Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/28690
Title: | Effect of mechanical stress on magnetic resonance imaging of the sacroiliac joints: assessment of military recruits by magnetic resonance imaging study | Authors: | Varkas, Gaelle de Hooge, Manouk Renson, Thomas De Mits, Sophie Carron, Philippe Jacques, Peggy Moris, Muriel SOUVERIJNS, Geert Jans, Lennart Elewaut, Dirk Van den Bosch, Filip |
Issue Date: | 2018 | Publisher: | OXFORD UNIV PRESS | Source: | RHEUMATOLOGY, 57(3), p. 508-513 | Abstract: | To assess the baseline condition of the SI joints (SIJs) in healthy individuals without symptoms of back pain and to study the effect of mechanical stress caused by intense physical training on MRI of the SIJs. Twenty-two military recruits underwent an MRI of the SIJs before and after 6 weeks of intense standardized physical training. Bone marrow oedema and structural lesions were scored based on the Spondyloarthritis Research Consortium of Canada (SPARCC) method, by three trained readers blinded for time sequence and clinical findings. Additionally, fulfilment of the Assessment of SpondyloArthritis international Society (ASAS) definition of a positive MRI was evaluated. At baseline, 9/22 recruits (40.9%) already presented a SPARCC score a (c) 3/41; this number increased to 11/22 (50.0%) at week 6 (P = 0.625). In these patients, the mean (SD) SPARCC score was 2.4 (0.4) at baseline, compared to 3.7 (1.3) at week 6. Overall, the mean (SD) change in SPARCC score over time in all 22 patients was 0.9 (0.6) (P = 0.109). A positive MRI according to the ASAS definition was present in 5/22 recruits (22.7%) at baseline, which increased to 8/22 (36.4%) at follow-up (P = 0.375). Structural lesions were present in 6/22 subjects (27.3%), both at baseline and after 6 weeks of training. A substantial proportion of healthy active individuals without any symptoms of back pain displayed bone marrow oedema lesions on MRI at baseline. However, MRI lesions did not increase significantly after 6 weeks of intensive physical training. Our study underscores the necessity to interpret MRI findings of the SIJs in the appropriate clinical context, even in a young active population. | Notes: | [Varkas, Gaelle; de Hooge, Manouk; Renson, Thomas; De Mits, Sophie; Carron, Philippe; Jacques, Peggy; Elewaut, Dirk; Van den Bosch, Filip] Univ Ghent, Dept Rheumatol, Ghent, Belgium. [Varkas, Gaelle; de Hooge, Manouk; Carron, Philippe; Elewaut, Dirk; Van den Bosch, Filip] Univ Ghent, VIB Inflammat Res Ctr, Ghent, Belgium. [De Mits, Sophie] Univ Ghent, Rehabil Sci & Phys Therapy, Ghent, Belgium. [Moris, Muriel] Belgian Def, Mil Hosp Queen Astrid, Dept Rheumatol, Brussels, Belgium. [Souverijns, Geert] Jessa Hosp, Dept Radiol, Hasselt, Belgium. [Jans, Lennart] Univ Ghent, Dept Radiol, Ghent, Belgium. | Document URI: | http://hdl.handle.net/1942/28690 | ISSN: | 1462-0324 | e-ISSN: | 1462-0332 | DOI: | 10.1093/rheumatology/kex491 | ISI #: | 000426814400017 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
kex491.pdf | Published version | 189.06 kB | Adobe PDF | View/Open |
SCOPUSTM
Citations
26
checked on Sep 5, 2020
WEB OF SCIENCETM
Citations
83
checked on Oct 12, 2024
Page view(s)
100
checked on Sep 7, 2022
Download(s)
190
checked on Sep 7, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.