Format

Send to

Choose Destination
Radiologia. 2014 Jan-Feb;56(1):7-15. doi: 10.1016/j.rx.2013.05.004. Epub 2013 Oct 9.

[New ASAS criteria for the diagnosis of spondyloarthritis: diagnosing sacroiliitis by magnetic resonance imaging].

[Article in Spanish]

Author information

1
Servicio de Radiodiagnóstico, Hospital General Universitario de Ciudad Real, Ciudad Real, España. Electronic address: marux_80@hotmail.com.
2
Servicio de Radiodiagnóstico, Hospital General Universitario de Ciudad Real, Ciudad Real, España.

Abstract

Radiographic sacroiliitis has been included in the diagnostic criteria for spondyloarthropathies since the Rome criteria were defined in 1961. However, in the last ten years, magnetic resonance imaging (MRI) has proven more sensitive in the evaluation of the sacroiliac joints in patients with suspected spondyloarthritis and symptoms of sacroiliitis; MRI has proven its usefulness not only for diagnosis of this disease, but also for the follow-up of the disease and response to treatment in these patients. In 2009, The Assessment of SpondyloArthritis international Society (ASAS) developed a new set of criteria for classifying and diagnosing patients with spondyloarthritis; one important development with respect to previous classifications is the inclusion of MRI positive for sacroiliitis as a major diagnostic criterion. This article focuses on the radiologic part of the new classification. We describe and illustrate the different alterations that can be seen on MRI in patients with sacroiliitis, pointing out the limitations of the technique and diagnostic pitfalls.

KEYWORDS:

Axial spondyloarthropathies; Diagnosis; Diagnóstico; Espondiloartropatías axiales; Imagen por resonancia magnética; Magnetic resonance imaging; Sacroileítis; Sacroiliitis

PMID:
24119715
DOI:
10.1016/j.rx.2013.05.004
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Ediciones Doyma, S.L.
Loading ...
Support Center