Magnetic resonance imaging in spondyloarthritis: Friend or Foe?

IF 4.5 2区医学 Q1 RHEUMATOLOGY Best Practice & Research in Clinical Rheumatology Pub Date : 2023-09-01 DOI:10.1016/j.berh.2023.101874

Manouk de Hooge , Torsten Diekhoff , Denis Poddubnyy

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Abstract

Magnetic resonance imaging (MRI) has emerged as a valuable tool for early detection and of axial spondyloarthritis (axSpA). A standardized imaging acquisition protocol, aligned with the current state-of-the-art, is crucial to obtain MRI scans that meet the diagnostic quality requirements. It is important to note that certain lesions, particularly bone marrow edema (BME), can be induced by mechanical stress or be a manifestation of another non-inflammatory disorder and may mimic the characteristic findings of axSpA on MRI. Therefore, a thorough assessment of MRI lesions, considering their localization and presence of highly specific features such as erosions and backfill, becomes imperative. Additionally, the application of additional imaging modalities, when necessary, can contribute to the differentiation of axSpA from other conditions that may exhibit similar MRI findings. This review provides recommendations on how to perform MRI in daily clinical practice and how to interpret finding from the differential diagnostic point of view.

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脊柱性关节炎的磁共振成像:是友还是敌?

磁共振成像(MRI)已成为早期检测和轴性脊柱炎(axSpA)的有价值的工具。标准化的成像采集协议，与当前最先进的技术保持一致，对于获得符合诊断质量要求的MRI扫描至关重要。值得注意的是，某些病变，特别是骨髓水肿(BME)，可能是由机械应力引起的，也可能是另一种非炎症性疾病的表现，可能与MRI上axSpA的特征性表现相似。因此，全面评估MRI病变，考虑其定位和高度特异性特征(如侵蚀和回填)的存在，变得势在必行。此外，必要时，应用其他成像方式可以有助于将axSpA与其他可能表现出类似MRI结果的病症区分开来。本文综述了如何在日常临床实践中执行MRI以及如何从鉴别诊断的角度解释发现的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research in Clinical Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

0.00%

发文量

审稿时长

27 days

期刊介绍： Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.