepartment of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
Mauro Battista GallazziDepartment of Radiology, ASST Gaetano Pini-CTO Orthopedic and Traumatology Specialist Center, Milan, Italy.
Salvatore D'AngeloDepartment of Health Science, University of Basilicata, Rheumatology Unit, San Carlo Hospital, Potenza, Italy.
Francesca OlivieroRheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padua, Italy.
Marco Di CarloRheumatology Unit, Università Politecnica delle Marche, "Carlo Urbani" Hospital, Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy. dica.marco@yahoo.it.ORCID http://orcid.org/0000-0002-0906-4647
Cristiana BarrecaSection of Rheumatology, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, Italy.
Marco CanzoniSimple Departmental Operational Unit Rheumatology (UOSD), Nuovo Regina Margherita Hospital ASL Roma-1, 00153, Rome, Italy.
Enzo SilvestriDepartment of Imaging Diagnostics, Salus Institute - Alliance Medical, Genoa, Italy.
Alberto AliprandiDepartment of Radiology and Diagnostic Imaging, Istituti Clinici Zucchi Monza, University of Milano-Bicocca, Milan, Italy.
Antonio BarileDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Alessandra SplendianiDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Andrea GiovagnoniDepartment of Radiological Sciences - Division of Clinical Radiology, University Hospital Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.
Antonio LeoneCatholic University of the Sacred Heart of Rome, Rome, Italy.
Nicoletta GandolfoDiagnostic Imaging Department, Villa Scassi Hospital-ASL 3, Genoa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop a practical consensus for standardizing communication between rheumatologists and radiologists regarding magnetic resonance imaging (MRI) of the sacroiliac joints and spine in the diagnosis and management of axial spondyloarthritis (axSpA).

methodsA task force comprising six rheumatologists and five musculoskeletal radiologists with expertise in axSpA imaging reviewed the Assessment of SpondyloArthritis International Society (ASAS) framework to draft initial recommendations and define project goals. A broader expert panel (21 rheumatologists, 19 radiologists) then participated in a voting process to refine and validate these recommendations. Final endorsement was sought from the steering committees of the Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Society of Rheumatology (SIR) using a modified Delphi method.

resultsThirty-one recommendations were validated, organized into eight domains. Domain 1 outlines five overarching principles. Domain 2 comprises recommendations on clinical features, symptoms, and risk factors. Additional domains address MRI technical parameters, including image quality and sequencing (Domain 3), and standardized reporting criteria. For the sacroiliac joints (Domains 4 and 5), five signs of inflammation and six of structural damage are defined. For the spine (Domains 6 and 7), five inflammatory and four structural features are specified. Domain 8 provides guidance on report conclusions. The recommendations were endorsed by SIRM/SIR with 88.5% approval.

conclusionThis consensus offers structured guidance for MRI requesting and reporting in axSpA, fostering clear communication between radiologists and rheumatologists. The standardized approach aims to improve diagnostic accuracy and patient outcomes.

Indexed as

Axial SpondyloarthritisMagnetic Resonance ImagingDelphi TechniqueHumansItalyRheumatologySacroiliac JointSocieties, MedicalAxial spondyloarthritisDelphi consensusMagnetic resonance imagingRadiologistsRheumatologists

Identifiers

PMID41026439
PMCPMC12669282

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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.