Publications by authors named "Juliane Greese"
Objective: Reliable interpretation of imaging findings is essential for the diagnosis of axial spondyloarthritis (axSpA) and requires a high level of experience. We investigated experience-dependent differences in diagnostic accuracies using X-ray (XR), MRI and CT.
Methods: This post hoc analysis included 163 subjects with low back pain.
Article Synopsis
- The study investigates how sex-specific differences affect the diagnosis of axial spondyloarthritis (axSpA) in women compared to men, which may lead to delays in diagnosis.
- A total of 526 patients were analyzed for MRI findings related to axSpA, focusing on lesions like bone marrow edema and fat metaplasia.
- Results showed that while active inflammatory lesions had similar diagnostic performance in both sexes, structural markers were less reliable in women, increasing the chances of false positives.
Objectives: Reporting diagnostic confidence (DC) in axial spondyloarthritis (axSpA) imaging is recommended by the ASAS guidelines. Our aim was to investigate whether self-reported DC predicts diagnostic accuracy in axSpA imaging using X-ray (XR), computed tomography (CT) and magnetic resonance imaging (MRI).
Methods: We performed a post hoc analysis including 163 patients with low back pain (89 axSpA and 56 non-axSpA).
Article Synopsis
- The study aims to create a data-driven definition for identifying structural changes in sacroiliac joints relevant to axial spondyloarthritis through CT imaging of a large population.
- The research involved 546 individuals, assessing CT scans for specific joint lesions and comparing their occurrence across different groups, while establishing diagnostic metrics against clinical diagnoses.
- Findings indicate that ankylosis and erosions in specific joint areas (middle and dorsal) are strong indicators for positive axSpA, whereas lesions like sclerosis and ventral erosions have lower specificity and diagnostic performance.
Objective: To assess the diagnostic accuracy of radiography (X-ray, XR), CT and MRI of the sacroiliac joints for diagnosis of axial spondyloarthritis (axSpA).
Methods: 163 patients (89 with axSpA; 74 with degenerative conditions) underwent XR, CT and MR. Three blinded experts categorised the imaging findings into axSpA, other diseases or normal in five separate reading rounds (XR, CT, MR, XR +MR, CT +MR).
Objective: To compare proton density-weighted short-tau inversion recovery (PD-STIR) and T2-weighted fat-suppressed turbo spin echo (T2-FS) sequences for detecting osteitis lesions of the sacroiliac joints (SIJ) in patients with chronic low back pain (CLBP).
Methods: This prospective study included 110 patients with CLBP and suspected spondyloarthritis and 18 healthy controls. All 128 participants (age range: 19-57 yrs) underwent 3.
Objective: To compare the performance of a new three-dimensional MRI sequence (volumetric interpolated breath-hold examination; MR-VIBE) with a conventional T1-weighted sequence (MR-T1) for the detection of erosions in the sacroiliac joints (SIJs) using low-dose CT (ldCT) as reference.
Methods: ldCT and T1-MRI and MR-VIBE of 110 prospectively included patients with low back pain and suspected axial spondyloarthritis (axSpA) were scored for erosions by two readers. The presence of erosions on the patients' level, the erosion sum score, sensitivity and specificity of both MRI sequences using ldCT as a reference as well as agreement between the readers were assessed.
Objective: Radiographs of sacroiliac (SI) joints are used for the detection of structural damage in patients with axial spondyloarthritis (axSpA), but are often difficult to interpret. Here, we address the question how the T1-weighted MRI (T1w MRI) sequence compares with radiography for SI joints' structural lesions using low-dose CT as the standard of reference.
Methods: Radiographs, T1w MRI and low-dose CT of the SI joints from 110 patients (mean age 36.