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EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice

A taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imagin... Full description

Journal Title: Annals of the rheumatic diseases 2015-07, Vol.74 (7), p.1327-1339
Main Author: Mandl, P
Other Authors: Navarro-Compán, V , Terslev, L , Aegerter, P , van der Heijde, D , D'Agostino, M A , Baraliakos, X , Pedersen, S J , Jurik, A G , Naredo, E , Schueller-Weidekamm, C , Weber, U , Wick, M C , Bakker, P A C , Filippucci, E , Conaghan, P G , Rudwaleit, M , Schett, G , Sieper, J , Tarp, S , Marzo-Ortega, H , Østergaard, M
Format: Electronic Article Electronic Article
Language: English
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Publisher: England: BMJ Publishing Group Ltd
ID: ISSN: 0003-4967
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title: EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice
format: Article
creator:
  • Mandl, P
  • Navarro-Compán, V
  • Terslev, L
  • Aegerter, P
  • van der Heijde, D
  • D'Agostino, M A
  • Baraliakos, X
  • Pedersen, S J
  • Jurik, A G
  • Naredo, E
  • Schueller-Weidekamm, C
  • Weber, U
  • Wick, M C
  • Bakker, P A C
  • Filippucci, E
  • Conaghan, P G
  • Rudwaleit, M
  • Schett, G
  • Sieper, J
  • Tarp, S
  • Marzo-Ortega, H
  • Østergaard, M
subjects:
  • Arthritis
  • Care and treatment
  • Classification
  • Clinical medicine
  • CT imaging
  • Diagnosis
  • Diagnostic Imaging
  • Diagnostic Imaging - methods
  • Disease
  • Emission Tomography
  • Europe
  • Experts
  • Fractures
  • Humans
  • Literature reviews
  • Magnetic Resonance Imaging
  • Medical imaging
  • Medicin och hälsovetenskap
  • Medizinische Fakultät
  • Pathology
  • PET imaging
  • Positron
  • Positron-Emission Tomography
  • Practice
  • Quality of life
  • Radiography
  • Ray Computed
  • Rheumatologists
  • Spondylarthritis
  • Spondylarthritis - classification
  • Spondylarthritis - diagnosis
  • Spondylarthritis - therapy
  • Spondyloarthropathies
  • Tomography
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonic imaging
  • Ultrasonography
  • Usage
ispartof: Annals of the rheumatic diseases, 2015-07, Vol.74 (7), p.1327-1339
description: A taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imaging in SpA were generated using a process of discussion and consensus. Imaging modalities included conventional radiography, ultrasound, magnetic resonance imaging, computed tomography (CT), positron emission tomography, single photon emission CT, dual-emission x-ray absorptiometry and scintigraphy. Experts applied research evidence obtained from systematic literature reviews using MEDLINE and EMBASE to develop a set of 10 recommendations. The strength of recommendations (SOR) was assessed by taskforce members using a visual analogue scale. A total of 7550 references were identified in the search process, from which 158 studies were included in the systematic review. Ten recommendations were produced using research-based evidence and expert opinion encompassing the role of imaging in making a diagnosis of axial SpA or peripheral SpA, monitoring inflammation and damage, predicting outcome, response to treatment, and detecting spinal fractures and osteoporosis. The SOR for each recommendation was generally very high (range 8.9–9.5). These are the first recommendations which encompass the entire spectrum of SpA and evaluate the full role of all commonly used imaging modalities. We aimed to produce recommendations that are practical and valuable in daily practice for rheumatologists, radiologists and general practitioners.
language: eng
source:
identifier: ISSN: 0003-4967
fulltext: no_fulltext
issn:
  • 0003-4967
  • 1468-2060
  • 1468-2060
url: Link


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titleEULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice
creatorMandl, P ; Navarro-Compán, V ; Terslev, L ; Aegerter, P ; van der Heijde, D ; D'Agostino, M A ; Baraliakos, X ; Pedersen, S J ; Jurik, A G ; Naredo, E ; Schueller-Weidekamm, C ; Weber, U ; Wick, M C ; Bakker, P A C ; Filippucci, E ; Conaghan, P G ; Rudwaleit, M ; Schett, G ; Sieper, J ; Tarp, S ; Marzo-Ortega, H ; Østergaard, M
creatorcontribMandl, P ; Navarro-Compán, V ; Terslev, L ; Aegerter, P ; van der Heijde, D ; D'Agostino, M A ; Baraliakos, X ; Pedersen, S J ; Jurik, A G ; Naredo, E ; Schueller-Weidekamm, C ; Weber, U ; Wick, M C ; Bakker, P A C ; Filippucci, E ; Conaghan, P G ; Rudwaleit, M ; Schett, G ; Sieper, J ; Tarp, S ; Marzo-Ortega, H ; Østergaard, M ; European League Against Rheumatism (EULAR)
descriptionA taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imaging in SpA were generated using a process of discussion and consensus. Imaging modalities included conventional radiography, ultrasound, magnetic resonance imaging, computed tomography (CT), positron emission tomography, single photon emission CT, dual-emission x-ray absorptiometry and scintigraphy. Experts applied research evidence obtained from systematic literature reviews using MEDLINE and EMBASE to develop a set of 10 recommendations. The strength of recommendations (SOR) was assessed by taskforce members using a visual analogue scale. A total of 7550 references were identified in the search process, from which 158 studies were included in the systematic review. Ten recommendations were produced using research-based evidence and expert opinion encompassing the role of imaging in making a diagnosis of axial SpA or peripheral SpA, monitoring inflammation and damage, predicting outcome, response to treatment, and detecting spinal fractures and osteoporosis. The SOR for each recommendation was generally very high (range 8.9–9.5). These are the first recommendations which encompass the entire spectrum of SpA and evaluate the full role of all commonly used imaging modalities. We aimed to produce recommendations that are practical and valuable in daily practice for rheumatologists, radiologists and general practitioners.
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languageeng
publisherEngland: BMJ Publishing Group Ltd
subjectArthritis ; Care and treatment ; Classification ; Clinical medicine ; CT imaging ; Diagnosis ; Diagnostic Imaging ; Diagnostic Imaging - methods ; Disease ; Emission Tomography ; Europe ; Experts ; Fractures ; Humans ; Literature reviews ; Magnetic Resonance Imaging ; Medical imaging ; Medicin och hälsovetenskap ; Medizinische Fakultät ; Pathology ; PET imaging ; Positron ; Positron-Emission Tomography ; Practice ; Quality of life ; Radiography ; Ray Computed ; Rheumatologists ; Spondylarthritis ; Spondylarthritis - classification ; Spondylarthritis - diagnosis ; Spondylarthritis - therapy ; Spondyloarthropathies ; Tomography ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonography ; Usage
ispartofAnnals of the rheumatic diseases, 2015-07, Vol.74 (7), p.1327-1339
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1Navarro-Compán, V
2Terslev, L
3Aegerter, P
4van der Heijde, D
5D'Agostino, M A
6Baraliakos, X
7Pedersen, S J
8Jurik, A G
9Naredo, E
10Schueller-Weidekamm, C
11Weber, U
12Wick, M C
13Bakker, P A C
14Filippucci, E
15Conaghan, P G
16Rudwaleit, M
17Schett, G
18Sieper, J
19Tarp, S
20Marzo-Ortega, H
21Østergaard, M
22European League Against Rheumatism (EULAR)
title
0EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice
1Annals of the rheumatic diseases
addtitleAnn Rheum Dis
descriptionA taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imaging in SpA were generated using a process of discussion and consensus. Imaging modalities included conventional radiography, ultrasound, magnetic resonance imaging, computed tomography (CT), positron emission tomography, single photon emission CT, dual-emission x-ray absorptiometry and scintigraphy. Experts applied research evidence obtained from systematic literature reviews using MEDLINE and EMBASE to develop a set of 10 recommendations. The strength of recommendations (SOR) was assessed by taskforce members using a visual analogue scale. A total of 7550 references were identified in the search process, from which 158 studies were included in the systematic review. Ten recommendations were produced using research-based evidence and expert opinion encompassing the role of imaging in making a diagnosis of axial SpA or peripheral SpA, monitoring inflammation and damage, predicting outcome, response to treatment, and detecting spinal fractures and osteoporosis. The SOR for each recommendation was generally very high (range 8.9–9.5). These are the first recommendations which encompass the entire spectrum of SpA and evaluate the full role of all commonly used imaging modalities. We aimed to produce recommendations that are practical and valuable in daily practice for rheumatologists, radiologists and general practitioners.
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0Arthritis
1Care and treatment
2Classification
3Clinical medicine
4CT imaging
5Diagnosis
6Diagnostic Imaging
7Diagnostic Imaging - methods
8Disease
9Emission Tomography
10Europe
11Experts
12Fractures
13Humans
14Literature reviews
15Magnetic Resonance Imaging
16Medical imaging
17Medicin och hälsovetenskap
18Medizinische Fakultät
19Pathology
20PET imaging
21Positron
22Positron-Emission Tomography
23Practice
24Quality of life
25Radiography
26Ray Computed
27Rheumatologists
28Spondylarthritis
29Spondylarthritis - classification
30Spondylarthritis - diagnosis
31Spondylarthritis - therapy
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33Tomography
34Tomography, X-Ray Computed
35Treatment Outcome
36Ultrasonic imaging
37Ultrasonography
38Usage
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titleEULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice
authorMandl, P ; Navarro-Compán, V ; Terslev, L ; Aegerter, P ; van der Heijde, D ; D'Agostino, M A ; Baraliakos, X ; Pedersen, S J ; Jurik, A G ; Naredo, E ; Schueller-Weidekamm, C ; Weber, U ; Wick, M C ; Bakker, P A C ; Filippucci, E ; Conaghan, P G ; Rudwaleit, M ; Schett, G ; Sieper, J ; Tarp, S ; Marzo-Ortega, H ; Østergaard, M
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1Care and treatment
2Classification
3Clinical medicine
4CT imaging
5Diagnosis
6Diagnostic Imaging
7Diagnostic Imaging - methods
8Disease
9Emission Tomography
10Europe
11Experts
12Fractures
13Humans
14Literature reviews
15Magnetic Resonance Imaging
16Medical imaging
17Medicin och hälsovetenskap
18Medizinische Fakultät
19Pathology
20PET imaging
21Positron
22Positron-Emission Tomography
23Practice
24Quality of life
25Radiography
26Ray Computed
27Rheumatologists
28Spondylarthritis
29Spondylarthritis - classification
30Spondylarthritis - diagnosis
31Spondylarthritis - therapy
32Spondyloarthropathies
33Tomography
34Tomography, X-Ray Computed
35Treatment Outcome
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37Ultrasonography
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8Jurik, A G
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10Schueller-Weidekamm, C
11Weber, U
12Wick, M C
13Bakker, P A C
14Filippucci, E
15Conaghan, P G
16Rudwaleit, M
17Schett, G
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19Tarp, S
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abstractA taskforce comprised of an expert group of 21 rheumatologists, radiologists and methodologists from 11 countries developed evidence-based recommendations on the use of imaging in the clinical management of both axial and peripheral spondyloarthritis (SpA). Twelve key questions on the role of imaging in SpA were generated using a process of discussion and consensus. Imaging modalities included conventional radiography, ultrasound, magnetic resonance imaging, computed tomography (CT), positron emission tomography, single photon emission CT, dual-emission x-ray absorptiometry and scintigraphy. Experts applied research evidence obtained from systematic literature reviews using MEDLINE and EMBASE to develop a set of 10 recommendations. The strength of recommendations (SOR) was assessed by taskforce members using a visual analogue scale. A total of 7550 references were identified in the search process, from which 158 studies were included in the systematic review. Ten recommendations were produced using research-based evidence and expert opinion encompassing the role of imaging in making a diagnosis of axial SpA or peripheral SpA, monitoring inflammation and damage, predicting outcome, response to treatment, and detecting spinal fractures and osteoporosis. The SOR for each recommendation was generally very high (range 8.9–9.5). These are the first recommendations which encompass the entire spectrum of SpA and evaluate the full role of all commonly used imaging modalities. We aimed to produce recommendations that are practical and valuable in daily practice for rheumatologists, radiologists and general practitioners.
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