| Title: | Discrepancies between routine sacroiliac joint MRI reporting and current expert recommendations in patients with spondyloarthritis |
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| Authors: | ID Enevold Fløistrup Hadsbjerg, Anna (Author)
ID Lyngaa Krabbe, Simon (Author)
ID Vladimirova, Nora (Author)
ID Ciurea, Adrian (Author)
ID Bubova, Kristyna (Author)
ID Gregová, Monika (Author)
ID Nissen, Michael J. (Author)
ID Möller, Burkhard (Author)
ID Micheroli, Raphael (Author)
ID Juhl Pedersen, Susanne (Author)
ID Snoj, Žiga (Author)
ID Pintarić, Karlo (Author)
ID Rotar, Žiga (Author), et al. |
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| Files: |  PDF - Presentation file, download (1,19 MB)
MD5: 1B26E6C2F548AF6FC1AB83CB9D6BADF5
 URL - Source URL, visit https://rmdopen.bmj.com/content/11/4/e006316
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Background Sacroiliac joint (SIJ) MRI is commonly used in diagnosing spondyloarthritis (SpA). Current Assessment of SpondyloArthritis International Society (ASAS) recommendations on reporting SIJ MRIs in patients with known or suspected axial SpA recommend always stating whether bone marrow oedema (BME), erosions and fat lesions are present/absent and whether the MRI is compatible with axial SpA. Purpose To investigate if routine care radiologists already report what has now been recommended and to assess the agreement between local radiologists and central SpA experts. Materials and methods This study includes retrospective interpretation of images acquired in routine care. Patients diagnosed with SpA enrolled in a clinical registry in one of five European countries involved in the EuroSpA Collaboration, with an available SIJ MRI and an associated local MRI report, were included. MRIs were read centrally by two readers, who registered global features (eg, MRI indicative of SpA), and various inflammatory and structural lesions as present/absent. Similar information was extracted from local reports. Findings were analysed with descriptive statistics. Results Overall, 913 patients (40 years±13, 492 men) were included. In 24%, the local MRI reports stated whether the MRI was overall indicative of SpA or not. Presence/absence of BME, erosions and fat lesions was mentioned in 88%, 48% and 29% of local reports, respectively. Inflammatory lesions were more often reported as present by local than central readers (46% vs 36%), and structural lesions less often (33% vs 50%). Conclusion This study demonstrated a large gap between the clinical practice of reporting SIJ MRIs and recent reporting recommendations. |
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| Keywords: | magnetic resonance imaging, psoriatic arthritis, spondyloarthritis |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | str. 1-10 |
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| Numbering: | Vol. 11, issue 4, [article no,] e006316 |
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| PID: | 20.500.12556/DiRROS-30704  |
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| UDC: | 616.72:615.849 |
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| ISSN on article: | 2056-5933 |
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| DOI: | 10.1136/rmdopen-2025-006316 |
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| COBISS.SI-ID: | 281724931 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 16. 6. 2026;
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| Publication date in DiRROS: | 01.07.2026 |
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| Views: | 162 |
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| Downloads: | 138 |
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