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Computed tomography of the sacroiliac joints: Comparison with complex-motion tomography

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      Abstract

      Forty-seven patients with sacroiliac joint abnormalities were examined with computed tomography and conventional complex-motion tomography. Twenty-nine patients had spondyloarthritis. Of the 29, complex-motion tomography detected bone erosions in 16 patients, whereas computed tomography revealed erosions in nine. Computed tomography was more sensitive in detection of joint narrowing, joint widening, osteosclerosis, and intraarticular bony ankylosis. In the remaining 13 patients, computed tomography was the modality of choice in detection of paraarticular soft tissue pathology, such as abscess or tumor, and in detection of the lesions involving the sacral canal and neura foramina.

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      References

        • Wasner C.
        • Kraines P.G.
        • Kaye R.L.
        Oblique view radiographs in the diagnosis of sacroiliitis.
        Arthritis Rheum. 1979; 22: 671
        • De Smet A.A.
        • Gardner J.D.
        • Lindsley H.B.
        • et al.
        Tomography for evaluation of sacroiliitis.
        Am J Roentgenol. 1982; 139: 577-581
        • Dequeker J.
        • Goddeeris T.
        • Walravens M.
        • DeRoo M.
        Evaluation of sacro-iliitis: comparison of radiological and radionuclide techniques.
        Radiology. 1978; 128: 687-689
        • Cohen A.
        • McNeill M.
        • Calkins E.
        • et al.
        The “normal” sacroiliac joint.
        Am J Roentgenol. 1967; 100: 559-563
        • Carrera G.F.
        • Foley W.D.
        • Kozin F.
        • et al.
        CT of sacroiliitis.
        Am J Roentgenol. 1981; 136: 41-46
        • Kozin F.
        • Duqesnoy R.
        • Rodey G.
        • et al.
        High prevalence of HLA-Cwl and Cw2 antigens in spondyloarthritis.
        Arthritis Rheum. 1978; 21: 889-895
        • Wilkinson M.
        • Bywaters E.G.
        Clinical features and course of ankylosing spondylitis.
        Ann Rheum Dis. 1958; 17: 209-228
        • Macnab I.
        Backache.
        in: Williams & Wilkins, Baltimore1977: 72-79
        • Russell A.S.
        • Maksymowych W.
        • LeClercq S.
        Clinical examination of the sacroiliac joints: A prospective study.
        Arthritis Rheum. 1981; 24: 1575-1577
        • Lawson T.L.
        • Foley W.D.
        • Carrera G.F.
        • Berland L.L.
        The sacroiliac joints: anatomic, plain roentgenographic, and computed tomographic analysis.
        J Compt Assist Tomogr. 1982; 6: 307-314
        • Wilkinson M.
        • Meikle J.A.K.
        Tomography of the sacroiliac joints.
        Ann Rheum Dis. 1966; 25: 433-440
        • Spencer D.G.
        • Adams F.G.
        • Horton P.W.
        • Buchanan W.W.
        Scintiscanning in ankylosing spondylitis: a clinical radiological and quantitative radioisotope study.
        J Rheumatol. 1979; 6: 426-431
        • Esdaile J.M.
        • Rosenthall L.
        • Terkeltaub R.
        • Kloiber R.
        Prospective evaluation of sacroiliac scintigraphy in chronic inflammatory back pain.
        Arthritis Rheum. 1980; 23: 998-1003
      1. Marshall C. The Physical Basis of Computed Tomography. Warren H. Green, St. Louis1982: 110-119