Research ArticleAccepted Article
The OMERACT MRI in Enthesitis Initiative: Definitions of Key Pathologies, Suggested MRI Sequences and Novel Heel Enthesitis Scoring System (HEMRIS)
Ashish J. Mathew, Simon Krabbe, Iris Eshed, Frédérique Gandjbakhch, Paul Bird, Susanne J. Pedersen, Maria S. Stoenoiu, Violaine Foltz, Daniel Glinatsi, Robert G. Lambert, Kay Geert A. Hermann, Walter P. Maksymowych, Ida K. Haugen, Jacob L. Jaremko, René P. Poggenborg, Joel Paschke, Jean-Denis Laredo, Philippe Carron, Philip G. Conaghan and Mikkel Østergaard
The Journal of Rheumatology February 2019, jrheum.181093; DOI: https://doi.org/10.3899/jrheum.181093
Ashish J. Mathew
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Simon Krabbe
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Iris Eshed
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Frédérique Gandjbakhch
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Paul Bird
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Susanne J. Pedersen
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Maria S. Stoenoiu
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Violaine Foltz
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Daniel Glinatsi
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Robert G. Lambert
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Kay Geert A. Hermann
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Walter P. Maksymowych
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Ida K. Haugen
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Jacob L. Jaremko
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
René P. Poggenborg
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Joel Paschke
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Jean-Denis Laredo
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Philippe Carron
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Philip G. Conaghan
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Mikkel Østergaard
Department of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpitaux Universitaires Pitié Salpêtrière, Paris, France; Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Division of Medicine, University of New South Wales, Sydney, Australia; Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium; Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Canada; Department of Radiology, Arthritis Imaging Research Group, University Hospital Charité, Berlin, Germany; CaRE (Canadian Research Education) Arthritis and Department of Medicine, University of Alberta, Edmonton, Canada; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; CaRE (Canadian Research Education) Arthritis, Edmonton, Canada; Service de Radiologie, Hôpital Lariboisiére, APHP & Université Paris-Diderot, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health, University of Leeds, United Kingdom. Address correspondence to Mikkel Østergaard, MD, PhD, DMSc, COPECARE – Center for Rheumatology and Spine Diseases, Rigshospitalet, Nordre Ringvej 57, DK-2600 Glostrup, Denmark Email: mo@dadlnet.dk
Abstract
Objective To develop and validate an enthesitis MRI-scoring system for spondyloarthritis/psoriatic arthritis, using the heel as model.
Methods Consensus definitions of key pathologies and three heel enthesitis multi-reader scoring exercises were done, separated by discussion, training and calibration.
Results Definitions for bone and soft tissue pathologies were agreed. In final exercise, median pairwise single-measures intra-class correlation coefficients(ICCs; patient-level) for entheseal inflammation status/change scores were 0.83/0.82 for all readers. For radiologists and selected rheumatologists ICCs were 0.91/0.84 and quadratic-weighted kappas(lesionlevel) 0.57-0.91/0.45-0.81.
Conclusion The proposed definitions and heel enthesitis scoring system (HEMRIS) are reliable among trained readers and promising for clinical trials.
In this issue
The Journal of Rheumatology
Vol. 50, Issue 3
1 Mar 2023
Accepted manuscript
The OMERACT MRI in Enthesitis Initiative: Definitions of Key Pathologies, Suggested MRI Sequences and Novel Heel Enthesitis Scoring System (HEMRIS)
Ashish J. Mathew, Simon Krabbe, Iris Eshed, Frédérique Gandjbakhch, Paul Bird, Susanne J. Pedersen, Maria S. Stoenoiu, Violaine Foltz, Daniel Glinatsi, Robert G. Lambert, Kay Geert A. Hermann, Walter P. Maksymowych, Ida K. Haugen, Jacob L. Jaremko, René P. Poggenborg, Joel Paschke, Jean-Denis Laredo, Philippe Carron, Philip G. Conaghan, Mikkel Østergaard
The Journal of Rheumatology Feb 2019, jrheum.181093; DOI: 10.3899/jrheum.181093
Accepted manuscript
The OMERACT MRI in Enthesitis Initiative: Definitions of Key Pathologies, Suggested MRI Sequences and Novel Heel Enthesitis Scoring System (HEMRIS)
Ashish J. Mathew, Simon Krabbe, Iris Eshed, Frédérique Gandjbakhch, Paul Bird, Susanne J. Pedersen, Maria S. Stoenoiu, Violaine Foltz, Daniel Glinatsi, Robert G. Lambert, Kay Geert A. Hermann, Walter P. Maksymowych, Ida K. Haugen, Jacob L. Jaremko, René P. Poggenborg, Joel Paschke, Jean-Denis Laredo, Philippe Carron, Philip G. Conaghan, Mikkel Østergaard
The Journal of Rheumatology Feb 2019, jrheum.181093; DOI: 10.3899/jrheum.181093
