Bittar Mohamad, Maksymowych Walter P
Division of Arthritis and Rheumatic Diseases, Oregon Health & Science University, Portland, OR, USA.
Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Curr Rheumatol Rep. 2025 Jan 8;27(1):12. doi: 10.1007/s11926-024-01177-2.
The purpose of this publication is to review the role of imaging in axial spondyloarthritis. These findings were presented at the SPARTAN annual meeting in May 2024.
Imaging plays a major role in the diagnosis and monitoring of axial spondyloarthritis. Magnetic resonance imaging (MRI) findings of active inflammatory lesions (bone marrow edema, capsulitis, inflammation in an erosion cavity, enthesitis, fluid in the joint) and structural lesions (erosions, fat lesions, fat metaplasia in an erosion cavity, bone bud, ankylosis) aid in the early diagnosis of axial spondyloarthritis. Recent data strongly suggests that positive imaging of the sacroiliac joint, especially MRI signs of inflammation, can predict axial spondyloarthritis progression and prognosis. Emerging data supports that MRI findings at baseline might play a role in predicting treatment response. This review covered different imaging concepts, including the role of imaging in early diagnosis as well as prediction of progression, prognosis, and treatment response.
本出版物旨在综述影像学在轴性脊柱关节炎中的作用。这些研究结果于2024年5月在SPARTAN年会上公布。
影像学在轴性脊柱关节炎的诊断和监测中起着重要作用。活跃性炎性病变（骨髓水肿、囊炎、侵蚀腔内炎症、附着点炎、关节积液）和结构性病变（侵蚀、脂肪病变、侵蚀腔内脂肪化生、骨芽、强直）的磁共振成像（MRI）结果有助于轴性脊柱关节炎的早期诊断。近期数据有力表明，骶髂关节的阳性影像学表现，尤其是MRI炎症征象，可预测轴性脊柱关节炎的进展和预后。新出现的数据支持基线时的MRI结果可能在预测治疗反应中发挥作用。本综述涵盖了不同的影像学概念，包括影像学在早期诊断以及进展、预后和治疗反应预测中的作用。
