Wertigkeit der MR-Tomografie bei der Diagnostik der abakteriellen Sakroiliitis
type: CreativeWork
description: BACKGROUND: Back pain has many causes. These includes destruction of tumors, changes due to metabolism dysfunction, degenerative illnesses and post infection arthritis. Another one is seronegative spondylarthopathy. Ankylosing spondylitis, reactive arthrits at Reiter disease, psoriatic arthritis, arthritis at chronic inflammatory intestinal disease and undifferentiated spondylarthopathy are amoung seronegative Spondylarthopathy. Diagnostic gold standard of these rheumatoid illnesses was a combination of anamnesis, examination and x-ray. In the last years Magnetic resonance imaging (MRI) became more important in the early diagnostic procedure of radiologists and rheumatologists. METHODS: The aim of our work was to verify the diagnostic value of MRI of the sacroiliac joint at inflammatory low back pain especially under daily routine. To do so all patients were seen at least for four years to verify the first MRI diagnosis. Furthermore we analysed the depandancy of this method from the experience of the physican with a interobserver reliability test. Therefore we analysed the MRI pictures of 65 patients in our department of radiology and neuroradiology in Augsburg (Germany). These patients had to fulfil following criterias: - clinical suspicion of inflammatory lower back pain accourding to the criteria of Calin et al. (1985) - examination and diagnosis by a rheumatologist - MRI in our department (July 95 to September 1998) - second examination and final diagnosis by a rheumatologist at least four years after the MRI. RESULTS: To evaluate the quality of routine MRI we compared the results of our radiology diagnosis with the final diagnosis of rheumatologists. Our analysis showed a sensitivity of 95%, a specificity of 98% for early MRI diagnosis of sacroiliitis. To evaluate the depandance of MRI from the physicans experience we analysed the MRI of 58 patients (=116 sacroiliac joints). Three radiologists with different experience in MRI stated these 56 MRI pictures withou…
abstract: BACKGROUND: Back pain has many causes. These includes destruction of tumors, changes due to metabolism dysfunction, degenerative illnesses and post infection arthritis. Another one is seronegative spondylarthopathy. Ankylosing spondylitis, reactive arthrits at Reiter disease, psoriatic arthritis, arthritis at chronic inflammatory intestinal disease and undifferentiated spondylarthopathy are amoung seronegative Spondylarthopathy. Diagnostic gold standard of these rheumatoid illnesses was a combination of anamnesis, examination and x-ray. In the last years Magnetic resonance imaging (MRI) became more important in the early diagnostic procedure of radiologists and rheumatologists. METHODS: The aim of our work was to verify the diagnostic value of MRI of the sacroiliac joint at inflammatory low back pain especially under daily routine. To do so all patients were seen at least for four years to verify the first MRI diagnosis. Furthermore we analysed the depandancy of this method from the experience of the physican with a interobserver reliability test. Therefore we analysed the MRI pictures of 65 patients in our department of radiology and neuroradiology in Augsburg (Germany). These patients had to fulfil following criterias: - clinical suspicion of inflammatory lower back pain accourding to the criteria of Calin et al. (1985) - examination and diagnosis by a rheumatologist - MRI in our department (July 95 to September 1998) - second examination and final diagnosis by a rheumatologist at least four years after the MRI. RESULTS: To evaluate the quality of routine MRI we compared the results of our radiology diagnosis with the final diagnosis of rheumatologists. Our analysis showed a sensitivity of 95%, a specificity of 98% for early MRI diagnosis of sacroiliitis. To evaluate the depandance of MRI from the physicans experience we analysed the MRI of 58 patients (=116 sacroiliac joints). Three radiologists with different experience in MRI stated these 56 MRI pictures withou…
author: Schukai, Olaf Ralf
language: ger
keywords: info:eu-repo/classification/ddc/610, Medizin
date published: 2004
date modified: 2026-07-30T19:43:19Z
provider: RWTH Aachen University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Publikationsserver der RWTH Aachen University