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Association between inflammatory back pain features, acute and structural sacroiliitis on MRI, and the diagnosis of spondyloarthritis
- Source :
- Clinical Rheumatology. 38:1579-1585
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
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
- 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
Subjects
Details
- ISSN :
- 14349949 and 07703198
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Clinical Rheumatology
- Accession number :
- edsair.doi.dedup.....c4cfb225e9ef0e1294d5c015f1af844e
- Full Text :
- https://doi.org/10.1007/s10067-019-04432-5