1. Association between inflammatory back pain features, acute and structural sacroiliitis on MRI, and the diagnosis of spondyloarthritis
- Author
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Iris Eshed, Shaye Kivity, Naama Leibushor, Shahar Tavor, Merav Lidar, Shany Guly Gofrit, and Fadi Abu Baker
- Subjects
Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Inflammatory back pain ,Sensitivity and Specificity ,Young Adult ,Rheumatology ,Internal medicine ,Spondylarthritis ,medicine ,Humans ,Sacroiliitis ,Retrospective Studies ,Inflammation ,business.industry ,Morning stiffness ,Sacroiliac Joint ,Mean age ,General Medicine ,Odds ratio ,Middle Aged ,medicine.disease ,Bone marrow edema ,Magnetic Resonance Imaging ,Back Pain ,Female ,Radiology ,business ,Mri findings - Abstract
To evaluate the association between inflammatory back pain (IBP) features, acute and structural MRI findings suggestive of sacroiliitis, and diagnosis of spondyloarthritis (SpA). Data from 224 patients who underwent MRI for suspected sacroiliitis (2005–2015) was retrospectively reviewed by an expert rheumatologist for the presence of IBP features and for clinical standard of reference diagnosis. A telephone questionnaire was performed in cases of missing data. Acute and structural MRI parameters were scored by an experienced radiologist for the presence of sacroiliitis using the Assessment of Spondyloarthritis International Society (ASAS) criteria, Berlin score, and observer’s global impression (GI) scores. Association between IBP features and MRI scores, and odds ratio for SpA diagnosis, were calculated. One hundred ninety-three subjects were included (119 F:74 M, mean age 39.7 ± 15.6, mean follow-up 49 ± 18 months). Fifty-two (26.9%) subjects were diagnosed with SpA. IBP scores were significantly higher in SpA patients (p
- Published
- 2019
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