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Updated: Feb 17, 2026

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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
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Imaging in Axial Spondyloarthritis
1Rheumazentrum Ruhrgebiet, Herne, Ruhr-University Bochum, Germany.
The Israel Medical Association Journal : IMAJ
|November 30, 2017
Summary
Axial spondyloarthritis (axSpA) imaging uses conventional radiography and MRI to detect inflammatory and structural changes in the sacroiliac joints and spine. This review details imaging benefits, limitations, and future trends for diagnosing axSpA.
Area of Science:
- Rheumatology
- Radiology
- Medical Imaging
Background:
- Axial spondyloarthritis (axSpA) encompasses non-radiographic (nr-axSpA) and classic ankylosing spondylitis.
- Key features include inflammatory and osteoproliferative changes in sacroiliac joints (SIJ) and spine.
- Imaging modalities assess bone marrow edema, erosions, sclerosis, fat metaplasia, ankylosis, spondylitis, spondylodiscitis, facet joint involvement, and syndesmophytes.
Purpose of the Study:
- To provide a comprehensive overview of imaging techniques for axSpA.
- To discuss the benefits and limitations of various imaging modalities.
- To explore the role of imaging in axSpA diagnosis, differential diagnosis, and future trends.
Main Methods:
- Review of current literature on imaging in axSpA.
- Analysis of conventional radiography and magnetic resonance imaging (MRI) findings.
- Discussion of diagnostic criteria for MRI in SIJ and spine.
Main Results:
- Conventional radiography is the gold standard for structural changes.
- MRI is crucial for detecting inflammatory changes.
- Specific MRI criteria exist for SIJ (multiple lesions or single lesion on consecutive slices) and spine (vertebral corner involvement).
Conclusions:
- Imaging plays a vital role in diagnosing and monitoring axSpA.
- Understanding the strengths and weaknesses of each technique is essential for accurate assessment.
- Future trends may enhance the diagnostic capabilities of axial skeleton imaging in axSpA.
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