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C-2657 - Imaging findings suggestive of axial spondyloarthritis in degenerative disease

S. Charlon, N. Regnard, A. Latourte, A. Feydy, M. Dougados, A. Molto; Paris/FR Type: Scientific Exhibit
Area of Interests: Musculoskeletal system, Pelvis, Musculoskeletal joint
Imaging Technique: MR
Procedures: Perception image, Experimental investigations, Decision analysis
Special Focuses: Edema, Pathology
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Aims and objectives: Imaging is a crucial tool for the diagnosis and follow-up of axial rheumatism   Important place in ASAS criteria for diagnosis of spondyloarthropathy   Increasing place of MRI: detection of erosions and inflammation   Describe MRI aspects in patients with diffuse idiopathic squeletal [...]

Methods and materials: Retrospective study (Jan 2009 - Dec 2014) 53 patients with MRI Clinical information retrieved from medical records MRI analyzed blind Spondyloarthritis Research Consortium of Canada (SPARCC) score for MRI Vertebral body cut into 4 corners Presence / Absence: bone edema In presence of edema: in[...]

Results: 59 patients (71% ♂) Average age 65.6, Dorsalgia 96%, Average pain 6/10 41% inflammatory pain, 36% morning stiffness, 36% gluteal pain 41% effectiveness of NSAIDs   On the spine 77% ≥1 "inflammatory" lesion The mean score SPARCC 18.3 +/- 23 57% of MRIs met the ASAS criteria 67% "greasy cor[...]

Conclusion: In our study a single patient 3 erosions on the sacroiliac Criteria for adults ≤45 years can not be applied It would appear that the spinal MRI contribution is low for the diagnosis of AxSpA An alternative could be to realize only the sacroiliac MRI Our limits Retrospective Low number of pati[...]

Personal information: Stéphane CHARLON MD

References: Mandl P, Navarro-Compan V, Terslev L, Aegerter P, van der Heijde D, D'Agostino MA, et al. EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis. 2015;74(7):1327-39. Lambert RG, Bakker PA, van der Heijde D, Weber U, Rudwa[...]

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