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. 2016 Apr 5;3(2):65–72. doi: 10.5152/eurjrheum.2016.15074

Table 1.

Grading scales used to measure clinical activity, glucosamine scan uptake, bone scan uptake, MRI and X-ray activity

Grading Scores Grades
Clinical 0 Nil disease; 0 joints affected*; examination normal
1 Mild disease; <10 small joints affected
2 Moderate disease; 10–20 small joints or 1–3 large joints affected
3 Severe disease; >20 small joints or ≥4 large joints affected

Glucosamine Scan 0 Nil uptake
1 Minor uptake
2 Mild uptake
3 Moderate uptake
4 Severe uptake
5 Marked uptake

Bone Scan 0 Nil uptake
1 Minor uptake
2 Mild uptake
3 Moderate uptake
4 Severe uptake
5 Marked uptake

MRI (Joint Specific) 0 Normal
1 Mild synovitis, without marrow oedema on T1 or STIR/T2FS
2 Advanced synovitis, with marrow oedema on T1 or STIR/T2FS
3 Erosions, without chondral loss
4 Erosions, with chondral loss
5 Ankylosis, synovitis and chondral loss, with or without erosions

Sacro-iliac joints (X-ray) 0 Normal
1 Some blurring of joint margins
2 Minimal sclerosis, with some erosions
3 Definite sclerosis on both sides of joints; severe erosions with widening of joint space, with or without ankylosis
4 Complete ankylosis

MRI: magnetic resonance imaging; STIR: short tau inversion recovery imaging; FS-T2: fat-suppressed T2-weighted images

*

Joints were considered as affected if they were both tender and swollen.