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Do you recommend the use of contrast to identify sacroiliitis on MRI?

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Mednet Member
Mednet Member
Rheumatology · Case Western Reserve University School of Medicine

If axial spondyloarthritis is suspected, and Xray of pelvis is either normal or equivocal then an MRI of SI joints is ordered to support the diagnosis of axial spondyloarthritis. The recommendation by ASAS is to order 2 sequences, T1-fat enhancing sequence, and a STIR- fat suppression sequence witho...

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Mednet Member
Mednet Member
Rheumatology · University of Wisconsin Madison

Agree with the above. There are several studies showing no additional benefit of contrast to identify sacroiliitis.

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Do you recommend the use of contrast to identify sacroiliitis on MRI? | Mednet