Review Article

Imaging of sacroiliitis: Current status, limitations and pitfalls

Carita Tsoi, James Francis Griffith, Ryan Ka Lok Lee, Priscilla Ching Han Wong, Lai Shan Tam


The clinical need to diagnose sacroiliitis at an earlier stage has led to the sacroiliac joints being more frequently imaged, particularly with magnetic resonance imaging (MRI). This review outlines the imaging approach to sacroiliitis, emphasizing the imaging protocols, diagnostic criteria, limitations and potential mimics of MRI examination. The value of imaging-guided intervention in sacroiliac joint disease is also briefly outlined.

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