RheumatologyTier 2Topic

X-ray - spine and sacroiliac joints

Role

  • Spine and sacroiliac joint X-ray remains relevant for assessing degenerative spinal disease and, specifically, the structural (late-stage) changes of axial spondyloarthritis - though MRI has become the preferred modality for earlier disease detection at the sacroiliac joints specifically
  • Sacroiliac joint X-ray was historically central to axial spondyloarthritis diagnosis (via the modified New York criteria, requiring radiographic sacroiliitis), though this has been substantially supplemented by MRI-based earlier diagnosis given X-ray's insensitivity to early disease

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