Spondyloarthritis & psoriatic arthritis
Diagnostic accuracy in axial spondyloarthritis: a systematic evaluation of the role of clinical information in the interpretation of sacroiliac joint imaging
Authors' conclusion
The precision, specificity and diagnostic confidence of radiologic evaluation increased when CI was provided.
Study context
- Population
- Patients referred for suspected axial spondyloarthritis (axSpA) with complete sacroiliac joints (SIJ) imaging sets (radiographs and MRI); clinical diagnosis as reference standard61 diagnosed with axSpA (56%)
- Participants
- 109 patients
- Comparison
- Imaging interpretation without vs with clinical information
- Outcome
- Precision: compatibility of imaging findings with a diagnosis of axSpA, before and after provision of CI
Methodological detailsfour consecutive reading campaigns, three independent radiologists
- Four consecutive reading campaigns
- Three independent radiologists
Performance
As reported in the abstract
Precision
Radiographs with CI vs Radiographs without CI: P = 0.008 · Radiographs+MRI with CI vs Radiographs+MRI without CI: P = 1.0
Further findings
Sensitivity and specificity of radiologic findings
Sensitivity
Specificity
| Outcome | Radiographs without CI | Radiographs with CI | Radiographs+MRI without CI | Radiographs+MRI with CI |
|---|---|---|---|---|
| Radiologists' diagnostic confidence (0-10) | 5.2 ± 1.9 | 6.0 ± 1.7 | 6.7 ± 1.6 | 7.2 ± 1.6 |
Original publication
Diagnostic accuracy in axial spondyloarthritis: a systematic evaluation of the role of clinical information in the interpretation of sacroiliac joint imaging. RMD Open. Published 4 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →