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...
Autores principales: | , |
---|---|
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 |