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在脊椎关节炎患者的常规神经关节MRI报告和当前专家建议之间存在差异

Anna E F Hadsbjerg^1,2, Simon Krabbe³, Nora Vladimirova³

¹Copenhagen Center for Arthritis Research, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark anna.enevold.floeistrup.hadsbjerg@regionh.dk.

|December 17, 2025

概括

常规放射科医生往往不遵循神关节MRI报告指南. 骨髓胀和侵蚀等关键发现的报道不一致,突出显示了临床实践中的差距.

科学领域:

放射学放射学是一门学科.
类风湿病学类风湿病学
医疗成像医学成像

背景情况:

圣关节 (SIJ) 的MRI对于诊断脊椎关节炎 (SpA) 是至关重要的.
目前的指导方针建议报告骨髓胀 (BME),侵蚀,脂肪病变以及与轴向SPA的整体兼容性.
在日常实践中遵守这些建议尚未得到充分证实.

研究的目的:

评估常规护理中的放射科医生是否根据ASAS建议报告SIJMRI发现.
评估当地放射科医生报告与中央SPA专家解释之间的一致性.
在报告炎症和结构性病变时识别差异.

主要方法:

来自欧洲临床注册表的913个SIJMRIs的回顾性分析.
将局部MRI报告与中央专家读数进行 SpA 诊断和病变存在/不存在的比较.
报告一致性的描述性统计分析.

主要成果:

只有24%的当地报告表明与SpA的整体兼容性.
在88%的当地报告中报告了骨髓胀 (BME),但侵蚀 (48%) 和脂肪病变 (29%) 不常被提及.
与中央专家相比,本地读者报告的炎症病变频率更高 (46%对36%),结构性病变频率更低 (33%对50%).

结论:

在SIJMRI报告的当前临床实践与既定建议之间存在很大的差距.
对关键SPA成像特征的不一致报告可能会影响诊断和患者管理.
需要进一步规范SIJMRI报告,以与临床指南保持一致.

关键词:

磁共振成像是一种磁共振成像技术.牛皮关节炎牛皮关节炎脊椎关节炎是一种脊椎关节炎.

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