Intensity of spinal inflammation is associated with radiological structural damage in patients with active axial spondyloarthritis

التفاصيل البيبلوغرافية
العنوان: Intensity of spinal inflammation is associated with radiological structural damage in patients with active axial spondyloarthritis
المؤلفون: Shirley Chiu Wai Chan, Alexandra Hoi Yan Ng, Eva Tze Fung Chui, Jin Xian Huang, Ho Yin Chung, Kam Ho Lee, Helen Hoi Lun Tsang
المصدر: Rheumatology Advances in Practice
سنة النشر: 2019
مصطلحات موضوعية: Multivariate statistics, Radiography, diffusion-weighted imaging, modified Stoke ankylosing spondylitis spine score, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, Bayesian multivariate linear regression, Linear regression, medicine, Back pain, Effective diffusion coefficient, Spondyloarthritis Research Consortium of Canada MRI score, short tau inversion recovery sequence, 030203 arthritis & rheumatology, Ankylosing spondylitis, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, spondyloarthritis, medicine.disease, Original Article, medicine.symptom, business, Nuclear medicine
الوصف: Objective The aim was to investigate the relationship between the intensity of spinal inflammation using the apparent diffusion coefficient (ADC) and radiographic progression in axial SpA. Methods This is a cross-sectional study of participants with axial SpA and back pain. Clinical, biochemical and radiological parameters were collected. The ankylosing spondylitis disease activity score (ASDAS)-CRP was determined. Radiographic progression was represented by the modified Stoke ankylosing spondylitis spine score (mSASSS). MRI with short tau inversion recovery (STIR) and diffusion-weighted imaging sequences were performed simultaneously. Inflammatory lesions on STIR were used for the Spondyloarthritis Research Consortium of Canada (SPARCC) MRI indexes and as references in outlining regions of interest in ADC maps to produce mean (ADCmean) and maximal (ADCmax) ADC values. Univariate and multivariate linear regression analyses were used to determine independent associations between ADC and radiographic progression. Results The 84 participants with identifiable lesions on spinal ADC maps recruited were characterized by a mean (s.d.) age of 45.01 (13.68) years, long disease duration [13.40 (11.01) years] and moderate clinical disease activity [ASDAS-CRP 2.07 (0.83)]. Multivariate regression analysis using ADCmean as the independent variable showed that age (regression coefficient [B] = 0.34; P = 0.01), male sex (B = 0.25; P = 0.04) and ADCmean (B = 0.30; P = 0.01) were positively associated with mSASSS. Multivariate regression analysis using ADCmax as the independent variable showed a tendency for ADCmax to be associated with mSASSS (B = 0.21; P = 0.07). Conclusion The intensity of spinal inflammation as determined by ADC is associated with radiographic progression in participants with active axial SpA.
تدمد: 2514-1775
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a39459f79061cd1e8ccfa51ab8d35fe9
https://pubmed.ncbi.nlm.nih.gov/32016167
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....a39459f79061cd1e8ccfa51ab8d35fe9
قاعدة البيانات: OpenAIRE
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