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AJR Am J Roentgenol. 2019 Mar 12:1-14. doi: 10.2214/AJR.17.19429. [Epub ahead of print]

Diagnostic Accuracy of MRI-Based Sacroiliitis Scoring Systems: A Systematic Review.

Author information

1
1 Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.
2
2 Department of Radiology and Diagnostic Imaging, University of Alberta, WC Mackenzie Health Sciences Center, Edmonton, AB, Canada.
3
3 Department of Pediatrics, Division of Pediatric Rheumatology, University of Alberta, Edmonton, AB, Canada.
4
4 Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, ON M5G 1X8, Canada.
5
5 Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
6
6 Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
7
7 Department of Translational Medicine, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada.
8
8 Hospital Library and Archive Services, The Hospital for Sick Children, Toronto, ON, Canada.

Abstract

OBJECTIVE:

Accurate and reproducible MRI assessment of the sacroiliac joint (SIJ) is challenging. Numerous scoring systems have been proposed to facilitate consistent SIJ assessment. The purpose of this article is to evaluate the diagnostic accuracy and reliability of existing MRI-based SIJ scoring systems for the evaluation of spondyloarthropathy.

CONCLUSION:

Among existing methods, there is fair (grade B) evidence to recommend the Spondyloarthropathy Research Consortium of Canada scoring systems as tools for MRI evaluation of the SIJ. However, limited data on criterion validity limit assessment of scoring system accuracy.

KEYWORDS:

MRI; diagnostic accuracy; sacroiliac joint; scoring system; spondyloarthropathy

PMID:
30860884
DOI:
10.2214/AJR.17.19429

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