MRI findings in patients diagnosed with axial spondyloarthritis
Patient number | Active changes | Chronic changes | Meets ASAS definition of positive SIJ MRI ? |
1 43, male B27 positive | Single area of SIJ BMO | Fatty changes around SIJs | Yes |
2 58, male B27 negative | Multiple inflammatory vertebral corner lesions, but no SIJ BMO | No | No |
3 67, male B27 negative | Bilateral SIJ BMO | Partial SIJ ankylosis | Yes |
4 40, female B27 negative | Bilateral SIJ BMO | SIJ erosions | Yes |
5 60, female B27 positive | Bilateral SIJ BMO | SIJ erosions | Yes |
6 69, male B27 negative | Right SIJ BMO and BMO of multiple thoracic costovertebral joints | Fused left SIJ, sclerosis of multiple thoracic costovertebral joints | Yes |
7 31, female B27 negative | Single non-specific area of BMO around left SIJ | None | No |
8 34, female B27 negative | Left SIJ BMO | Erosion of right SIJ, multiple vertebral fatty corner lesions in thoracic spine | Yes |
9 58, male B27 positive | Left SIJ BMO | Ankylosis right SIJ, erosions left SIJ | Yes |
10 57, male B27 negative | Non-specific SIJ BMO; multiple inflammatory vertebral corner lesions | None | No |
11 50, female B27 positive | None | Multiple vertebral fatty corner lesions | No |
12 31, male B27 negative | Bilateral SIJ BMO | None | Yes |
13 42, male B27 positive | Left SIJ BMO | Vertebral fatty corner lesions T7–T12 | Yes |
14 49, female B27 positive | Bilateral SIJ BMO and two inflammatory vertebral corner lesions in thoracolumbar spine | Fatty change both SIJs | Yes |
15 58, female B27 positive | Bilateral SIJ BMO | Bilateral SIJ erosions | Yes |
16 39, female B27 positive | Bilateral SIJ BMO | Partial fusion both SIJ inferiorly | Yes |
17 45, female B27 positive | Multiple inflammatory vertebral corner lesions | Sclerotic right SIJ | No |
ASAS, Assessment of Spondyloarthritis International Society; BMO, bone marrow oedema; SIJ, sacroiliac joint