Radiology Imaging Associates, Denver, Colorado.
Research Author, Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts.
J Am Coll Radiol. 2021 Nov;18(11S):S340-S360. doi: 10.1016/j.jacr.2021.08.003.
Inflammatory back pain is a hallmark feature of axial spondyloarthritis, a heterogeneous group of inflammatory disorders which affects the sacroiliac joints and spine. Imaging plays a key role in diagnosis of this disease and in facilitating appropriate treatment. This document provides evidence-based recommendations on the appropriate use of imaging studies during multiple stages of the clinical evaluation of patients with suspected or known axial spondyloarthritis. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
炎症性背痛是中轴型脊柱关节炎的一个显著特征，中轴型脊柱关节炎是一组影响骶髂关节和脊柱的异质性炎症性疾病。影像学在该疾病的诊断和促进适当治疗中起着关键作用。本文件提供了在疑似或已知中轴型脊柱关节炎患者的临床评估的多个阶段使用影像学检查的循证推荐。美国放射学会适宜性标准是针对特定临床情况的循证指南，每年由多学科专家小组进行审查。指南的制定和修订包括对同行评议期刊的现有医学文献进行广泛分析，并应用成熟的方法学（RAND/UCLA 适宜性方法和推荐评估、制定和评估分级或 GRADE）来评估特定临床情况下影像学和治疗程序的适宜性。在证据不足或存在争议的情况下，专家意见可以补充现有证据，以推荐影像学或治疗。
