Spondyloarthritis & psoriatic arthritis
Discrepancies between routine sacroiliac joint MRI reporting and current expert recommendations in patients with spondyloarthritis
Authors' conclusion
This study demonstrated a large gap between the clinical practice of reporting SIJ MRIs and recent reporting recommendations.
Study context
- Population
- Patients diagnosed with spondyloarthritis (SpA) in clinical registries in five European countries (EuroSpA), with an available sacroiliac joint (SIJ) MRI and local MRI report40 years±13, 492 men
- Participants
- 913 patients
- Exposure
- Local radiologists' routine SIJ MRI reports vs central SpA expert readings
- Outcome
- Whether local SIJ MRI reports state what ASAS recommends (MRI indicative of SpA; presence/absence of BME, erosions, fat lesions), and agreement between local and central readers
Methodological detailsmultinational (five European countries, EuroSpA Collaboration), central reading by two readers, descriptive statistics
- Multinational (five European countries, EuroSpA Collaboration)
- Central reading by two readers
- Descriptive statistics
Main finding
As reported in the abstract
Content of local SIJ MRI reports
| Group | Value | Stated whether MRI overall indicative of SpA | Presence/absence of BME mentioned | Presence/absence of erosions mentioned | Presence/absence of fat lesions mentioned |
|---|---|---|---|---|---|
| Local readers | 24% | 24% | 88% | 48% | 29% |
Local readers
Value24%
Stated whether MRI overall indicative of SpA24%
Presence/absence of BME mentioned88%
Presence/absence of erosions mentioned48%
Presence/absence of fat lesions mentioned29%
Observational data: associations, not effects.
Further findings
| Outcome | Central readers |
|---|---|
| Lesions reported as present, local vs central readers | |
| Inflammatory lesions | 36% |
| Structural lesions | 50% |
- Lesions reported as present, local vs central readers: Local readers Inflammatory lesions 46% · Structural lesions 33%
Original publication
Discrepancies between routine sacroiliac joint MRI reporting and current expert recommendations in patients with spondyloarthritis. RMD Open. Published 17 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →