{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T06:43:02Z","timestamp":1788072182373,"version":"build-2784847793"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1165","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study investigated the utility of low-dose CT (ldCT) compared with MRI in diagnosing sacroiliitis in enthesitis-related arthritis (ERA) patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Thirty patients diagnosed with ERA were evaluated, with a median follow-up of 1.47\u2009years. Images from patients were examined by two paediatric radiologists. For each patient, we assessed the density changes on ldCT at corresponding locations, employing the signal intensity observed on MRI across each joint surface as a reference. While measurements in areas without oedema on MRI showed relatively high density, measurements in areas with oedema on MRI showed relatively low density.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>MRI revealed bilateral bone marrow oedema in 22 (73.3%) patients. During the ldCT evaluation of the right iliac crest, lower density was identified on ldCT in regions displaying heightened signal intensity on MRI in 20 (66.6%) patients. On the right sacral side, lower density was observed in the ldCT of 22 (73.3%) patients. Moving to the left iliac crest, 18 (60%) patients displayed a lower density. On the left sacral side, lower density was identified on ldCT in 22 (73.3%) patients. Erosion was detected in 23 patients on ldCT, whereas only 11 patients showed erosion on MRI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study suggests that ldCT is superior to MRI for early structural change detection. Pixel-based density evaluation in ldCT aligns with MRI for bone marrow oedema.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>The present study showed that ldCT is superior to MRI for early structural change detection. Pixel-based density evaluation in ldCT aligns with MRI findings for bone marrow oedema.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqae210","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T16:52:52Z","timestamp":1729183972000},"page":"143-149","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of low-dose CT and MRI in enthesitis-related arthritis patients with sacroiliitis"],"prefix":"10.1093","volume":"98","author":[{"given":"Yunus Emre","family":"Bayrak","sequence":"first","affiliation":[{"name":"Department of Pediatric Rheumatology, Kocaeli University , Kocaeli, 41100,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00f6rehan","family":"\u00d6zer","sequence":"additional","affiliation":[{"name":"Department Radiology, Kocaeli University , Kocaeli, 41100,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonca","family":"An\u0131k","sequence":"additional","affiliation":[{"name":"Department Radiology, Kocaeli University , Kocaeli, 41100,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihal","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Rheumatology, Kocaeli University , Kocaeli, 41100,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9186-3068","authenticated-orcid":false,"given":"Hafize Emine","family":"S\u00f6nmez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Rheumatology, Kocaeli University , Kocaeli, 41100,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"issue":"2","key":"2024121807514531100_tqae210-B1","first-page":"390","article-title":"International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001","volume":"31","author":"Petty","year":"2004","journal-title":"J Rheumatol"},{"issue":"1","key":"2024121807514531100_tqae210-B2","first-page":"111","article-title":"The distribution of juvenile idiopathic arthritis in the eastern Mediterranean: results from the registry of the Turkish Paediatric Rheumatology Association","volume":"29","author":"Demirkaya","year":"2011","journal-title":"Clin Exp Rheumatol"},{"issue":"9","key":"2024121807514531100_tqae210-B3","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1136\/annrheumdis-2016-210640","article-title":"Comparison of MRI with radiography for detecting structural lesions of the sacroiliac joint using CT as standard of reference: results from the SIMACT study","volume":"76","author":"Diekhoff","year":"2017","journal-title":"Ann Rheum Dis"},{"issue":"4","key":"2024121807514531100_tqae210-B4","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s10067-019-04824-7","article-title":"MRI compared with low-dose CT scanning in the diagnosis of axial spondyloarthritis","volume":"39","author":"Ye","year":"2020","journal-title":"Clin Rheumatol"},{"issue":"7","key":"2024121807514531100_tqae210-B5","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/RHU.0000000000002001","article-title":"The juvenile spondyloarthritis disease activity index is a useful tool in enthesitis-related arthritis: real-life data","volume":"29","author":"Polat","year":"2023","journal-title":"J Clin Rheumatol"},{"key":"2024121807514531100_tqae210-B6","volume-title":"Hounsfield Unit. StatPearls","author":"DenOtter","year":"2023"},{"issue":"Suppl 2","key":"2024121807514531100_tqae210-B7","doi-asserted-by":"crossref","first-page":"ii1","DOI":"10.1136\/ard.2008.104018","article-title":"The Assessment of Spondyloarthritis International Society (ASAS) handbook: a guide to assess spondyloarthritis","volume":"68","author":"Sieper","year":"2009","journal-title":"Ann Rheum Dis"},{"issue":"11","key":"2024121807514531100_tqae210-B8","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.1136\/annrheumdis-2015-208642","article-title":"Defining active sacroiliitis on MRI for classification of axial spondyloarthritis: update by the ASAS MRI working group","volume":"75","author":"Lambert","year":"2016","journal-title":"Ann Rheum Dis"},{"issue":"7","key":"2024121807514531100_tqae210-B9","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1136\/annrheumdis-2014-206971","article-title":"EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice","volume":"74","author":"Mandl","year":"2015","journal-title":"Ann Rheum Dis"},{"issue":"5","key":"2024121807514531100_tqae210-B10","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.2214\/AJR.18.19678","article-title":"Radiation exposure to the sacroiliac joint from low-dose CT compared with radiography","volume":"211","author":"Chahal","year":"2018","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"2024121807514531100_tqae210-B11","doi-asserted-by":"publisher","first-page":"e002836","DOI":"10.1136\/rmdopen-2022-002836","article-title":"Inflammation, bone loss and 2-year bone formation at the same vertebra in axial spondyloarthritis: a multilevel MRI and low-dose CT analysis","volume":"9","author":"Marques","year":"2023","journal-title":"RMD Open"},{"issue":"2","key":"2024121807514531100_tqae210-B12","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1136\/annrheumdis-2017-211989","article-title":"Low-dose CT detects more progression of bone formation in comparison to conventional radiography in patients with ankylosing spondylitis: results from the SIAS cohort","volume":"77","author":"de Koning","year":"2018","journal-title":"Ann Rheum Dis"},{"issue":"2","key":"2024121807514531100_tqae210-B13","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1136\/annrheumdis-2021-220136","article-title":"Choose wisely: imaging for diagnosis of axial spondyloarthritis","volume":"81","author":"Diekhoff","year":"2022","journal-title":"Ann Rheum Dis"}],"container-title":["British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/advance-article-pdf\/doi\/10.1093\/bjr\/tqae210\/60214385\/tqae210.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/98\/1165\/143\/61187163\/tqae210.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/98\/1165\/143\/61187163\/tqae210.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T07:52:11Z","timestamp":1734508331000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/98\/1165\/143\/7825362"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,17]]},"references-count":13,"journal-issue":{"issue":"1165","published-online":{"date-parts":[[2024,10,17]]},"published-print":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/bjr\/tqae210","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2024,10,17]]}}}