Fast Five Quiz: Nonradiographic Axial Spondyloarthritis

Lawrence H. Brent, MD


May 28, 2020

According to the European League Against Rheumatism (EULAR), MRI findings of active inflammatory lesions (primarily bone marrow edema) and structural lesions (eg, bone erosion, new bone formation, sclerosis and fat infiltration) should be considered in the workup of patients for nr-axSpA and other spondyloarthropathies.

CT scans are not typically used in routine evaluations because of their expense, but they can provide valuable information particularly if MRI cannot be performed. MRI or CT scanning of the spine and peripheral joints may reveal evidence of erosions and enthesitis that are not apparent on standard radiographs. CT scanning or MRI may also be required to document the presence of a fracture in patients with late-stage spinal disease.

Scintigraphy of the bones is not recommended.

Learn more about the workup for nr-axSpA and other spondyloarthropathies.


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