Results of an expert Delphi consensus from the Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Society of Rheumatology (SIR) on standardized requesting and reporting magnetic resonance imaging in patients with suspected or known axial spondyloarthritis.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Salaffi Fausto, Carotti Marina, Martino Fabio, Filippucci Emilio, Farah Sonia, Ramonda Roberta, Doria Andrea, Caporali Roberto, Govoni Marcello, Sarzi-Puttini Piercarlo, Batticiotto Alberto, Ceccarelli Luca, Rossini Maurizio, Scarano Enrico, Sconfienza Luca Maria, Vio Stefania, Masciocchi Carlo, Muda Alessandro, La Paglia Ernesto, De Filippo Massimo, Zappia Marcello, Gallazzi Mauro Battista, D'Angelo Salvatore, Oliviero Francesca, Di Carlo Marco, Barreca Cristiana, Canzoni Marco, Silvestri Enzo, Aliprandi Alberto, Barile Antonio, Splendiani Alessandra, Giovagnoni Andrea, Leone Antonio, Gandolfo Nicoletta
Аннотация
METHODS: A task force comprising six rheumatologists and five musculoskeletal radiologists with expertise in axSpA imaging reviewed the Assessment of SpondyloArthritis International Society (ASAS) framework to draft initial recommendations and define project goals. A broader expert panel (21 rheumatologists, 19 radiologists) then participated in a voting process to refine and validate these recommendations. Final endorsement was sought from the steering committees of the Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Society of Rheumatology (SIR) using a modified Delphi method.
RESULTS: Thirty-one recommendations were validated, organized into eight domains. Domain 1 outlines five overarching principles. Domain 2 comprises recommendations on clinical features, symptoms, and risk factors. Additional domains address MRI technical parameters, including image quality and sequencing (Domain 3), and standardized reporting criteria. For the sacroiliac joints (Domains 4 and 5), five signs of inflammation and six of structural damage are defined. For the spine (Domains 6 and 7), five inflammatory and four structural features are specified. Domain 8 provides guidance on report conclusions. The recommendations were endorsed by SIRM/SIR with 88.5% approval.
CONCLUSION: This consensus offers structured guidance for MRI requesting and reporting in axSpA, fostering clear communication between radiologists and rheumatologists. The standardized approach aims to improve diagnostic accuracy and patient outcomes.