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Association between inflammatory back pain features, acute and structural sacroiliitis on MRI, and the diagnosis of spondyloarthritis

Authors :
Iris Eshed
Shaye Kivity
Naama Leibushor
Shahar Tavor
Merav Lidar
Shany Guly Gofrit
Fadi Abu Baker
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

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