Axial Skeleton Bone Marrow Changes in Inflammatory Rheumatologic Disorders

Abstract: Magnetic resonance imaging (MRI) of the axial skeleton, spine, and sacroiliac (SI) joints is critical for the early detection and follow-up of inflammatory rheumatologic disorders such as axial spondyloarthritis, rheumatoid arthritis, and SAPHO/CRMO (synovitis, acne, pustulosis, hyperostosis, and osteitis/chronic recurrent multifocal osteomyelitis). To offer a valuable report to the referring physician, disease-specific knowledge is essential. Certain MRI parameters can help the radiologist provide an early diagnosis and lead to effective treatment. Awareness of these hallmarks may help avoid misdiagnosis and unnecessary biopsies. A bone marrow edema-like signal plays an important role in reports but is not disease specific. Age, sex, and history should be considered in interpreting MRI to prevent overdiagnosis of rheumatologic disease. Differential diagnoses—degenerative disk disease, infection, and crystal arthropathy—are addressed here. Whole-body MRI may be helpful in diagnosing SAPHO/CRMO.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Axial Skeleton Bone Marrow Changes in Inflammatory Rheumatologic Disorders ; volume:27 ; number:01 ; year:2023 ; pages:091-102
Seminars in musculoskeletal radiology ; 27, Heft 01 (2023), 091-102

Beteiligte Personen und Organisationen
Reijnierse, Monique

DOI
10.1055/s-0043-1761496
URN
urn:nbn:de:101:1-2023042713002680409886
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 19:59 MESZ

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Beteiligte

  • Reijnierse, Monique

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