MRI characteristics of the SIJ and the spine in patients with DISH vs. SpA and degenerative disease

MRI lesionsDISHSpADegenerative changes
SIJPeriarticular BME
Suggestive of SpA
Rare
Upper part of SIJ
Common
Along entire SIJ
Rare
Upper part of SIJ
ErosionsRareCommonRare
Bone productionBridging osteophytes anterior to SIJIntra-articular bridging osteophytesSmall periarticular osteophytes
Periarticular fat metaplasiaRareCommonRare
SpineBone productionThick, bridging horizontal osteophytesThin, slender, vertical syndesmophytesHorizontal osteophytes
BME cornersPresent but uncommonCommonPresent but uncommon
Fat cornersPresent, not rareCommonPresent, not rare