Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

In the Bones: RheumMadness 2022 False Positive MRI in Axial SpA

University of South Florida Rheumatology Fellowship Program: Anastasiya (Stacy) Bagrova, MD; Shreya Gor, MD; Joanne Valeriano-Marcet, MD; Larry Young, MD; & John Carter, MD  |  Issue: May 2022  |  March 3, 2022

Our team’s base article challenges the instinct to lean on fancy enhancers, such as shiny MRIs/DECTs/PETs, and reminds us that a good history and a detailed physical exam performed by a caring human remain the real MVPs of rheumatology.


Anastasiya (Stacy) Bagrova, MD, is a first-year rheumatology fellow in the University of South Florida Rheumatology Fellowship Program, Tampa.

Shreya Gor, MD, is a second-year rheumatology fellow in the University of South Florida Rheumatology Fellowship Program, Tampa.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

Joanne Valeriano-Marcet, MD, is program director of the University of South Florida Rheumatology Fellowship Program, Tampa.

Larry Young, MD, is chief of the Rheumatology Division at James A. Haley Veteran’s Hospital, Tampa.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

John Carter, MD, is chair of the Division of Rheumatology at the University of South Florida, Tampa.

References

  1. Linden SVD, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. Arthritis Rheum. 1984 Apr;27(4):361–368.
  2. Rudwaleit M, van der Heijde D, Landewé R, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): Validation and final selection. Ann Rheum Dis. 2009 Jun;68(6):777–783.
  3. Baraliakos X, Richter A, Feldmann D, et al. Frequency of MRI changes suggestive of axial spondyloarthritis in the axial skeleton in a large population-based cohort of individuals aged <45 years. Ann Rheum Dis. 2020 Feb;79(2):186–192.
  4. Braun J, Schwarting A, Hammel L, et al. Medical care situation of patients with ankylosing spondylitis and psoriatic arthritis in Germany: Medical care situation of patients with spondyloarthritis (SpA): Ankylosing spondylitis (AS) and psoriatic arthritis (PsA) from the perspective of rheumatologists in private practice and hospitals in Germany-Results of the research project “SpA Loop-Life of Outpatients.” Z Rheumatol. 2019 May;78(4):372­–381.
  5. Carmona L, Sellas A, Rodríguez-Lozano C, et al. Scoring with the Berlin MRI method for assessment of spinal inflammatory activity in patients with ankylosing spondylitis: A calibration exercise among rheumatologists. Clin Exp Rheumatol. Nov–Dec 2013;31(6):883–888.
  6. Poddubnyy D, Rudwaleit M, Haibel H, et al. Rates and predictors of radiographic sacroiliitis progression over 2 years in patients with axial spondyloarthritis. Ann Rheum Dis. 2011 Aug;70(8):1369–74.
  7. Sepriano A, Rudwaleit M, Sieper J, et al. Five-year follow-up of radiographic sacroiliitis: Progression as well as improvement? Ann Rheum Dis. 2016 Jun;75(6):1262–1263.
  8. Rusman T, van der Weijden MA, Nurmohamed MT, et al. Is treatment in patients with suspected nonradiographic axial spondyloarthritis effective? Six‐month results of a placebo‐controlled trial. Arthritis Rheumatol. 2021 May;73(5):806–815.
  9. Sieper J, van der Heijde D, Dougados M, et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: Results of a randomised placebo-controlled trial (ABILITY-1). Ann Rheum Dis. 2013 Jun;72(6):815–822.
  10. Tarantino U, Greggi C, Cariati I, et al. Reviewing bone marrow edema in athletes: A difficult diagnostic and clinical approach. Medicina (Kaunas). 2021 Oct 22;57(11):1143.
  11. de Winter J, de Hooge M, van de Sande M, et al. Magnetic resonance imaging of the sacroiliac joints indicating sacroiliitis according to the Assessment of SpondyloArthritis International Society definition in healthy individuals, runners, and women with postpartum back pain. Arthritis Rheumatol. 2018 Jul;70(7):1042–1048.
  12. Robinson PC, van der Linden S, Khan MA, et al. Axial spondyloarthritis: Concept, construct, classification and implications for therapy. Nat Rev Rheumatol. 2021 Feb;17(2):109–118.
  13. Uslu S. Sacroiliitis in sarcoidosis mimicking ankylosing spondylitis. Rheumatology (Oxford). 2021 Feb 1;60(2):991–992.
  14. Antonelli MJ, Magrey M. Sacroiliitis mimics: A case report and review of the literature. BMC Musculoskelet Disord. 2017 Apr 22;18(1):170.
  15. Berthelot JM, Le Goff B, Maugars Y. Overdiagnosing early spondyloarthritis: What are the risks? Joint Bone Spine. 2013 Oct;80(5):446–448.
  16. Classification of axial spondyloarthritis inception cohort (CLASSIC). Spondyloarthritis Research and Treatment Network (SPARTAN). 2022.

Experience All of RheumMadness

Page: 1 2 3 4 | Single Page
Share: 

Filed under:Axial SpondyloarthritisConditionsResearch Rheum Tagged with:axial spondyloarthropathyMagnetic resonance imaging (MRI)MRIRheumMadness

Related Articles
    Andrew Brookes / Image Source on Offset

    Clinical Insights into Axial Spondyloarthritis: Rheumatology Drugs at a Glance, Part 5

    February 10, 2022

    Over the past few years, biosimilars and other new drugs have been introduced to treat rheumatic illnesses. Some of the conditions we treat have numerous drug options; others have few or only off-label options. This series, Rheumatology Drugs at a Glance, provides streamlined information on the administration of biologic, biosimilar and other medications used to…

    Top Research in Axial Spondyloarthritis Presented at ACR Convergence 2022

    November 18, 2022

    PHILADELPHIA—Approximately 100 research abstracts on axial spondyloarthritis (axSpA) were accepted for presentation at ACR Convergence 2022. It is exciting to see a wealth of research on axSpA being undertaken worldwide. Here, we highlight important points from 10 of these studies. 1. Abstract 0378: Prevalence of Axial Spondyloarthritis (axSpA) in Patients Treated for Chronic Back Pain…

    Rheumatologists Make Progress Defining Spectrum of Axial Spondyloarthritis

    May 1, 2014

    New research clarifies terminology used for diagnosis, but questions remain around epidemiology, genetics and management of patients with axial skeletal inflammation

    Tasha Art; PureSolution / shutterstock.com

    RheumMadness: An Educational Tournament

    July 15, 2021

    RheumMadness is an online collaborative learning experience created to educate trainees, rheumatologists and the wider medical community about recent advances and important concepts in rheumatology. The project is funded by the Rheumatology Research Foundation Clinician Scholar Educator (CSE) Award and modeled after NephMadness, an educational initiative of the American Journal of Kidney Diseases (AJKD) that…

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences