TY - JOUR
T1 - Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
AU - Mathew, Ashish J.
AU - Krabbe, Simon
AU - Eshed, Iris
AU - Lambert, Robert G.W.
AU - Laredo, Jean Denis
AU - Maksymowych, Walter P.
AU - Gandjbakhch, Frederique
AU - Emad, Yasser
AU - Stoenoiu, Maria Simona
AU - Foltz, Violaine
AU - Bird, Paul
AU - Carron, Philippe
AU - Paschke, Joel
AU - Conaghan, Philip G.
AU - Pedersen, Susanne J.
AU - Glinatsi, Daniel
AU - Østergaard, Mikkel
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020/2/11
Y1 - 2020/2/11
N2 - Objective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS). Methods Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group. Results Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted. Conclusion The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.
AB - Objective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS). Methods Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group. Results Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted. Conclusion The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.
KW - magnetic resonance imaging
KW - psoriatic arthritis
KW - spondyloarthritis
UR - http://www.scopus.com/inward/record.url?scp=85079612747&partnerID=8YFLogxK
U2 - 10.1136/rmdopen-2019-001150
DO - 10.1136/rmdopen-2019-001150
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C2 - 32568094
AN - SCOPUS:85079612747
VL - 6
JO - RMD Open
JF - RMD Open
SN - 2056-5933
IS - 1
M1 - e001150
ER -