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Highly Accessed Editorial

Clinical examination or whole-body magnetic resonance imaging: the Holy Grail of spondyloarthritis imaging

Winston J Rennie

Author Affiliations

Department of Radiology, Leicester Royal Infirmary, Hospital Square, Leicester LE1 5WW, UK

Arthritis Research & Therapy 2012, 14:110  doi:10.1186/ar3737


See related research by Weber et al., http://arthritis-research.com/content/14/1/R3

Published: 29 February 2012

Abstract

Whole-body magnetic resonance imaging allows acquisition of diagnostic images in the shortest scan time, leading to better patient compliance and artifact-free images. Methods of clinical examination of the anterior chest wall joints vary between physician groups and consideration of the rules of rib motion is suggested. The type of joint and its synovial lining may also aid imaging/clinical correlation. This well-written study by experts in the field with a standardized design and methodology allows good scientific analysis and suggests the advantages of whole-body magnetic resonance imaging in anterior chest wall imaging. Selection of clinical examination criteria and specific joints may have had an influence on the study results and the lack of association reported.