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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BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS MCRAE’S LINE (VIDEO)

BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS MCRAE'S LINE There can be apparent superior migration of the dens to the foramen magnum.   It’s apparent because it’s due to cranial settling with the skull base moving down rather than the odontoid moving up.   To assess this on imaging, there are a …

BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS MCRAE’S LINE (VIDEO) Read More »

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MRI SPINE ANKYLOSING SPONDYLITIS SpA SPONDYLOARTHRITIS FOR RHEUMATOLOGISTS: HOW TO ASSESS: PART 2 WHAT DOES THE SIGNAL MEAN

MRI SPINE FOR RHEUMATOLOGISTS & (RADIOLOGISTS) In this video below we look at how to assess a MRI Spine Ankylosing Spondylitis & Spondyloarthritis (SpA ) for Rheumatologists (and Radiologists ) and look at the SIGNAL CHANGES YOU NEED TO KNOW AND WHAT  THEY MEAN. This is the 2nd part of a 3 part series on …

MRI SPINE ANKYLOSING SPONDYLITIS SpA SPONDYLOARTHRITIS FOR RHEUMATOLOGISTS: HOW TO ASSESS: PART 2 WHAT DOES THE SIGNAL MEAN Read More »

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MRI SPINE RHEUMATOLOGY FOR RHEUMATOLOGISTS: HOW TO ASSESS ANKYLOSING SPONDYLITIS AND SPONDYLOARTHROPATHY PART 1

MRI SPINE FOR RHEUMATOLOGISTS & (RADIOLOGISTS) How to assess Ankylosing Spondylitis and Spondyloarthropathy Part 1: The Sequences you need to know. Rheumatologists should be able to assess a MRI Spine for changes of Ankylosing Spondylitis and Spondyloarthropathy. We have a 3 part series for Rheumatologists (and Radiologists 😀) on how to have a structure to assess …

MRI SPINE RHEUMATOLOGY FOR RHEUMATOLOGISTS: HOW TO ASSESS ANKYLOSING SPONDYLITIS AND SPONDYLOARTHROPATHY PART 1 Read More »

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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 CT FINDINGS CORNER INFLAMMATORY LESION

ROMANUS LESION X-RAY CT FINDINGS 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 the …

ROMANUS LESIONS X-RAY CT FINDINGS CORNER INFLAMMATORY LESION Read More »

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ANKYLOSING SPONDYLITIS DAGGER SIGN SPINE IMAGING : WHAT DOES IT MEAN

ANKYLOSING SPONDYLITIS DAGGER SIGN SPINE IMAGING In ankylosing spondylitis, what is the dagger sign? In this post we look at  how to recognise it and  he Anatomy and Pathology that helps explain what the Dagger sign is. WHAT IS THE DAGGER SIGN In Ankylosing spondylitis the dagger sign refers to a solid central line of …

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ANKYLOSING SPONDYLITIS HIP PERIPHERAL JOINT INVOLVEMENT

ANKYLOSING SPONDYLITIS HIP PERIPHERAL JOINT INVOLVEMENT RADIOLOGY HOW COMMON IS HIP JOINT INVOLVEMENT IN ANK SPOND: Hip involvement in Ankylosing spondylitis has been reported in up to a 1/3rd of patients and is usually bilateral. WHY DOES IT OCCUR: Its primarily an inflammatory process. This results in cartilage destruction and loss of joint space. Eventually …

ANKYLOSING SPONDYLITIS HIP PERIPHERAL JOINT INVOLVEMENT Read More »

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ROMANUS LESION MRI FINDINGS CORNER INFLAMMATORY LESIONS

ROMANUS LESION MRI CORNER INFLAMMATORY LESIONS ROMANUS LESION CORNER INFLAMMATORY LESION MRI   Romanus Lesions are now called Corner Inflammatory Lesions. This post is the last in the series on Romanus lesions in ankylosing spondylitis and looks at the MRI findings in both acute and chronic changes. (If you haven’t seen the first two posts, …

ROMANUS LESION MRI FINDINGS CORNER INFLAMMATORY LESIONS Read More »

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