Unit:
ΠΜΣ Επεμβατική ΑκτινολογίαLibrary of the School of Health Sciences
Supervisors info:
Παπακωνσταντίνου Ολυμπία, Επίκουρη Καθηγήτρια Ακτινολογίας, Ιατρική, ΕΚΠΑ
Κελέκης Αλέξιος, Αναπληρωτής Καθηγητής Ακτινολογίας, Ιατρική, ΕΚΠΑ
Φιλιππιάδης Δημήτριος, Επίκουρος Καθηγητής Ακτινολογίας, Ιατρική, ΕΚΠΑ
Original Title:
Ιερολαγονίτιδες - Ο ρόλος της Ακτινολογίας στη διάγνωση και τη θεραπευτική αντιμετώπιση
Translated title:
Sacroiliitis – The role of Radiology in the Diagnosis and Treatment
Summary:
Sacroiliitis is a medical term used to describe the inflammation of the sacroiliac joints and can be a manifestation of a wide range of disease processes. It is one of the most common causes of chronic lower back pain. Patients can experience symptoms like focal sacroiliac tenderness and pain in the lower back region, hips or buttocks. All these symptoms are aggravated by transitioning from sitting to standing, walking or standing for extended periods of time or by climbing stairs.
The pattern of involvement is helpful to the diagnosis and can be bilateral and symmetrical, bilateral but asymmetrical and unilateral. Usually bilateral and symmetrical pattern is seen in rheumatoid arthritis, ankylosing spondylitis, enteropathic arthritis, osteitis condensans ilii, Whipple disease and in multicentric reticulohistiocytosis. Usually bilateral but asymmetrical pattern is seen in psoriatic arthritis, reactive arthritis (Reiter syndrome), gout, Behçet disease and of course in degenerative osteoarthritis. Unilateral pattern is characteristic of the infective arthritis and should be included in the differential diagnosis with neoplastic destructive process or stress fracture.
In diagnostic imaging of the sacroiliac joints are included many modalities like radiography, computed tomography, MRI, ultrasonography and even nuclear medicine. All the imaging findings along with the clinical findings and lab results lead to the correct diagnosis.
In Interventional Radiology using methods like image guide biopsy, we assist the final diagnosis. Interventional methods like intra-articular infiltrations and RFA can be helpful in the management of the sacroiliac pain.
Main subject category:
Health Sciences
Keywords:
Sacroiliitis, Interventional Radiology, RFA, Joint Infiltration, Biopsy
File:
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Kelesis Christos Master.pdf
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