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Magnetic resonance imaging in ankylosing spondylitis

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Zochling, J and Baraliakos, X and Hermann, K and Braun, J (2007) Magnetic resonance imaging in ankylosing spondylitis. Current Opinion in Rheumatology, 19 (4). pp. 346-352. ISSN 1040-8711

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Abstract

MRI has been increasingly used as an imaging modality
in patients with ankylosing spondylitis (AS) and other
spondyloarthritides due to its capacity to identify both
active inflammation and chronic structural changes in the
spine and sacroiliac joints. Traditionally, the structural
changes of AS are assessed using conventional radiographs
at those sites. According to the modified New
York criteria the diagnosis/classification of AS requires
radiographic changes in the sacroiliac joints of at least
grade 2 unilaterally [1]. This approach does not allow a
diagnosis for cases of ‘early’ spondyloarthritis or AS in
which structural change has not yet occurred. This may,
in turn, mean that a window of opportunity to treat
patients before they develop irreversible bony changes
may be missed. This review looks at the current role of
MRI in assessing AS, and its potential in identifying early
disease for early intervention.

Item Type: Article
Keywords: ankylosing spondylitis, imaging, MRI, sacroiliitis
Journal or Publication Title: Current Opinion in Rheumatology
Page Range: pp. 346-352
ISSN: 1040-8711
Date Deposited: 19 Aug 2008 23:41
Last Modified: 18 Nov 2014 03:48
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