Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography.
(2013) In Arthritis 2013(Sep 3).- Abstract
- Objective. To assess the clinical utility of repeat sacroiliac joint computed tomography (CT) in sacroiliitis by assessing the proportion of patients changing from normal to pathologic at CT and to which degree there is progression of established sacroiliitis at repeat CT. Methods. In a retrospective analysis of 334 patients (median age 34 years) with symptoms suggestive of inflammatory back pain, CT had been performed twice, in 47 of these thrice, and in eight patients four times. The studies were scored as normal, equivocal, unilateral sacroiliitis, or bilateral sacroiliitis. Results. There was no change in 331 of 389 repeat examinations. Ten patients (3.0%) had progressed from normal or equivocal to unilateral or bilateral sacroiliitis.... (More)
- Objective. To assess the clinical utility of repeat sacroiliac joint computed tomography (CT) in sacroiliitis by assessing the proportion of patients changing from normal to pathologic at CT and to which degree there is progression of established sacroiliitis at repeat CT. Methods. In a retrospective analysis of 334 patients (median age 34 years) with symptoms suggestive of inflammatory back pain, CT had been performed twice, in 47 of these thrice, and in eight patients four times. The studies were scored as normal, equivocal, unilateral sacroiliitis, or bilateral sacroiliitis. Results. There was no change in 331 of 389 repeat examinations. Ten patients (3.0%) had progressed from normal or equivocal to unilateral or bilateral sacroiliitis. Of 43 cases with sacroiliitis on the first study, 36 (83.7%) progressed markedly. Two normal cases had changed to equivocal. Eight equivocal cases were classified as normal on the repeat study. In further two patients, only small changes within the scoring grade equivocal were detected. Conclusions. CT is a valuable examination for diagnosis of sacroiliitis, but a repeated examination detects only a few additional cases of sacroiliitis. Most cases with already established sacroiliitis showed progression of disease. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4143824
- author
- Geijer, Mats LU ; Gadeholt Göthlin, Gro and Göthlin, Jan H
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Arthritis
- volume
- 2013
- issue
- Sep 3
- article number
- 659487
- publisher
- Hindawi Limited
- external identifiers
-
- pmid:24078875
- pmid:24078875
- ISSN
- 2090-1984
- DOI
- 10.1155/2013/659487
- language
- English
- LU publication?
- yes
- id
- f70b9211-7d45-4863-bd49-70325769bc65 (old id 4143824)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24078875?dopt=Abstract
- date added to LUP
- 2016-04-01 13:41:48
- date last changed
- 2018-11-21 20:19:00
@article{f70b9211-7d45-4863-bd49-70325769bc65,
abstract = {{Objective. To assess the clinical utility of repeat sacroiliac joint computed tomography (CT) in sacroiliitis by assessing the proportion of patients changing from normal to pathologic at CT and to which degree there is progression of established sacroiliitis at repeat CT. Methods. In a retrospective analysis of 334 patients (median age 34 years) with symptoms suggestive of inflammatory back pain, CT had been performed twice, in 47 of these thrice, and in eight patients four times. The studies were scored as normal, equivocal, unilateral sacroiliitis, or bilateral sacroiliitis. Results. There was no change in 331 of 389 repeat examinations. Ten patients (3.0%) had progressed from normal or equivocal to unilateral or bilateral sacroiliitis. Of 43 cases with sacroiliitis on the first study, 36 (83.7%) progressed markedly. Two normal cases had changed to equivocal. Eight equivocal cases were classified as normal on the repeat study. In further two patients, only small changes within the scoring grade equivocal were detected. Conclusions. CT is a valuable examination for diagnosis of sacroiliitis, but a repeated examination detects only a few additional cases of sacroiliitis. Most cases with already established sacroiliitis showed progression of disease.}},
author = {{Geijer, Mats and Gadeholt Göthlin, Gro and Göthlin, Jan H}},
issn = {{2090-1984}},
language = {{eng}},
number = {{Sep 3}},
publisher = {{Hindawi Limited}},
series = {{Arthritis}},
title = {{Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography.}},
url = {{https://lup.lub.lu.se/search/files/3537101/4253390}},
doi = {{10.1155/2013/659487}},
volume = {{2013}},
year = {{2013}},
}