Spondyloarthropathy

MRI spondyloarthropathy spine

Imaging of Ankylosing Spondylitis and Spondyloarthritis can be challenging because the clinical context of what we are seeing is very important in getting to or narrowing a diagnosis.

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From 2021 all our posts on Imaging and MRI Ankylosing Spondylitis and Spondyloarthropathies will be done in conjunction with Dr Joe Thomas a Senior Consultant Rheumatologist based in Kochi India, who has a vast amount of clinical experience.

 

He also has a very strong interest in Imaging of Spondyloarthritis and has joined us to bring a clinical perspective to the imaging and to advise on what rheumatologists want when we report their referrals.

 

MRI Spondyloarthropathy and Ankylosing Spondylitis. Where to Look, What to Look for and How to Report Confidently

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ROMANUS LESIONS ANATOMY OF THE ENDPLATE AND ENTHESIS

ROMANUS LESIONS ANATOMY OF THE ENDPLATE AND ENTHESIS To understand the Romanus Lesion or Corner Inflammatory Lesion as its described on MRI, its important to understand  the anatomy of the endplate and enthesis it forms with the annulus. This post was done together with Dr Joe Thomas who is a very talented Rheumatologist from Kochi …

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ROMANUS LESIONS X-RAY AND CT FINDINGS

ROMANUS LESION SPONDYLOARTHROPATHY X-RAY AND CT Romanus Lesion is a term used on x-ray and CT and on MRI is called a Corner Inflammatory Lesion and these occur in Spondyloarthropathies like ankylosing spondylitis. The changes are seen at the endplate corners and are due to an enthesitis  at the attachment of the annulus fibrosis to …

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ankylosing spondylitis spine imaging dagger sign trolley track sign spine fusion xray ct mri

ANKYLOSING SPONDYLITIS SPINE IMAGING DAGGER SIGN: WHAT DOES IT MEAN

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 …

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ANKYLOSING SPONDYLITIS PERIPHERAL JOINT HIP INVOLVEMENT

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 …

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romanus lesion mri radiology education asia

Tuesday Tip: Romanus Lesions 3: MRI Findings

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) …

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romanus lesion spine

The Romanus Lesion: Why, Where and What

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 …

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