TY - JOUR
T1 - The radiological assessment of axial involvement in psoriatic arthritis
AU - Lubrano, Ennio
AU - Marchesoni, Antonio
AU - Olivieri, Ignazio
AU - D'Angelo, Salvatore
AU - Palazzi, Carlo
AU - Scarpa, Raffaele
AU - Ferrara, Nicola
AU - Parsons, Wendy J.
AU - Brunese, Luca
AU - Helliwell, Philip S.
AU - Spadaro, Antonio
PY - 2012/7
Y1 - 2012/7
N2 - 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
AB - 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
KW - Axial involvement
KW - BASRI
KW - m-SASSS
KW - PASRI
KW - Psoriatic arthritis
KW - Radiographic scoring methods
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U2 - 10.3899/jrheum.120244
DO - 10.3899/jrheum.120244
M3 - Article
C2 - 22751593
AN - SCOPUS:84864411036
VL - 39
SP - 54
EP - 56
JO - Journal of Rheumatology
JF - Journal of Rheumatology
SN - 0315-162X
IS - SUPPL. 89
ER -