EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice

被引：457

作者：

Mandl, P. ^{[1
]}

Navarro-Compan, V. ^{[2
,3
]}

Terslev, L. ^{[4
]}

Aegerter, P. ^{[5
]}

van der Heijde, D. ^{[2
]}

D'Agostino, M. A. ^{[6
]}

Baraliakos, X. ^{[7
]}

Pedersen, S. J. ^{[8
]}

Jurik, A. G. ^{[9
]}

Naredo, E. ^{[10
]}

Schueller-Weidekamm, C. ^{[11
]}

Weber, U. ^{[12
]}

Wick, M. C. ^{[13
]}

Bakker, P. A. C. ^{[2
]}

Filippucci, E. ^{[14
]}

Conaghan, P. G. ^{[15
]}

Rudwaleit, M. ^{[16
]}

Schett, G. ^{[17
]}

Sieper, J. ^{[16
]}

Tarp, S. ^{[18
]}

Marzo-Ortega, H. ^{[15
]}

Ostergaard, M. ^{[4
]}

机构：

[1] Med Univ Vienna, Div Rheumatol, A-1090 Vienna, Austria

[2] Leiden Univ, Dept Rheumatol, Med Ctr, Leiden, Netherlands

[3] Univ Hosp La Paz, Madrid, Spain

[4] Copenhagen Univ Hosp Glostrup, Copenhagen Ctr Arthrit Res, Ctr Rheumatol & Spine Dis, Copenhagen, Denmark

[5] Ambroise Pare Hosp, Publ Hlth Dept, Boulogne, France

[6] Ambroise Pare Hosp, Dept Rheumatol, Boulogne, France

[7] Rheumazentrum Ruhrgebiet, Herne, Germany

[8] Copenhagen Univ Hosp Gentofte, Dept Rheumatol, Copenhagen, Denmark

[9] Aarhus Univ Hosp, Dept Radiol, DK-8000 Aarhus, Denmark

[10] Hosp Gen Univ Gregorio Maranon, Dept Rheumatol, Madrid, Spain

[11] Med Univ Vienna, Dept Biomed Imaging & Image Guided Therapy, Vienna, Austria

[12] King Christian 10th Hosp Rheumat Dis, Grasten, Denmark

[13] Karolinska Univ Hosp, Dept Radiol, Stockholm, Sweden

[14] Univ Politecn Marche, Dept Rheumatol, Ancona, Italy

[15] Univ Leeds, NIHR Leeds Musculoskeletal Biomed Res Unit, Leeds Inst Rheumat & Musculoskeletal Med, Leeds, W Yorkshire, England

[16] Charite, Dept Rheumatol, D-13353 Berlin, Germany

[17] Univ Erlangen Nurnberg, Dept Rheumatol & Immunol, D-91054 Erlangen, Germany

[18] Copenhagen Univ Hosp, Parker Inst, Dept Rheumatol, Musculoskeletal Stat Unit, Copenhagen, Denmark

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2015年 / 74卷 / 07期

关键词：

BONE-MINERAL DENSITY; INFLAMMATORY BACK-PAIN; TUMOR-NECROSIS-FACTOR; EARLY SERONEGATIVE SPONDYLARTHROPATHY; RADIOGRAPHIC AXIAL SPONDYLOARTHRITIS; SOCIETY CLASSIFICATION CRITERIA; HEALTH-ASSESSMENT QUESTIONNAIRE; POWER DOPPLER ULTRASONOGRAPHY; ACTIVE ANKYLOSING-SPONDYLITIS; REDUCES SPINAL INFLAMMATION;

D O I：

10.1136/annrheumdis-2014-206971

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

A taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imaging in SpA were generated using a process of discussion and consensus. Imaging modalities included conventional radiography, ultrasound, magnetic resonance imaging, computed tomography (CT), positron emission tomography, single photon emission CT, dual-emission x-ray absorptiometry and scintigraphy. Experts applied research evidence obtained from systematic literature reviews using MEDLINE and EMBASE to develop a set of 10 recommendations. The strength of recommendations (SOR) was assessed by taskforce members using a visual analogue scale. A total of 7550 references were identified in the search process, from which 158 studies were included in the systematic review. Ten recommendations were produced using research-based evidence and expert opinion encompassing the role of imaging in making a diagnosis of axial SpA or peripheral SpA, monitoring inflammation and damage, predicting outcome, response to treatment, and detecting spinal fractures and osteoporosis. The SOR for each recommendation was generally very high (range 8.9-9.5). These are the first recommendations which encompass the entire spectrum of SpA and evaluate the full role of all commonly used imaging modalities. We aimed to produce recommendations that are practical and valuable in daily practice for rheumatologists, radiologists and general practitioners.

引用

页码：1327 / 1339

页数：13

共 177 条

[1]

MR-defined fat infiltration of the lumbar paravertebral muscles differs between non-radiographic axial spondyloarthritis and established ankylosing spondylitis [J].