Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
RMD Open. 2020 Feb;6(1). doi: 10.1136/rmdopen-2019-001150. Epub 2020 Feb 11.
Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS).
Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group.
Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted.
The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.
评估肌腱附着点炎，这是脊柱关节炎（SpA）和银屑病关节炎（PsA）的一个关键特征，使用客观和敏感的方法在临床试验中至关重要。MRI 可检测肌腱附着点炎的软组织和骨内变化。本文介绍了风湿病疗效评估（OMERACT）足跟肌腱附着点炎磁共振成像 MRI 评分系统（HEMRIS）的图谱。
根据 HEMRIS 的定义，初步选择每个等级的潜在示例后，OMERACT MRI 在关节炎工作组的成员之间通过基于网络的互动会议讨论了图像以及详细的定义和读者规则。
展示了使用 HEMRIS 评估的 MRI 特征的每个等级的参考图像，以及读者规则和推荐的 MRI 序列。
本图谱可用于指导根据 OMERACT HEMRIS 在临床试验和使用 MRI 肌腱附着点炎作为结果的队列中对跟腱和足底筋膜（足底腱膜）肌腱附着点炎进行评分。
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