Novel imaging techniques for sacroiliac joint assessment.


Journal

Current opinion in rheumatology
ISSN: 1531-6963
Titre abrégé: Curr Opin Rheumatol
Pays: United States
ID NLM: 9000851

Informations de publication

Date de publication:
01 07 2022
Historique:
pubmed: 15 6 2022
medline: 30 6 2022
entrez: 14 6 2022
Statut: ppublish

Résumé

Imaging of the sacroiliac joints is one of the cornerstones in the diagnosis and monitoring of axial spondyloarthritis. We aim to present an overview of the emerging imaging techniques for sacroiliac joint assessment and provide an insight into their relevant benefits and pitfalls. Evaluation of structural and active inflammatory lesions in sacroiliitis are both important for understanding the disease process. Dual-energy computed tomography (CT) can detect inflammatory bone marrow edema in the sacroiliac joints and provides an alternative for magnetic resonance imaging (MRI). Three-dimensional gradient echo sequences improve the visualization of erosions on MRI. Susceptibility weighted MRI and deep learning-based synthetic CT are innovative MRI techniques that allow for generating 'CT-like' images and better depict osseous structural lesions than routine MRI sequences. New imaging innovations and developments result in significant improvements in the imaging of spondyloarthritis. Advanced MRI techniques enhance its potential for the accurate detection of structural and active inflammatory lesions of sacroiliitis in one single imaging session.

Identifiants

pubmed: 35699310
doi: 10.1097/BOR.0000000000000871
pii: 00002281-202207000-00002
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

187-194

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Références

van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic Criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 1984; 27:361–368.
Rudwaleit M, Jurik AG, Hermann KGA, et al. Defining active sacroiliitis on magnetic resonance imaging (MRI) for classification of axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MRI group. Ann Rheum Dis 2009; 68:1520–1527.
Mandl P, Navarro-Compán V, Terslev L, et al. EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis 2015; 74:1327–1339.
Sieper J, Rudwaleit M, Baraliakos X, et al. The Assessment of SpondyloArthritis international Society (ASAS) handbook: a guide to assess spondyloarthritis. Ann Rheum Dis 2009; 68 Suppl 2:ii1–ii44.
Greese J, Diekhoff T, Sieper J, et al. Detection of sacroiliitis by short-tau inversion recovery and T2-weighted turbo spin echo sequences: results from the SIMACT Study. J Rheumatol 2019; 46:376–383.
Özgen A. The value of the T2-weighted multipoint dixon sequence in MRI of sacroiliac joints for the diagnosis of active and chronic sacroiliitis. AJR Am J Roentgenol 2017; 208:603–608.
Dalto VF, Assad RL, Crema MD, et al. MRI assessment of bone marrow oedema in the sacroiliac joints of patients with spondyloarthritis: is the SPAIR T2w technique comparable to STIR? Eur Radiol 2017; 27:3669–3676.
Dalto VF, Assad RL, Lorenzato MM, et al. Comparison between STIR and T2-weighted SPAIR sequences in the evaluation of inflammatory sacroiliitis: diagnostic performance and signal-to-noise ratio. Radiol Bras 2020; 53:223–228.
Huang H, Zhang Y, Zhang H, et al. Qualitative and quantitative assessment of sacroiliitis in axial spondyloarthropathy: can a single T2-weighted dixon sequence replace the standard protocol? Clin Radiol 2020; 75:321.e13–321.e20.
Du M-S, Xiong X-Q, Liu H, et al. The evaluation of bone marrow edema in sacroiliac joint in patients with ankylosing spondylitis using magnetic resonance imaging Dixon sequence. BMC Musculoskelet Disord 2021; 22:919.
Gezmis E, Donmez FY, Agildere M. Diagnosis of early sacroiliitis in seronegative spondyloarthropathies by DWI and correlation of clinical and laboratory findings with ADC values. Eur J Radiol 2013; 82:2316–2321.
Ren C, Zhu Q, Yuan H. Mono-exponential and bi-exponential model-based diffusion-weighted MR imaging and IDEAL-IQ sequence for quantitative evaluation of sacroiliitis in patients with ankylosing spondylitis. Clin Rheumatol 2018; 37:3069–3076.
Beltran LS, Samim M, Gyftopoulos S, et al. Does the addition of DWI to fluid-sensitive conventional MRI of the sacroiliac joints improve the diagnosis of sacroiliitis? AJR Am J Roentgenol 2018; 210:1309–1316.
Kucybała I, Ciuk S, Urbanik A, Wojciechowski W. The usefulness of diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE) sequences visual assessment in the early diagnosis of axial spondyloarthritis. Rheumatol Int 2019; 39:1559–1565.
Wang F, Chu C, Zhu L, et al. Whole-lesion ADC histogram analysis and the spondyloarthritis research consortium of canada (SPARCC) MRI index in evaluating the disease activity of ankylosing spondylitis. J Magn Reson Imaging 2019; 50:114–126.
Lambert RG, Maksymowych WP. Diffusion-weighted imaging in axial spondyloarthritis: a measure of effusion or does it elicit confusion? J Rheumatol 2018; 45:729–730.
Khoo MMY, Tyler PA, Saifuddin A, Padhani AR. Diffusion-weighted imaging (DWI) in musculoskeletal MRI: a critical review. Skeletal Radiol 2011; 40:665–681.
Sanal HT, Yilmaz S, Simsek I, et al. Apparent diffusion coefficients of sacroiliitis in patients with established ankylosing spondylitis. Clin Imaging 2013; 37:734–739.
Porter DA, Heidemann RM. High resolution diffusion-weighted imaging using readout-segmented echo-planar imaging, parallel imaging and a two-dimensional navigator-based reacquisition. Magn Reson Med 2009; 62:468–475.
Zhang H, Huang H, Zhang Y, et al. Diffusion-weighted MRI to assess sacroiliitis: improved image quality and diagnostic performance of readout-segmented echo-planar imaging (EPI) over conventional single-shot EPI. AJR Am J Roentgenol 2021; 217:450–459.
Yu L, Christner JA, Leng S, et al. Virtual monochromatic imaging in dual-source dual-energy CT: radiation dose and image quality. Med Phys 2011; 38:6371–6379.
Foti G, Catania M, Caia S, et al. Identification of bone marrow edema of the ankle: diagnostic accuracy of dual-energy CT in comparison with MRI. Radiol Med 2019; 124:1028–1036.
Wu H, Zhang G, Shi L, et al. Axial spondyloarthritis: dual-energy virtual noncalcium CT in the detection of bone marrow edema in the sacroiliac joints. Radiology 2019; 290:157–164.
Chen M, Herregods N, Jaremko JL, et al. Bone marrow edema in sacroiliitis: detection with dual-energy CT. Eur Radiol 2020; 30:3393–3400.
Carotti M, Benfaremo D, Di Carlo M, et al. Dual-energy computed tomography for the detection of sacroiliac joints bone marrow oedema in patients with axial spondyloarthritis. Clin Exp Rheumatol 2021; 39:1316–1323.
Baraliakos X, Ghadir A, Fruth M, et al. Which magnetic resonance imaging lesions in the sacroiliac joints are most relevant for diagnosing axial spondyloarthritis? A prospective study comparing rheumatologists’ evaluations with radiologists’ findings. Arthritis Rheumatol 2021; 73:800–805.
Weber U, Lambert RGW, Østergaard M, et al. The diagnostic utility of magnetic resonance imaging in spondylarthritis: an international multicenter evaluation of one hundred eighty-seven subjects. Arthritis Rheum 2010; 62:3048–3058.
Hu L, Huang Z, Zhang X, et al. The performance of MRI in detecting subarticular bone erosion of sacroiliac joint in patients with spondyloarthropathy: a comparison with X-ray and CT. Eur J Radiol 2014; 83:2058–2064.
Diekhoff T, Hermann K-GA, Greese J, et al. Comparison of MRI with radiography for detecting structural lesions of the sacroiliac joint using CT as standard of reference: results from the SIMACT study. Ann Rheum Dis 2017; 76:1502–1508.
Chen M, Herregods N, Jaremko JL, et al. Diagnostic performance for erosion detection in sacroiliac joints on MR T1-weighted images: comparison between different slice thicknesses. Eur J Radiol 2020; 133:109352.
Devauchelle-Pensec V, D’Agostino MA, Marion J, et al. Computed tomography scanning facilitates the diagnosis of sacroiliitis in patients with suspected spondylarthritis: results of a prospective multicenter French cohort study. Arthritis Rheum 2012; 64:1412–1419.
Ye L, Liu Y, Xiao Q, et al. MRI compared with low-dose CT scanning in the diagnosis of axial spondyloarthritis. Clin Rheumatol 2020; 39:1295–1303.
Tan S, Ward MM. Computed tomography in axial spondyloarthritis. Curr Opin Rheumatol 2018; 30:334–339.
Korcakova E, Stepankova J, Suchy D, et al. Is ultra low-dose CT with tin filtration useful for examination of SI joints? Can it replace X-ray in diagnostics of sacroiliitis? Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2022; 166:77–83.
Stal R, van Gaalen F, Sepriano A, et al. Facet joint ankylosis in r-axSpA: detection and 2-year progression on whole spine low-dose CT and comparison with syndesmophyte progression. Rheumatology (Oxford) 2020; 59:3776–3783.
Diekhoff T, Eshed I, Radny F, et al. Choose wisely: imaging for diagnosis of axial spondyloarthritis. Ann Rheum Dis 2021; 81:237–242.
Krohn M, Braum LS, Sieper J, et al. Erosions and fatty lesions of sacroiliac joints in patients with axial spondyloarthritis: evaluation of different MRI techniques and two scoring methods. J Rheumatol 2014; 41:473–480.
Chen M, Bird P, Jans LBO. Emerging imaging techniques in spondyloarthritis: dual-energy computed tomography and new MRI sequences. Rheum Dis Clin North Am 2020; 46:287–296.
Baraliakos X, Hoffmann F, Deng X, et al. Detection of erosions in sacroiliac joints of patients with axial spondyloarthritis using the magnetic resonance imaging volumetric interpolated breath-hold examination. J Rheumatol 2019; 46:1445–1449.
Diekhoff T, Greese J, Sieper J, et al. Improved detection of erosions in the sacroiliac joints on MRI with volumetric interpolated breath-hold examination (VIBE): results from the SIMACT study. Ann Rheum Dis 2018; 77:1585–1589.
Xie R, Sun D, Morelli JN, et al. Recognition of sacroiliac joint structural lesions: comparison of volumetric interpolated breath-hold examination (VIBE) sequences with different slice thicknesses to T1-weighted turbo-echo. Eur J Radiol 2020; 124:108849.
Diekhoff T, Hermann K-G, Proft F, et al. Fri0636 susceptibility weighted sequences in magnetic resonance imaging can create computed tomography-like images and improve the accuracy of structural lesion detection of the sacroiliac joint in axial spondyloarthritis. Annals of Rheumatic Diseases 2019; 78:1015.2–1016.2.
Berberat J, Grobholz R, Boxheimer L, et al. Differentiation between calcification and hemorrhage in brain tumors using susceptibility-weighted imaging: a pilot study. AJR Am J Roentgenol 2014; 202:847–850.
Ulas ST, Diekhoff T, Hermann KGA, et al. Susceptibility-weighted MR imaging to improve the specificity of erosion detection: a prospective feasibility study in hand arthritis. Skeletal Radiol 2019; 48:721–728.
Deppe D, Hermann K-G, Proft F, et al. CT-like images of the sacroiliac joint generated from MRI using susceptibility-weighted imaging (SWI) in patients with axial spondyloarthritis. RMD Open 2021; 7:
Weber U, Lambert RGW, Pedersen SJ, et al. Assessment of structural lesions in sacroiliac joints enhances diagnostic utility of magnetic resonance imaging in early spondylarthritis. Arthritis Care Res (Hoboken) 2010; 62:1763–1771.
Shenkman Y, Qutteineh B, Joskowicz L, et al. Automatic detection and diagnosis of sacroiliitis in CT scans as incidental findings. Med Image Ana 2019; 57:165–175.
Chea P, Mandell JC. Current applications and future directions of deep learning in musculoskeletal radiology. Skeletal Radiol 2020; 49:183–197.
Morbée L, Chen M, Herregods N, et al. MRI-based synthetic CT of the lumbar spine: Geometric measurements for surgery planning in comparison with CT. Eur J Radiol 2021; 144:109999.
Jans LBO, Chen M, Elewaut D, et al. MRI-based synthetic CT in the detection of structural lesions in patients with suspected sacroiliitis: comparison with MRI. Radiology 2021; 298:343–349.
Morbée L, Chen M, Van Den Berghe T, et al. MRI-based synthetic CT of the hip: can it be an alternative to conventional CT in the evaluation of osseous morphology? Eur Radiol 2021; 32:3112–3120.

Auteurs

Lieve Morbée (L)

Department of Radiology, Ghent University Hospital, Ghent, Belgium.

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