Semin Musculoskelet Radiol 2014; 18(03): 265-279
DOI: 10.1055/s-0034-1375569
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging and Interpretation of Axial Spondylarthritis: The Radiologist's Perspective—Consensus of the Arthritis Subcommittee of the ESSR

Claudia Schueller-Weidekamm
1   Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria
Vasco V. Mascarenhas
2   Hospital da Luz, ESS, Lisbon, Portugal
Iwona Sudol-Szopinska
3   Department of Radiology, Institute of Rheumatology, Warsaw and Department of Diagnostic Imaging, Warsaw Medical University, Warsaw, Poland
Nathalie Boutry
4   Department of Musculoskeletal Radiology, Centre Hospitalier Universitaire de Lille and Hôpital Roger Salengro, Lille, France
Athena Plagou
5   Radiologist, Private Institute, Athens, Greece
Andrea Klauser
6   Department of Radiology, Innsbruck Medical University, Section Rheumatology and Sports Imaging, Innsbruck, Austria
Marius Wick
7   Department of Radiology, Karolinska University Hospital, Stockholm, Sweden
Hannes Platzgummer
1   Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria
Lennart Jans
8   Department of Radiology, Ghent University Hospital, Ghent, Beligium
Adam Mester
9   Department of Radiology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
Franz Kainberger
1   Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria
Gunnar Aström
10   Department of Radiology, Oncology and Radiation Sciences, Section of Radiology, Uppsala University, Uppsala, Sweden
Giuseppe Guglielmi
11   Department of Radiology, University of Foggia, Foggia, Italy
Iris Eshed
12   Department of Diagnostic Imaging, Sheba Medical Center, Sackler School of Medical, Tel Aviv, Israel
› Author Affiliations
Further Information

Publication History

Publication Date:
04 June 2014 (online)


This article reflects the radiologist's perspective on the imaging and interpretation of axial spondylarthritis (SpA). The arthritis subcommittee of the European Society of Skeletal Radiology provides a consensus for the following questions: When and how should we image? How should we analyze the images? How should we interpret the imaging findings? To answer these questions, we address the indications in imaging axial SpA and the different imaging techniques, with a special focus on magnetic resonance imaging protocols. The value of different imaging modalities is discussed. For adequate image analysis, knowledge of the anatomy and the pathologic changes in chronic and acute inflammation of the sacroiliac joints and the spine is mandatory. Differential diagnoses of inflammatory lesions of the sacroiliac joints and the spine are addressed due to their importance in image interpretation.

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