Imaging in Ankylosing Spondylitis

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Imaging in Ankylosing Spondylitis Dr Tazeen Ahmed Consultant Rheumatologist Croydon Health Services

Imaging Modalities in Ankylosing Spondylitis XR MRI CT Nuclear medicine e.g PET, or bone scan

The classic X- ray appearances 40 year old man – initial presentation

The classic X- ray appearances 40 year old man – initial presentation

MRI 40 year old man – deciding on biologics

MRI 38 year old female

X-ray 28 year old man

MRI 28 year old man

Inflammatory corner lesions ( ROMANUS lesions

Inflammatory corner lesions ( ROMANUS lesions- classic image (AS)

Sacroiliitis on CT sclerosis

ANKYLOSING SPONDYLITIS IMAGING X-ray is no longer first line MRI sacro-iliac joints and MRI spine CT will show detailed bony changes but burden of disease NSAIDs are thought to suppress signal so please avoid for several days before scan