Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Adelsmayr, G; Haidmayer, A; Spreizer, C; Janisch, M; Quehenberger, F; Klocker, E; Graninger, W; Fuchsjäger, M; Hermann, J.
The value of MRI compared to conventional radiography in analysing morphologic changes in the spine in axial spondyloarthritis.
Insights Imaging. 2021; 12(1): 183
Doi: 10.1186/s13244-021-01127-x
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- Führende Autor*innen der Med Uni Graz
- Adelsmayr Gabriel
- Fuchsjäger Michael
- Co-Autor*innen der Med Uni Graz
- Graninger Winfried
- Haidmayer Andreas Michael
- Hermann Josef
- Janisch Michael August Johann
- Klocker Eva Valentina
- Quehenberger Franz
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- Abstract:
- BACKGROUND: Imaging of morphologic changes in the vertebral spine in axial spondyloarthritis (SpA) is routinely performed with conventional radiography limited by superposition in the thoracic segments and radiation exposure. The objective was to assess the reliability of MRI compared to conventional radiography in depicting morphologic vertebral lesions in patients with axial SpA. Forty patients diagnosed with axial SpA were included in this cross-sectional study. Patients underwent MRI of the whole spine with T1-weighted and TIRM sequences in the sagittal plane and conventional radiography of the cervical and lumbar spine in lateral projections. Morphologic changes (syndesmophytes and erosions) in the anterior vertebral endplates on MRI and conventional radiography were independently evaluated by two radiologists. Inter-modality and interobserver agreement were calculated using Cohen's Kappa. RESULTS: Inter-modality agreement was low for cervical and lumbar syndesmophytes and erosions (κ ≤ 0.2 ± 0.07-0.1). Interobserver agreement on conventional radiography was highest for cervical and lumbar anterior syndesmophytes/bridging (κ = 0.92 ± 0.02-0.03). Syndesmophytes in thoracic anterior vertebral units were the most frequent MRI finding with a high interobserver agreement (κ = 0.83 ± 0.05). CONCLUSIONS: In imaging morphologic changes in the spine in patients with axial SpA, MRI was shown to be not an equivalent substitute but a complementary imaging modality to conventional radiography. Conventional radiography seems superior to depict morphologic cervical and lumbar vertebral changes compared to MRI, whereas MRI may visualise morphologic lesions in the thoracic spine.
- Find related publications in this database (Keywords)
- Radiography
- Magnetic resonance imaging
- Spondyloarthritis
- Observer variation