Magnetic resonance imaging assessment in patients with axial spondyloarthritis: development of checklists for use in clinical practice

Rheumatol Int. 2019 Dec;39(12):2119-2127. doi: 10.1007/s00296-019-04441-2. Epub 2019 Sep 18.

Abstract

The objective of our study was to standardize magnetic resonance imaging (MRI) assessment of spine and sacroiliac joints in patients with axial spondyloarthritis (axSpA) and/or inflammatory spinal pain, by creating checklists and templates based on the opinions of rheumatologists and radiologists. A scientific committee developed a series of questionnaires with multiple items regarding MRI in patients with axial inflammatory pain and/or axSpA. Then an expert panel of rheumatologists and radiologists rated all items in a 9-point Likert scale. Finally, the scientific committee and the expert panel met to create the definitive documents. Several definitive checklists and templates were generated for rheumatologist-requested MRI and for radiologist-requested MRI reports of sacroiliac joint and spinal examinations. A technical requirement protocol was also agreed on. Our results could be useful in increasing understanding between rheumatologists and radiologists regarding MRI in axSpA diagnosis and follow-up.

Keywords: Ankylosing spondylitis; Magnetic resonance imaging; Radiologists; Rheumatologists; Surveys and questionnaires.

MeSH terms

  • Checklist*
  • Humans
  • Magnetic Resonance Imaging*
  • Sacroiliac Joint / diagnostic imaging*
  • Sacroiliitis / diagnostic imaging
  • Spine / diagnostic imaging*
  • Spondylarthritis / diagnostic imaging*
  • Surveys and Questionnaires