Ankylosing spondylitis other imaging findings: Difference between revisions

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==Overview==
==Overview==
Bone scintigraphy may be helpful in selected patients of ankylosing spondylitis with normal or equivocal findings on sacroiliac joint radiographs. The ratio of SI joint to sacral uptake of 1.3:1 or higher of the radionuclides is considered abnormal.
[[Ultrasonography]] may be helpful in the diagnosis of [[ankylosing spondylitis]].Findings on an [[Ultrasonography]] suggestive of [[ankylosing spondylitis]] include [[sacroiliitis]] and [[Enthesis|entheses]].
 
==Other imaging findings==
==Other imaging findings==
===Bone scintigraphy===
* Findings on an [[Ultrasonography]] suggestive of [[ankylosing spondylitis]] include:<ref name="pmid15934066">{{cite journal |vauthors=Klauser A, Halpern EJ, Frauscher F, Gvozdic D, Duftner C, Springer P, Schirmer M |title=Inflammatory low back pain: high negative predictive value of contrast-enhanced color Doppler ultrasound in the detection of inflamed sacroiliac joints |journal=Arthritis Rheum. |volume=53 |issue=3 |pages=440–4 |date=June 2005 |pmid=15934066 |doi=10.1002/art.21161 |url=}}</ref><ref name="pmid19565547">{{cite journal |vauthors=Klauser AS, De Zordo T, Bellmann-Weiler R, Feuchtner GM, Sailer-Höck M, Sögner P, Gruber J |title=Feasibility of second-generation ultrasound contrast media in the detection of active sacroiliitis |journal=Arthritis Rheum. |volume=61 |issue=7 |pages=909–16 |date=July 2009 |pmid=19565547 |doi=10.1002/art.24648 |url=}}</ref><ref name="pmid15818642">{{cite journal |vauthors=Klauser A, Frauscher F, Halpern EJ, Mur E, Springer P, Judmaier W, Schirmer M |title=Remitting seronegative symmetrical synovitis with pitting edema of the hands: ultrasound, color doppler ultrasound, and magnetic resonance imaging findings |journal=Arthritis Rheum. |volume=53 |issue=2 |pages=226–33 |date=April 2005 |pmid=15818642 |doi=10.1002/art.21067 |url=}}</ref><ref name="pmid22093457">{{cite journal |vauthors=Gandjbakhch F, Terslev L, Joshua F, Wakefield RJ, Naredo E, D'Agostino MA |title=Ultrasound in the evaluation of enthesitis: status and perspectives |journal=Arthritis Res. Ther. |volume=13 |issue=6 |pages=R188 |date=2011 |pmid=22093457 |pmc=3334637 |doi=10.1186/ar3516 |url=}}</ref>
* May be helpful in selected patients with normal or equivocal findings on sacroiliac joint radiographs
** [[Sacroiliitis]]
* Qualitative assessment of accumulation of radionuclides in the SI joints may be difficult due to normal uptake in this location. Thus quantitative analysis may be more useful.
** [[Enthesis|Entheses]]
* Ratios of SI joint to sacral uptake of 1.3:1 or higher is abnormal
** [[Edema]]


==References==
==References==

Latest revision as of 14:43, 10 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Ultrasonography may be helpful in the diagnosis of ankylosing spondylitis.Findings on an Ultrasonography suggestive of ankylosing spondylitis include sacroiliitis and entheses.

Other imaging findings

References

  1. Klauser A, Halpern EJ, Frauscher F, Gvozdic D, Duftner C, Springer P, Schirmer M (June 2005). "Inflammatory low back pain: high negative predictive value of contrast-enhanced color Doppler ultrasound in the detection of inflamed sacroiliac joints". Arthritis Rheum. 53 (3): 440–4. doi:10.1002/art.21161. PMID 15934066.
  2. Klauser AS, De Zordo T, Bellmann-Weiler R, Feuchtner GM, Sailer-Höck M, Sögner P, Gruber J (July 2009). "Feasibility of second-generation ultrasound contrast media in the detection of active sacroiliitis". Arthritis Rheum. 61 (7): 909–16. doi:10.1002/art.24648. PMID 19565547.
  3. Klauser A, Frauscher F, Halpern EJ, Mur E, Springer P, Judmaier W, Schirmer M (April 2005). "Remitting seronegative symmetrical synovitis with pitting edema of the hands: ultrasound, color doppler ultrasound, and magnetic resonance imaging findings". Arthritis Rheum. 53 (2): 226–33. doi:10.1002/art.21067. PMID 15818642.
  4. Gandjbakhch F, Terslev L, Joshua F, Wakefield RJ, Naredo E, D'Agostino MA (2011). "Ultrasound in the evaluation of enthesitis: status and perspectives". Arthritis Res. Ther. 13 (6): R188. doi:10.1186/ar3516. PMC 3334637. PMID 22093457.

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