{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T01:33:45Z","timestamp":1782783225909,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T00:00:00Z","timestamp":1581379200000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2020,1,5]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>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).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rmdopen-2019-001150","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T04:15:20Z","timestamp":1581480920000},"page":"e001150","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2061-2042","authenticated-orcid":false,"given":"Ashish J","family":"Mathew","sequence":"first","affiliation":[{"name":"Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"},{"name":"Clinical Immunology and Rheumatology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2877-1582","authenticated-orcid":false,"given":"Simon","family":"Krabbe","sequence":"additional","affiliation":[{"name":"Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Eshed","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert GW","family":"Lambert","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada"},{"name":"Medical Imaging Consultants, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Denis","family":"Laredo","sequence":"additional","affiliation":[{"name":"Service de Radiologie, H\u00f4pital Lariboisi\u00e9re, APHP & Universit\u00e9 Paris-Diderot, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter P","family":"Maksymowych","sequence":"additional","affiliation":[{"name":"CaRE (Canadian Research Education) Arthritis, Edmonton, Alberta, Canada"},{"name":"Department of Medicine, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederique","family":"Gandjbakhch","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, CHU Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique\u2014H\u00f4pitaux de Paris, Paris, France"},{"name":"Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"Emad","sequence":"additional","affiliation":[{"name":"Rheumatology, Faculty of Medicine, Cairo University, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Simona","family":"Stoenoiu","sequence":"additional","affiliation":[{"name":"Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium"},{"name":"Institut de Recherche Experimentale et Clinique, Universite Catholique de Louvain La Faculte de Medecine, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violaine","family":"Foltz","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, CHU Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique\u2014H\u00f4pitaux de Paris, Paris, France"},{"name":"Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Bird","sequence":"additional","affiliation":[{"name":"Division of Medicine, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Carron","sequence":"additional","affiliation":[{"name":"Rheumatology, Ghent University Hospital, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Paschke","sequence":"additional","affiliation":[{"name":"CaRE (Canadian Research Education) Arthritis, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip G","family":"Conaghan","sequence":"additional","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK"},{"name":"Leeds Teaching Hospitals NHS Trust, NIHR Leeds Biomedical Research Centre, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne J","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Glinatsi","sequence":"additional","affiliation":[{"name":"Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark"},{"name":"Rheumatology, Skaraborg Hospital Sk\u00f6vde, Skovde, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikkel","family":"\u00d8stergaard","sequence":"additional","affiliation":[{"name":"Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,11]]},"reference":[{"key":"2025090312025568000_6.1.e001150.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)12004-9"},{"key":"2025090312025568000_6.1.e001150.2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20566"},{"key":"2025090312025568000_6.1.e001150.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-7580.2001.19950503.x"},{"key":"2025090312025568000_6.1.e001150.4","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.6.534"},{"key":"2025090312025568000_6.1.e001150.5","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1186\/s13075-016-1093-z","article-title":"Prevalence of peripheral and extra-articular disease in ankylosing spondylitis versus non-radiographic axial spondyloarthritis: a meta-analysis","volume":"18","author":"de Winter","year":"2016","journal-title":"Arthritis Res 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metacarpophalangeal joints","volume":"64 Suppl 1","author":"Conaghan","year":"2005","journal-title":"Ann Rheum Dis"},{"key":"2025090312025568000_6.1.e001150.15","doi-asserted-by":"crossref","first-page":"i23","DOI":"10.1136\/ard.2004.031823","article-title":"The EULAR-OMERACT rheumatoid arthritis MRI reference image atlas: the wrist joint","volume":"64 Suppl 1","author":"Ejbjerg","year":"2005","journal-title":"Ann Rheum Dis"},{"key":"2025090312025568000_6.1.e001150.16","doi-asserted-by":"crossref","DOI":"10.1136\/rmdopen-2017-000583","article-title":"Atlas for the OMERACT thumb base osteoarthritis MRI scoring system (TOMS)","volume":"4","author":"Kroon","year":"2018","journal-title":"RMD Open"},{"key":"2025090312025568000_6.1.e001150.17","first-page":"1452","article-title":"Training and calibration improve inter-reader reliability of joint damage assessment using magnetic resonance image scoring and computerized erosion volume 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