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Do you recommend the use of contrast to identify sacroiliitis on MRI?
Answer from: at Academic Institution
If axial spondyloarthritis is suspected, and Xray of pelvis is either normal or equivocal then an MRI of SI joints is ordered to support the diagnosis of axial spondyloarthritis. The recommendation by ASAS is to order 2 sequences, T1-fat enhancing sequence, and a STIR- fat suppression sequence witho...
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Answer from: at Academic Institution
Agree with the above. There are several studies showing no additional benefit of contrast to identify sacroiliitis.