Lennart Jans1, Niels Egund2, Iris Eshed3, Iwona Sudoł-Szopińska4, Anne Grethe Jurik2. 1. Ghent University Hospital, Gent, Belgium. 2. Department of Radiology, Aarhus University Hospital, Aarhus, Denmark. 3. Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. 4. Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland and Imaging Diagnostic Department, Warsaw Medial University, Warsaw, Poland.
Abstract
OBJECTIVE: To review the strengths, limitations, and new insights in the anatomy and magnetic resonance imaging (MRI) features of active and structural lesions of sacroiliitis in spondyloarthritis. DISCUSSION: MRI plays a key role in the diagnosis and follow-up of sacroiliitis in spondyloarthritis. MRI of the sacroiliac joints in affected patients may show active lesions such as bone marrow edema, capsulitis, enthesitis, or synovitis as well as structural changes such as erosion, fat infiltration, sclerosis, backfill, and ankylosis. Active lesions of sacroiliitis on MRI are particularly important for the diagnosis and assessment of ongoing active inflammation. Structural lesions increasingly gain importance for diagnosis and follow-up. CONCLUSION: Active lesions remain the hallmark for assessment of inflammation in sacroiliitis. Structural lesions increasingly play a role in the diagnosis of spondyloarthritis. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
OBJECTIVE: To review the strengths, limitations, and new insights in the anatomy and magnetic resonance imaging (MRI) features of active and structural lesions of sacroiliitis in spondyloarthritis. DISCUSSION: MRI plays a key role in the diagnosis and follow-up of sacroiliitis in spondyloarthritis. MRI of the sacroiliac joints in affected patients may show active lesions such as bone marrow edema, capsulitis, enthesitis, or synovitis as well as structural changes such as erosion, fat infiltration, sclerosis, backfill, and ankylosis. Active lesions of sacroiliitis on MRI are particularly important for the diagnosis and assessment of ongoing active inflammation. Structural lesions increasingly gain importance for diagnosis and follow-up. CONCLUSION: Active lesions remain the hallmark for assessment of inflammation in sacroiliitis. Structural lesions increasingly play a role in the diagnosis of spondyloarthritis. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Authors: Mateusz C Florkow; Koen Willemsen; Vasco V Mascarenhas; Edwin H G Oei; Marijn van Stralen; Peter R Seevinck Journal: J Magn Reson Imaging Date: 2022-01-19 Impact factor: 5.119