Spondyloarthritis & psoriatic arthritis

Development of international consensus on a standardised image acquisition protocol for diagnostic evaluation of the sacroiliac joints by MRI: an ASAS–SpondyloArthritis Research and Treatment Network (SPARTAN) collaboration

Ann Rheum DisPublished Consensus statement

Methodological detailsinternational consensus exercise, ASAS–SPARTAN collaboration, Draft image acquisition protocol (IAP) circulated with background information and online examples; feedback tabulated and recirculated; revised IAP presented to entire ASAS membership, Approved at the 2022 ASAS annual meeting with 91% of the membership in favour
  • International consensus exercise
  • ASAS–SPARTAN collaboration
  • Draft IAP circulated with background information and online examples; feedback tabulated and recirculated; revised IAP presented to entire ASAS membership
  • Approved at the 2022 ASAS annual meeting with 91% of the membership in favour

Recommendations

As issued by the authors

  1. A minimum four-sequence IAP is recommended for diagnostic ascertainment of sacroiliitis and its differential diagnoses

  2. Three semicoronal sequences, parallel to the dorsal cortex of the S2 vertebral body, sensitive for: (1) changes in fat signal and structural damage with T1-weighting; (2) active inflammation, T2-weighted with fat suppression; (3) bone erosion optimally depicting the bone-cartilage interface of the articular surface

  3. (4) a semiaxial sequence sensitive for detection of inflammation

Original publication

Development of international consensus on a standardised image acquisition protocol for diagnostic evaluation of the sacroiliac joints by MRI: an ASAS–SPARTAN collaboration. Ann Rheum Dis. Published 14 November 2024. doi:10.1136/ard-2024-225882

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