The radiological assessment of axial involvement in psoriatic arthritis

Ennio Lubrano, Antonio Marchesoni, Ignazio Olivieri, Salvatore D'Angelo, Carlo Palazzi, Raffaele Scarpa, Nicola Ferrara, Wendy J. Parsons, Luca Brunese, Philip S. Helliwell, Antonio Spadaro

Research output: Contribution to journalArticlepeer-review


This article summarizes the state of radiological assessment of axial involvement in psoriatic arthritis (PsA). The definition and measurement of axial disease in PsA remain problematic and this situation in turn could affect the choice of approach to evaluate radiological findings of the spine. At present, the radiological assessment has been evaluated by using scoring systems borrowed from ankylosing spondylitis (AS). In particular, the Bath AS Radiology Index (BASRI) and the modified Stoke AS Spine Score (m-SASSS) have been validated for axial PsA. A recent study showed that BASRI and m-SASSS were valid instruments; however, neither score encompassed all radiological features of PsA. Therefore, a new index for assessing radiological axial involvement in PsA was developed - the PsA Spondylitis Radiology Index (PASRI). This new index encompassed a greater range of the spinal radiological features of PsA, providing a greater score range, and it correlated well with anthropometric and patient-reported outcomes. Recently, a study assessed the sensitivity to change of BASRI, m-SASSS, and PASRI, and showed that these 3 instruments provided a moderate sensitivity to change but high specificity to detect the true changes. The Journal of Rheumatology

Original languageEnglish
Pages (from-to)54-56
Number of pages3
JournalJournal of Rheumatology
Issue numberSUPPL. 89
Publication statusPublished - Jul 2012


  • Axial involvement
  • m-SASSS
  • Psoriatic arthritis
  • Radiographic scoring methods

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Immunology and Allergy
  • Medicine(all)


Dive into the research topics of 'The radiological assessment of axial involvement in psoriatic arthritis'. Together they form a unique fingerprint.

Cite this