Cargando…

Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies

Spondyloarthropathies belong to a group of rheumatic diseases, in which inflammatory changes affect mainly the sacroiliac joints, spine, peripheral joints, tendon, ligaments and capsule attachments (entheses). This group includes 6 entities: ankylosing spondylitis, arthritis associated with inflamma...

Descripción completa

Detalles Bibliográficos
Autores principales: Sudoł-Szopinska, Iwona, Urbanik, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693836/
https://www.ncbi.nlm.nih.gov/pubmed/23807884
http://dx.doi.org/10.12659/PJR.889039
_version_ 1782274758006538240
author Sudoł-Szopinska, Iwona
Urbanik, Andrzej
author_facet Sudoł-Szopinska, Iwona
Urbanik, Andrzej
author_sort Sudoł-Szopinska, Iwona
collection PubMed
description Spondyloarthropathies belong to a group of rheumatic diseases, in which inflammatory changes affect mainly the sacroiliac joints, spine, peripheral joints, tendon, ligaments and capsule attachments (entheses). This group includes 6 entities: ankylosing spondylitis, arthritis associated with inflammatory bowel disease, reactive arthritis, undifferentiated spondyloarthropathy, psoriatic arthritis and juvenile spondyloarthropathy. In 2009, ASAS (Assessment in SpondyloArthritis international Society) association, published classification criteria for spondyloarthropathies, which propose standardization of clinical-diagnostic approach in the case of sacroiliitis, spondylitis and arthritis. Radiological diagnosis of inflammatory changes of sacroiliac joints is based on a 4 step radiographic grading method from 1966. According to modified New York criteria, the diagnosis of ankylosing spondylitis is made based on the presence of advanced lesions, sacroiliitis of at least 2 grade bilaterally or 3–4 unilaterally. In case of other types of spondyloarthropathies diagnosis is made based on presence of at least grade 1 changes. In MRI, active inflammation of sacroiliac joints is indicated by the presence of subchondral bone marrow edema, synovitis, bursitis, or enthesitis. ASAS discusses only the classic form of axial spondyloarthropathies, which is ankylosing spondylitis. To quantify radiological inflammatory changes in the course of the disease, Stoke Ankylosing spondylitis classification Spinal Score (SASSS) is recommended. The signs of inflammation and scarrying of the spinal cord in the course of ankylosing spondylitis, present in MRI include: bone marrow edema, sclerosis, fat metaplasia, formation of syndesmophytes, and ankylosis.
format Online
Article
Text
id pubmed-3693836
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-36938362013-06-27 Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies Sudoł-Szopinska, Iwona Urbanik, Andrzej Pol J Radiol Review Article Spondyloarthropathies belong to a group of rheumatic diseases, in which inflammatory changes affect mainly the sacroiliac joints, spine, peripheral joints, tendon, ligaments and capsule attachments (entheses). This group includes 6 entities: ankylosing spondylitis, arthritis associated with inflammatory bowel disease, reactive arthritis, undifferentiated spondyloarthropathy, psoriatic arthritis and juvenile spondyloarthropathy. In 2009, ASAS (Assessment in SpondyloArthritis international Society) association, published classification criteria for spondyloarthropathies, which propose standardization of clinical-diagnostic approach in the case of sacroiliitis, spondylitis and arthritis. Radiological diagnosis of inflammatory changes of sacroiliac joints is based on a 4 step radiographic grading method from 1966. According to modified New York criteria, the diagnosis of ankylosing spondylitis is made based on the presence of advanced lesions, sacroiliitis of at least 2 grade bilaterally or 3–4 unilaterally. In case of other types of spondyloarthropathies diagnosis is made based on presence of at least grade 1 changes. In MRI, active inflammation of sacroiliac joints is indicated by the presence of subchondral bone marrow edema, synovitis, bursitis, or enthesitis. ASAS discusses only the classic form of axial spondyloarthropathies, which is ankylosing spondylitis. To quantify radiological inflammatory changes in the course of the disease, Stoke Ankylosing spondylitis classification Spinal Score (SASSS) is recommended. The signs of inflammation and scarrying of the spinal cord in the course of ankylosing spondylitis, present in MRI include: bone marrow edema, sclerosis, fat metaplasia, formation of syndesmophytes, and ankylosis. International Scientific Literature, Inc. 2013 /pmc/articles/PMC3693836/ /pubmed/23807884 http://dx.doi.org/10.12659/PJR.889039 Text en © Pol J Radiol, 2013 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Review Article
Sudoł-Szopinska, Iwona
Urbanik, Andrzej
Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title_full Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title_fullStr Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title_full_unstemmed Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title_short Diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
title_sort diagnostic imaging of sacroiliac joints and the spine in the course of spondyloarthropathies
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693836/
https://www.ncbi.nlm.nih.gov/pubmed/23807884
http://dx.doi.org/10.12659/PJR.889039
work_keys_str_mv AT sudołszopinskaiwona diagnosticimagingofsacroiliacjointsandthespineinthecourseofspondyloarthropathies
AT urbanikandrzej diagnosticimagingofsacroiliacjointsandthespineinthecourseofspondyloarthropathies