Evidence map›Paper›PMID 41407432›Full record

ArticleRMD open2025

Discrepancies between routine sacroiliac joint MRI reporting and current expert recommendations in patients with spondyloarthritis.

Anna E F Hadsbjerg, Simon Krabbe, Nora Vladimirova, Adrian Ciurea, Kristyna Bubova, Monika Gregová, Michael J Nissen, Burkhard Möller, Raphael Micheroli, Susanne J Pedersen and 15 more

Abstract read
In one paragraph

Article in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

25 authors.

Anna E F HadsbjergCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark anna.enevold.floeistrup.hadsbjerg@regionh.dk.ORCID 0000-0001-8196-4327
Simon KrabbeCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.
Nora VladimirovaCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.ORCID 0000-0001-7819-7286
Adrian CiureaDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-7870-7132
Kristyna BubovaInstitute of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Monika GregováInstitute of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Michael J NissenRheumatology Department, Hopitaux Universitaires Geneve, Geneve, Switzerland.ORCID 0000-0002-6326-1764
Burkhard MöllerDepartment of Rheumatology and Immunology, Inselspital Universitatsspital Bern, Bern, Switzerland.ORCID 0000-0001-8769-6167
Raphael MicheroliDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-8918-7304
Susanne J PedersenCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.
Jakub ZávadaInstitute of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Ziga SnojInstitute of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Karlo PintaricInstitute of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Bjorn GudbjornssonCentre for Rheumatology, Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavík, Iceland.ORCID 0000-0003-4631-6505
Ziga RotarDepartment of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-9323-9189
Iris EshedDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-4655-9606
Iwona Sudol-SzopinskaDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Kasper GosvigDepartment of Radiology, Copenhagen University Hospital Herlev-Gentofte, Herlev, Denmark.
Torsten DiekhoffDepartment of Radiology, Immanuel Klinik Rüdersdorf, Brandenburg Medical School, Rüdersdorf bei Berlin, Germany.ORCID 0000-0003-3593-1449
Robert Gw LambertDepartment of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Queensland, Canada.ORCID 0000-0003-0305-3290
Manouk de HoogeDepartment of Rheumatology, University Hospital Ghent, Ghent, Flanders, Belgium.ORCID 0000-0002-0652-9808
Helena Vg ElmoCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.
Merete Lund HetlandCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.ORCID 0000-0003-4229-6818
Lykke M ØrnbjergCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.ORCID 0000-0002-7832-6831
Mikkel ØstergaardCopenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.ORCID 0000-0003-3690-467X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacroiliac joint (SIJ) MRI is commonly used in diagnosing spondyloarthritis (SpA). Current Assessment of SpondyloArthritis International Society (ASAS) recommendations on reporting SIJ MRIs in patients with known or suspected axial SpA recommend always stating whether bone marrow oedema (BME), erosions and fat lesions are present/absent and whether the MRI is compatible with axial SpA. PURPOSE: To investigate if routine care radiologists already report what has now been recommended and to assess the agreement between local radiologists and central SpA experts. MATERIALS AND

methodsThis study includes retrospective interpretation of images acquired in routine care. Patients diagnosed with SpA enrolled in a clinical registry in one of five European countries involved in the EuroSpA Collaboration, with an available SIJ MRI and an associated local MRI report, were included. MRIs were read centrally by two readers, who registered global features (eg, MRI indicative of SpA), and various inflammatory and structural lesions as present/absent. Similar information was extracted from local reports. Findings were analysed with descriptive statistics.

resultsOverall, 913 patients (40 years±13, 492 men) were included. In 24%, the local MRI reports stated whether the MRI was overall indicative of SpA or not. Presence/absence of BME, erosions and fat lesions was mentioned in 88%, 48% and 29% of local reports, respectively. Inflammatory lesions were more often reported as present by local than central readers (46% vs 36%), and structural lesions less often (33% vs 50%).

conclusionThis study demonstrated a large gap between the clinical practice of reporting SIJ MRIs and recent reporting recommendations.

Indexed as

Magnetic Resonance ImagingSacroiliac JointSpondylarthritisAdultEuropeFemaleHumansMaleMiddle AgedPractice Guidelines as TopicRegistriesRetrospective StudiesMagnetic Resonance ImagingPsoriatic ArthritisSpondyloarthritis

Identifiers

PMID41407432
PMCPMC12718560

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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.