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The investigation of sacroiliitis with different imaging techniques in spondyloarthropathies

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Abstract

Purpose

The aim of this study was to compare the value of different imaging techniques in spondyloarthropathy (SpA) patients with inflammatory low back pain.

Patients and methods

We evaluated 54 patients who fulfilled the European spondyloarthropathy classification criteria and had inflammatory low back pain. They were subdivided into two groups according to changes on plain radiography rated on a 0–4 scale according to modified New York criteria. Group A patients had at least grade-2 unilateral or bilateral changes in the sacroiliac (SI) joints, whereas group B included patients with radiologic changes not exceeding grade 0–1. Quantitative SI scintigraphy and magnetic resonance imaging (MRI) were performed to investigate the value of these techniques to the diagnosis of sacroiliitis, and the sacroiliac joint:sacrum uptake ratios were calculated. Scintiscanning was done in 80 healthy subjects to define the normal range.

Results

The sensitivities of plain radiography, quantitative SI scintigraphy, and MRI were 61%, 55%, and 89%, respectively, among the patients with SpA. MRI and quantitative SI scintigraphy detected sacroiliitis in 97% and 49% of group A, respectively. In group B, these results were 76% and 66%, respectively.

Conclusion

Magnetic resonance imaging is the most sensitive method for detecting acute or chronic changes in SpA patients with histories of inflammatory low back pain and normal or indeterminate findings on plain radiographs.

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References

  1. Dougados M, van der Linden S, Juhlin R, Huitfeldt B, Amor B, Calin A, Cats A, Dijkmans B, Olivieri I, Pasero G, Veys E, Zeidler H, European Spondylarthropathy Study Group (1991) The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 34:1218–1227

    CAS  PubMed  Google Scholar 

  2. Braun J, Bollow M, Sieper J (1998) Radiologic diagnosis and pathology of the spondyloarthropathies. Rheum Dis Clin North Am 24:697–735

    CAS  PubMed  Google Scholar 

  3. Braun J, Sieper J, Bolllow M (2000) Imaging of sacroiliitis. Clin Rheumatol 19:51–57

    CAS  PubMed  Google Scholar 

  4. Khan MA (2002) Thoughts concerning the early diagnosis of ankylosing spondylitis and related diseases. Clin Exp Rheumatol 20 [Suppl 28]:6–10

  5. van der Linden SM, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 27:361–368

    PubMed  Google Scholar 

  6. Holder LE, Fogelman I, Collier BD (2000) An atlas of planar and SPECT bone scans. Second edn. Dunitz, London

  7. Şen F (2003) Assessment of the effects of age and gender on obtaining normal sacroiliac index values in quantitative bone scintigraphy (thesis). University of Marmara, Istanbul

  8. Docherty P, Mitchell MJ, MacMillan L, Mosher D, Barnes DC, Hanly JG (1992) Magnetic resonance imaging in the detection of sacroiliitis. J Rheumatol 19:393–401

    CAS  PubMed  Google Scholar 

  9. van der Linden SI, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. Arthritis Rheum 27:361–368

    PubMed  Google Scholar 

  10. Khan MA (2002) Ankylosing spondylitis: introductory comments on its diagnosis and treatment. Ann Rheum Dis 61 [Suppl 3]:3–7

    Google Scholar 

  11. Oostveen J, Prevo R, den Boer J, van de Laar M (1999) Early detection of sacroiliitis on magnetic resonance imaging and subsequent development of sacroiliitis on plain radiography. A prospective, longitudinal study. J Rheumatol 26:1953–1958

    CAS  PubMed  Google Scholar 

  12. Yu W, Feng F, Dion E, Yang H, Jiang M, Genant HK (1994) Comparison of radiography, computed tomography and magnetic resonance imaging in the detection of sacroiliitis accompanying ankylosing spondylitis. Skeletal Radiol 23:289–292

    PubMed  Google Scholar 

  13. Miron SD, Khan MA, Wiesen EJ, Kushner I, Bellon EM (1983) The value of quantitative sacroiliac scintigraphy in detection of sacroiliitis. Clin Rheumatol 2:407–414

    CAS  PubMed  Google Scholar 

  14. Kacar G, Kacar C, Karayalcin B, Gungor F, Tuncer T, Erkilic M (1998) Quantitative sacroiliac joint scintigraphy in normal subjects and patients with sacroiliitis. Ann Nucl Med 12:169–173

    CAS  PubMed  Google Scholar 

  15. Esdaile JM, Rosenthall L, Terkeltaub R, Kloiber R (1980) Prospective evaluation of sacroiliac scintigraphy in chronic inflammatory back pain. Arthritis Rheum 23:998–1003

    CAS  PubMed  Google Scholar 

  16. Battafarano DF, West SD, Rak KM, Fortenbery EJ, Chantelois AE (1993) Comparison of bone scan, computed tomography and magnetic resonance imaging in the diagnosis of sacroiliitis. Semin Arthritis Rheum 23:161–176

    CAS  PubMed  Google Scholar 

  17. Blum U, Buitrago-Tellez C, Mundinger A, Krause T, Laubenberger J, Vaith P, Peter HH, Langer M (1996) Magnetic resonance imaging (MRI) for detection of active sacroiliitis—a prospective study comparing conventional radiography, scintigraphy and contrast enhanced MRI. J Rheumatol 23:2107–2115

    CAS  PubMed  Google Scholar 

  18. Gran JT, Ostensen M (1998) Spondyloarthritides in females. Baillieres Clin Rheumatol 12:695–715

    CAS  PubMed  Google Scholar 

  19. Hanly JG, Mitchell MJ, Barnes DC, MacMillan L (1994) Early recognition of sacroiliitis by magnetic resonance imaging and single photon emission computed tomography. J Rheumatol 21:2088–2095

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Rheumatology, University of Marmara School of Medicine, Istanbul, Turkey

    N. Inanc, P. Atagündüz & H. Direskeneli

  2. Department of Nuclear Medicine, University of Marmara School of Medicine, Istanbul, Turkey

    F. Şen & H. T. Turoğlu

  3. Department of Radiology, University of Marmara School of Medicine, Istanbul, Turkey

    T. Biren

  4. Fahrettin Kerim Gökay Cad. Gül, Ap. No: 168/13, Göztepe, Istanbul, Turkey

    N. Inanc

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  1. N. Inanc
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  2. P. Atagündüz
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  3. F. Şen
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  5. H. T. Turoğlu
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Correspondence to N. Inanc.

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Inanc, N., Atagündüz, P., Şen, F. et al. The investigation of sacroiliitis with different imaging techniques in spondyloarthropathies. Rheumatol Int 25, 591–594 (2005). https://doi.org/10.1007/s00296-004-0490-9

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  • DOI: https://doi.org/10.1007/s00296-004-0490-9

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