Table 1.
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.