MRI characteristics of the SIJ and the spine in patients with DISH vs. SpA and degenerative disease
MRI lesions | DISH | SpA | Degenerative changes | |
---|---|---|---|---|
SIJ | Periarticular BMESuggestive of SpA | RareUpper part of SIJ | CommonAlong entire SIJ | RareUpper part of SIJ |
Erosions | Rare | Common | Rare | |
Bone production | Bridging osteophytes anterior to SIJ | Intra-articular bridging osteophytes | Small periarticular osteophytes | |
Periarticular fat metaplasia | Rare | Common | Rare | |
Spine | Bone production | Thick, bridging horizontal osteophytes | Thin, slender, vertical syndesmophytes | Horizontal osteophytes |
BME corners | Present but uncommon | Common | Present but uncommon | |
Fat corners | Present, not rare | Common | Present, not rare |
IE: Conceptualization, Investigation, Writing—original draft, Writing—review & editing.
The author declares that she has no conflicts of interest.
The use of anonymized images was approved by the local ethics committee (9916-22-SMC) and this study complied with the Declaration of Helsinki.
Patient’s consent was waived by the Sheba Medical Center’s institutional ethics committee due to the retrospective nature of the manuscript.
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© The Author(s) 2023.