Arthritis Radiology Rheumatology Imaging
Imaging of Arthritis can be challenging because findings can be non specific and the clinical context of what we are seeing is very important in getting to or narrowing a diagnosis.
From 2021 all our posts on Arthritis Radiology and Rheumatology Imaging will be done in conjunction with Dr Joe Thomas a Senior Consultant Rheumatologist. who has a vast amount of clinical experience.
He also has a very strong interest in Imaging of Arthropathies and has joined us to bring a clinical perspective to the imaging and to advise on what rheumatologists want when we report their referrals.
ANKYLOSING SPONDYLITIS SPINE IMAGING DAGGER SIGN RADIOLOGY RHEUMATOLOGY WITH DR JOE THOMAS (RHEUMATOLOGIST) WHAT IS THE DAGGER SIGN In Ankylosing spondylitis the dagger sign refers to a solid central line of bone along in AP spine view. WHAT DO I LOOK FOR Linear density in the midline connecting the spinous processes (Pink arrows). Image …
ANKYLOSING SPONDYLITIS SPINE IMAGING DAGGER SIGN: WHAT DOES IT MEAN Read More »
Ankylosing spondylitis peripheral joint Hip involvement. This post has been made in conjunction with Dr Joe Thomas, a Senior Consultant Rheumatologist in Kochi India with a vast amount of clinical experience. He also happens to have a very strong interest in Imaging of Arthropathies and has joined us to bring a clinical perspective to …
ANKYLOSING SPONDYLITIS PERIPHERAL JOINT HIP INVOLVEMENT Read More »
Today’s Tuesday Tip is the last in the series on Romanus lesions in ankylosing spondylitis and looks at the MRI findings in both acute and chronic changes. The changes seen at the endplate corners in enthesitis are progressive. In the acute stage inflammatory changes are present at the vertebral endplate corners ( anterior > posterior) …
Today’s Tuesday Tip continues with Enthesitis and Romanus lesions in ankylosing spondylitis. The changes seen at the endplate corners in enthesitis are progressive. It starts with inflammation, then erosion and as the inflammation reduces that region is replaced by fatty infiltration and at the end stage, by sclerosis. This post looks at the CT and …
Tuesday Tip: Romanus Lesions 2 X-Ray & CT Findings Read More »
Today’s Tuesday Tip is the first in a series on Romanus Lesions jointly done with Dr Joe Thomas, starting with the anatomy of the endplate and enthesis as it relates to Romanus Lesions. We will have more radiologists and clinicians contribute to Tuesday Tips this year, starting with Dr Joe Thomas who is a very …
Tuesday Tip: Romanus Lesions Anatomy of the Endplate and Enthesis Read More »
WHAT IS BASILAR INVAGINATION/ IMPRESSION Subluxation at C1/2 in Rheumatoid Arthritis can occur in three directions. Axial ( Horizontal), Vertical and Lateral. Vertical subluxation is when C2 moves proximally towards the foramen magnum and is called Basilar Invagination or Basilar Impression. Basilar Invagination is when there is abnormal underlying bone and …
HOW TO ASSESS BASILAR INVAGINATION IN RHEUMATOID ARTHRITIS Read More »
There is no excerpt because this is a protected post.
The Romanus lesion is one of the earliest signs in the spine of inflammatory spondyloarthritis. It represents inflammatory changes at the insertion of the annulus of the disc to the endplate and is an enthesitis. It is more often seen anteriorly but can also be posterior or a combination of both. The changes seen are …
