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Document Details :
Title: MRI voor de opsporing van inflammatoire episoden bij spondylartropathie
Author(s): WIJNEN L, VANDEVENNE J, VANHOOF J
Journal: Tijdschrift voor Geneeskunde
Volume: 72 Issue: 1 Date: 2016
MRI to detect inflammatory episodes for spondylarthropathy
A 43-year-old male patient presented with symptoms of inflammatory low back pain. A plain film and a CT scan revealed structural bone changes (erosions) within the sacro-iliac joints, and inflammatory spondylarthropathy (SpA) was suggested. An MRI was the key to demonstrate the active phase of SpA based on the visualization of subchondral bone edema (osteitis) on top of the chronic, structural bone changes. Subsequently, an effective treatment was initiated.
An MRI is the imaging modality of choice to demonstrate both acute, inflammatory lesions and chronic, structural lesions within the sacro-iliac joints. The MRI examinations are analyzed by the radiologist according to the “Assessment of SpondyloArthritis international Society” (ASAS) criteria for SpA. An MRI of the sacro-iliac joints may be instrumental to select the most effective therapy by demonstrating the active phase of SpA.