Display options
Cite
Geijer M, Gadeholt Göthlin G, Göthlin JH. Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography. Arthritis. 2013;2013:659487doi: 10.1155/2013/659487.
Geijer, M., Gadeholt Göthlin, G., & Göthlin, J. H. (2013). Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography. Arthritis, 2013659487. https://doi.org/10.1155/2013/659487
Geijer, Mats, et al. "Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography." Arthritis vol. 2013 (2013): 659487. doi: https://doi.org/10.1155/2013/659487
Geijer M, Gadeholt Göthlin G, Göthlin JH. Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography. Arthritis. 2013;2013:659487. doi: 10.1155/2013/659487. Epub 2013 Sep 03. PMID: 24078875; PMCID: PMC3776366.
Copy Download .nbib Format: NLM
Share it on

Arthritis. 2013;2013:659487. doi: 10.1155/2013/659487. Epub 2013 Sep 03.

Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography.

Arthritis

Mats Geijer, Gro Gadeholt Göthlin, Jan H Göthlin

Affiliations

  1. Center for Medical Imaging and Physiology, Skåne University Hospital, Lund University, 221 85 Lund, Sweden ; Department of Diagnostic Radiology, Sahlgrenska University Hospital, University of Gothenburg, 413 45 Gothenburg, Sweden.

PMID: 24078875 PMCID: PMC3776366 DOI: 10.1155/2013/659487

Abstract

Objective. To assess the clinical utility of repeat sacroiliac joint computed tomography (CT) in sacroiliitis by assessing the proportion of patients changing from normal to pathologic at CT and to which degree there is progression of established sacroiliitis at repeat CT. Methods. In a retrospective analysis of 334 patients (median age 34 years) with symptoms suggestive of inflammatory back pain, CT had been performed twice, in 47 of these thrice, and in eight patients four times. The studies were scored as normal, equivocal, unilateral sacroiliitis, or bilateral sacroiliitis. Results. There was no change in 331 of 389 repeat examinations. Ten patients (3.0%) had progressed from normal or equivocal to unilateral or bilateral sacroiliitis. Of 43 cases with sacroiliitis on the first study, 36 (83.7%) progressed markedly. Two normal cases had changed to equivocal. Eight equivocal cases were classified as normal on the repeat study. In further two patients, only small changes within the scoring grade equivocal were detected. Conclusions. CT is a valuable examination for diagnosis of sacroiliitis, but a repeated examination detects only a few additional cases of sacroiliitis. Most cases with already established sacroiliitis showed progression of disease.

References

  1. J Rheumatol. 1988 Jul;15(7):1109-14 - PubMed
  2. Clin Exp Rheumatol. 1987;5 Suppl 1:S105-7 - PubMed
  3. Clin Rheumatol. 2012 Mar;31(3):425-8 - PubMed
  4. Skeletal Radiol. 2011 Sep;40(9):1153-73 - PubMed
  5. J Rheumatol. 2007 Jul;34(7):1561-5 - PubMed
  6. Arthritis Rheum. 1984 Apr;27(4):361-8 - PubMed
  7. J Rheumatol. 1999 Mar;26(3):726-30 - PubMed
  8. J Rheumatol. 2002 Nov;29(11):2306-12 - PubMed
  9. Eur Radiol. 2002 Nov;12(11):2820-5 - PubMed
  10. Acta Radiol. 2012 Mar 1;53(2):197-202 - PubMed
  11. Korean J Intern Med. 2007 Sep;22(3):171-7 - PubMed
  12. Ann Rheum Dis. 2004 Dec;63(12):1601-4 - PubMed
  13. Rheumatol Int. 2003 Mar;23(2):61-6 - PubMed
  14. Ann Rheum Dis. 2011 Aug;70(8):1369-74 - PubMed
  15. Radiology. 1981 May;139(2):437-40 - PubMed
  16. Radiology. 2010 Aug;256(2):617-24 - PubMed
  17. Skeletal Radiol. 1990;19(3):207-10 - PubMed
  18. Curr Opin Rheumatol. 2012 Jul;24(4):363-9 - PubMed
  19. Rev Rhum Mal Osteoartic. 1992 Jun;59(6):413-20 - PubMed
  20. J Rheumatol. 2010 Mar;37(3):622-7 - PubMed
  21. AJR Am J Roentgenol. 1981 Jan;136(1):41-6 - PubMed
  22. Arthritis Rheum. 1991 Oct;34(10):1218-27 - PubMed
  23. Ann Rheum Dis. 2009 Jun;68(6):777-83 - PubMed
  24. Acta Radiol. 2007 Jul;48(6):665-71 - PubMed
  25. J R Soc Med. 1990 Jul;83(7):430-2 - PubMed
  26. Acta Radiol. 1998 May;39(3):265-8 - PubMed
  27. Rheumatol Int. 2013 Apr;33(4):1005-11 - PubMed
  28. Acta Radiol. 2009 Jul;50(6):664-73 - PubMed
  29. Rev Rhum Mal Osteoartic. 1990 Feb;57(2):85-9 - PubMed
  30. Scand J Rheumatol. 2004;33(5):332-8 - PubMed
  31. J Rheumatol. 2007 Jan;34(1):5-7 - PubMed

Publication Types