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ANKYLOSING SPONDYLITIS- MRI

“ Useful to aid early diagnosis and monitor disease activity. Periarticular high signal at the sacroiliac joints on STIR (i.e. oedema), marr...

  • Useful to aid early diagnosis and monitor disease activity.
  • Periarticular high signal at the sacroiliac joints on STIR (i.e. oedema), marrow/sacroiliac (SI) joint enhancement with gadolinium.
  • The hyperaemia and oedema at the anterior corners of the vertebral body cause high T2 signal— Romanus lesions .
  • Look for fractures (low signal on T1, high signal on T2/STIR); these commonly occur horizontally through the intervertebral disc and may cause disc herniation and cord compression.
Ankylosing spondylitis. Sagittal T2-weighted magnetic resonance image demonstrating high T2 signal/oedema at the
anterior corners of the vertebral body—Romanus lesions (white arrows).