AI Article Synopsis
- - The article discusses the effectiveness of conventional radiography (CR) for assessing sacroiliac joints in adults and juveniles suspected of having axial spondyloarthritis (axSpA), comparing it to MRI and CT.
- - The subcommittees highlight MRI's superior ability to detect early sacroiliitis, emphasizing its importance for accurate diagnosis, particularly in children where it poses no radiation risk.
- - While CR is suitable for identifying structural changes in late-stage axSpA or established cases, additional imaging methods may be necessary for adult differential diagnoses related to the pelvis.
Article Abstract
This opinion article by the European Society of Musculoskeletal Radiology Arthritis and Pediatric Subcommittees discusses the current use of conventional radiography (CR) of the sacroiliac joints in adults and juveniles with suspected axial spondyloarthritis (axSpA). The strengths and limitations of CR compared with magnetic resonance imaging (MRI) and computed tomography (CT) are presented.Based on the current literature and expert opinions, the subcommittees recognize the superior sensitivity of MRI to detect early sacroiliitis. In adults, supplementary pelvic radiography, low-dose CT, or synthetic CT may be needed to evaluate differential diagnoses. CR remains the method of choice to detect structural changes in patients with suspected late-stage axSpA or established disease and in patients with suspected concomitant hip or pubic symphysis involvement. In children, MRI is the imaging modality of choice because it can detect active as well as structural changes and is radiation free.
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| http://dx.doi.org/10.1055/s-0043-1772169 | DOI Listing |
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