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Congress: ECR25
Poster Number: C-17410
Type: Poster: EPOS Radiologist (educational)
Authorblock: P-S. Muntean1, D. R. R. Ban2, M. Racheriu2, I-O. Nastase3, M. Sandu2, F. Grosu2; 1Alba Iulia/RO, 2Sibiu/RO, 3Cisnadie/RO
Disclosures:
Paula-Stefana Muntean: Author: Collecting information and composing content.
Delia Rodica Rodica Ban: Consultant: Consultation on the text.
Mihaela Racheriu: Consultant: Granting access to the hospital database, outlining key topics, and reviewing the text.
Ionut-Octavian Nastase: Consultant: Consultation on the text.
Mariana Sandu: Consultant: Consultation on the text.
Florin Grosu: Consultant: Granting access to the hospital database, outlining key topics, and reviewing the text.
Keywords: Musculoskeletal bone, Musculoskeletal joint, Musculoskeletal spine, CT, MR, Plain radiographic studies, Complications, Diagnostic procedure, Education, Education and training, Inflammation
Learning objectives Identification and characterization of the signs and changes specific to ankylosing spondylitis using plain radiography, CT, and MRI.   Distinguish between early and advanced radiological signs of the disease. Appreciate the importance of early detection for diagnosis, treatment, and complications. Recognize potential complications of AS based on radiological findings.      The importance of radiological techniques in diagnosing and monitoring AS.
Read more Background Ankylosing spondylitis (Bechterew's disease/Marie-Strümpel's disease) is a chronic inflammatory condition characterized by ankylosis mainly at the level of the spine and the sacroiliac joint. Still, peripheral joints are also involved in 20% of cases. It primarily affects men (3:1) and is associated with HLA-B27 positive and rheumatoid factor harmful. It causes inflammation in the enthesis of vertebrae or sacroiliac joints, which, over time, can lead to the fusion of these bones, resulting in stiffness and loss of mobility. Common manifestations...
Read more Findings and procedure details Radiographic imaging remains an essential tool in the diagnosis and monitoring of AS, providing clear indications of early inflammatory changes and advanced bony fusion.While radiography is crucial in detecting structural changes, CT imaging offers a more detailed and precise visualization of bony structures, allowing for better identification of subtle erosions and ossifications. It is especially useful in evaluating the progression of spinal ankylosis and sacroiliac joint involvement, helping clinicians monitor disease progression and treatment responses.MRI is an invaluable tool for...
Read more Conclusion In conclusion, the radiological changes and signs of ankylosing spondylitis (AS) reflect the progressive nature of the disease, characterized by inflammatory, structural, and ossific modifications. Early imaging findings include edematous changes, erosions, and sacroiliitis, which can be detected on MRI before becoming evident on X-ray or CT. As the disease advances, osteosclerosis, syndesmophytes, vertebral body squaring, and ligament ossifications it fully outlines the disease profile. [2] [3]Imaging plays a crucial role in diagnosing, monitoring, and assessing disease progression, helping to...
Read more References [1] Wilkinson M & Bywaters E. Clinical Features and Course of Ankylosing Spondylitis; as Seen in a Follow-Up of 222 Hospital Referred Cases. Ann Rheum Dis. 1958;17(2):209-28. doi:10.1136/ard.17.2.209 - Pubmed[2] Taurog JD, Chhabra A, Colbert RA. Ankylosing Spondylitis and Axial Spondyloarthritis. N Engl J Med. 2016 Sep 29;375(13):1303. - PubMed[3] Riley M, Ansell B, Bywaters E. Radiological Manifestations of Ankylosing Spondylitis According to Age at Onset. Ann Rheum Dis. 1971;30(2):138-48. doi:10.1136/ard.30.2.138 - Pubmed[4] Baraliakos X, Landewé R, Hermann K et...
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