(a) Short tau inversion–recovery (STIR) sagittal image of a lumbar
spine showing oedema at the posteroinferior corner of the L1 vertebral body
and the posterosuperior corner of the L2, L3, L4 and L5 vertebral bodies as
well as the anteroinferior corner of the L5 vertebral body (arrowheads). These
lesions are also depicted on (b) the contrast-enhanced T1
weighted fat-suppressed image (arrowheads), with good agreement between the
two images. With the spine units L1–L5, Reader 1 had an ankylosing spondylitis
spine MRI-activity score of 5 for STIR images and contrast-enhanced images,
whereas Reader 2 had a score of 4 for STIR images and contrast-enhanced images.