骶髂关节炎
医学
磁共振成像
放射科
骶髂关节
强直
骨炎
模式
强直性脊柱炎
鉴别诊断
骨髓炎
外科
病理
社会科学
社会学
作者
Kelly Di Dier,Dominik Deppe,Torsten Diekhoff,Nele Herregods,Lennart Jans
标识
DOI:10.1016/j.berh.2023.101876
摘要
Sacroiliitis is characterised by active and structural changes of the joint. While the Assessment of Spondyloarthritis international Society (ASAS) classification criteria stress the importance of bone marrow inflammation, recent reports suggest that osteitis can occur in various diseases, mechanical conditions and healthy individuals. Thus, structural lesions such as joint surface erosion and ankylosis are important factors for differential diagnosis. Various imaging modalities are available to examine these changes. However, computed tomography (CT) is generally considered the reference standard. Nonetheless, recent advances in magnetic resonance imaging (MRI) allow for direct bone imaging and the reconstruction of CT-like images that can provide similar information. This way, the ability of MRI to detect and measure structural lesions is strengthened. The aim of this review is to provide an overview of the pros and cons of CT and CT-like imaging modalities in sacroiliitis.
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