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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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[Ankylosing spondylitis--current state of imaging including scoring methods].

C E Althoff1, K G Hermann, J Braun

  • 1Institut für Radiologie, Charité-Universitätsmedizin Berlin, Charité Campus Mitte, Schumannstrasse 20/21, 10117, Berlin, Deutschland. christian.althoff@charite.de

Zeitschrift Fur Rheumatologie
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Conventional radiography and MRI are key for diagnosing ankylosing spondylitis (AS). MRI detects active inflammation in early disease, while radiography and scoring systems like mSASSS assess chronic changes in the spine and sacroiliac joints.

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Area of Science:

  • Rheumatology
  • Medical Imaging

Context:

  • Ankylosing spondylitis (AS) diagnosis relies on clinical evaluation and imaging.
  • Radiography and MRI are primary tools for initial assessment and monitoring.

Purpose:

  • To review current and emerging imaging modalities for ankylosing spondylitis.
  • To discuss typical findings, analysis methods, and scoring systems.

Summary:

  • Conventional radiography and MRI are standard for AS evaluation, detecting chronic and active inflammatory lesions, respectively.
  • Other methods like CT and PET have limited roles but are under development.
  • The modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) quantifies spinal changes on radiography; MRI offers quantitative evaluation of SIJs and spine, with ongoing validation of scoring systems.

Impact:

  • Provides a comprehensive overview of imaging in AS management.
  • Highlights MRI's role in early diagnosis and active lesion detection.
  • Emphasizes the need for validated quantitative MRI scoring systems for AS.