CASE 2: OCI & DEGEN WHAT TO ASSESS WHAT TO ASSESS Look at the SIJ and assess: Joint Space Narrowing. Ill definition or erosion of the cortex. Sclerosis, Fat metaplasia. Subcortical cysts. Vacuum phenomena. Which part of the SIJ are the changes most pronounced in? VIEW CASE 2 VIEW […]
OLSPA 13.4 OCI AND DEGENERATION CASE 2 Read More »
WHAT HAVE WE COVERED Today we have looked at the different appearances of Chronic structural Sacro Iliitis. Often we wll see mixed active and chronic structural changes and as the disease progresses the amount of active change reduces. Keep in mind that SpA is a dynamic disease and can wax and wane so that
OLSPA 09.5 WHAT HAVE WE COVERED AND WHAT’S NEXT Read More »
VIEW DICOMS: CASE 4 WHAT TO ASSESS WHAT TO ASSESS Start with looking at the coronal T1 and STIR sequence together. We are focusing on the chronic changes in SpA and you need to look for the following: Erosions. Sclerosis. Backfill. Fat metaplasia. Ankylosis. Are there any active change: Bone marrow
OLSPA 09.4 SIJ CHRONIC CHANGES DICOMS : CASE 4 Read More »
VIEW DICOMS: CASE 3 WHAT TO ASSESS WHAT TO ASSESS Look at the T1 and STIR sequence together. We are focusing on the chronic changes in SpA and you need to look for the following: Erosions. Sclerosis. Backfill. Fat metaplasia. Ankylosis. Are there any active change: Bone marrow oedema. Capsulitis. Joint fluid/ inflammation.
OLSPA 09.3 SIJ CHRONIC CHANGES DICOMS : CASE 3 Read More »
VIEW DICOMS: CASE 2 WHAT TO ASSESS WHAT TO ASSESS Start with looking at the coronal T1 and STIR sequence together. We are focusing on the chronic changes in SpA and you need to look for the following: Erosions. Sclerosis. Backfill. Fat metaplasia. Ankylosis. Are there any active change: Bone marrow oedema. Capsulitis.
OLSPA 09.2 SIJ CHRONIC CHANGES DICOMS : CASE 2 Read More »
OVERVIEW We are going to look at how to assess and report the chronic structural changes at the SIJ. Keep in mind that mostly we will see a combination of acute and chronic changes unless it’s a more end stage, so we still need to assess and report both. WHAT DOES RHEUMATOLOGIST WANT TO
OLSPA 09.1 SIJ CHRONIC CHANGES DICOMS : CASE 1 Read More »
WHAT HAVE WE COVERED Today we have looked at the different appearances of Chronic structural Sacroiliitis on x-ray and CT. Keep in mind that SpA in the early stages can be unilateral and only later become bilateral and is uncommonly symmetrical. Tomorrow we will look at how to assess Structural changes on MRI.
OLSPA 08.4 WHAT HAVE WE COVERED AND WHAT’S NEXT Read More »
VIEW DICOMS: CASE 3 WHAT TO ASSESS WHAT TO ASSESS CT can only see some of the chronic structural changes and none of the Acute Inflammatory lesions in SpA. You need to look for the following: Erosions. Sclerosis. Ankylosis. VIEW CASE 3 VIEW CASE 3 65-year-old male known Ankylosing Spondylitis. CASE
OLSPA 08.3 SIJ CHRONIC CHANGES DICOMS : CASE 3 Read More »
OVERVIEW We are going to look at how to assess and report the chronic structural changes at the SIJ on CT. Although CT is not routinely used as part of the assessment for SpA, we will see CT changes if the patient has had an abdo/pelvic CT for another reason. VIEW DICOMS: CASE 2
OLSPA 08.2 SIJ CHRONIC CHANGES DICOMS : CASE 2 Read More »
VIEW DICOMS: CASE 1 WHAT TO ASSESS WHAT TO ASSESS X-ray can only see some of the chronic structural changes and none of the Acute Inflammatory lesions in SpA. You need to look for the following: Erosions. Sclerosis. Ankylosis. VIEW CASE 1 VIEW CASE 1 21-year-old Male. There are both AP
OLSPA 08.1 SIJ CHRONIC CHANGES DICOMS : CASE 1 Read More »
WHAT HAVE WE COVERED Today and yesterday we have looked at what the MRI changes of Acute Active Inflammatory Lesions in Sacroiliitis are: Osteitis. Capsulitis. Joint Fluid/ Inflammation. There is a further Acute Active Inflammatory lesion which is a active inflammation withing a chronic erosion which we will discuss tomorrow when we look at
OLSPA 06.4 WHAT HAVE WE COVERED AND WHAT’S NEXT Read More »
VIEW DICOMS: CASE 3 WHAT TO ASSESS WHAT TO ASSESS We are going to look at the acute changes of Sacroiliitis. This scan has a lot of chronic structural changes which we will discuss separately soon. Look at the X-ray first then look at the MRI. On the MRI, Look for the following: Bone marrow
OLSPA 06.3 SIJ ACUTE CHANGES DICOMS: CASE 3 Read More »
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