RT Journal Article
SR Electronic
T1 Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
JF RMD Open
JO RMD Open
FD EULAR
SP e001150
DO 10.1136/rmdopen-2019-001150
VO 6
IS 1
A1 Ashish J Mathew
A1 Simon Krabbe
A1 Iris Eshed
A1 Robert GW Lambert
A1 Jean-Denis Laredo
A1 Walter P Maksymowych
A1 Frederique Gandjbakhch
A1 Yasser Emad
A1 Maria Simona Stoenoiu
A1 Violaine Foltz
A1 Paul Bird
A1 Philippe Carron
A1 Joel Paschke
A1 Philip G Conaghan
A1 Susanne J Pedersen
A1 Daniel Glinatsi
A1 Mikkel Østergaard
YR 2020
UL http://rmdopen.bmj.com/content/6/1/e001150.abstract
AB Objective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS).Methods Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group.Results Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted.Conclusion The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.