From the Department of Radiology, Charité-Universitätsmedizin Berlin, Campus Mitte, Humboldt-Universität zu Berlin, Freie Universität Berlin, Charitéplatz 1, 10117 Berlin, Germany (T.D., K.G.A.H.); Department of Radiology, Sheba Medical Center, Tel Hashomer, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel (I.E.); Department of Medicine-DIMED, University of Padova, Padova, Italy (C.G.); Department of Gastroenterology, Infectiology and Rheumatology, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Berlin, Germany (H.H., D.P.); Departments of Rheumatology (M.d.H.) and Radiology (L.J.), Ghent University Hospital, Ghent, Belgium; Department of Radiology, Aarhus University Hospital, Aarhus, Denmark (A.G.J.); Department of Clinical Medicine, Aarhus University, Aarhus, Denmark (A.G.J.); Departments of Radiology and Diagnostic Imaging (R.G.L.) and Medicine (W.P.M.), University of Alberta, Edmonton, Canada; Centre for Rheumatology and Department of Neuromuscular Diseases, University College London, London, England (P.M.); National Institute for Health Research (NIHR) University College London Hospitals (UCLH) Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, England (P.M.); Department of Rheumatology, Northwick Park Hospital, London North West University Healthcare NHS Trust, London, England (P.M.); Ankylosing Spondylitis International Federation (ASIF), London, England (M.M.); NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust and Leeds Institute of Musculoskeletal Medicine, University of Leeds, Leeds, UK (H.M.O.); Department of Rheumatology, La Paz University Hospital, IdiPaz, Madrid, Spain (V.N.C.); Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Center for Head and Orthopedics, Rigshospitalet, Glostrup, Denmark and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark (M.Ø.); Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Center for Head and Orthopedics, Rigshospitalet, Glostrup, Denmark (M.Ø., S.J.P.); Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (M. Reijnierse); Department of Internal Medicine and Rheumatology, Klinikum Bielefeld, University of Bielefeld, Germany (M. Rudwaleit); Rheumatology Unit, Sanatorio Mendez, PANLAR: SPA Study Group, Ciudad Autonoma de Buenos Aires, Argentina (F.S.); Department of Rheumatology, Practice Buchsbaum, Schaffhausen, Switzerland (U.W.); and Rheumazentrum Ruhrgebiet, Ruhr University Bochum, Herne, Germany (X.B.).
Radiology. 2024 Jun;311(3):e231786. doi: 10.1148/radiol.231786.
Whereas previous projects attempted to standardize imaging in patients with axial spondyloarthritis (axSpA), few studies have been published about the need for specific details regarding the image acquisition and lesions that may be less familiar to general radiologists. This work reports consensus recommendations developed by the Assessment of SpondyloArthritis International Society (ASAS) that aim to standardize the imaging reports in patients suspected of having or with known axSpA. A task force consisting of radiologists and rheumatologists from ASAS and one patient representative formulated two surveys that were completed by ASAS members. The results of these surveys led to the development of 10 recommendations that were endorsed by 73% (43 of 59) of ASAS members. The recommendations are targeted to the radiologist and include best practices for the inclusion of clinical information, technical details, image quality, and imaging findings in radiology reports. These recommendations also emphasize that imaging findings that indicate differential diagnoses and referral suggestions should be included in the concluding section of the radiology report. With these recommendations, ASAS aims to improve the diagnostic process and care for patients suspected of having or with known axSpA.
虽然以前的项目试图使轴性脊柱关节炎(axSpA)患者的影像学检查标准化,但关于获取图像和病变的具体细节的需求,以及这些细节可能对普通放射科医生不太熟悉的问题,发表的相关研究较少。本研究报告了由评估脊柱关节炎国际协会(ASAS)制定的共识建议,旨在使疑似或已知 axSpA 患者的影像学报告标准化。由 ASAS 的放射科医生和风湿病学家以及一名患者代表组成的工作组制定了两份调查问卷,由 ASAS 成员完成。这些调查的结果促成了 10 项建议的制定,其中 73%(43/59)的 ASAS 成员表示支持。这些建议针对放射科医生,包括在放射学报告中纳入临床信息、技术细节、图像质量和影像学发现的最佳实践。这些建议还强调,应在放射学报告的结论部分纳入提示鉴别诊断和转诊建议的影像学发现。通过这些建议,ASAS 旨在改善疑似或已知 axSpA 患者的诊断过程和护理。