Table 4.
Comparison of radiographic measures for new bone formation in ankylosing spondylitis, or radiographic axial spondyloarthritis.**
mSASSS | CTSS | Quantitative Syndesmophyte height volume | |
---|---|---|---|
Imaging modality | spine radiograph | low dose CT | full dose CT |
Spine segments | cervical and lumbar spine | cervical, thoracic and lumbar spine | thoracic and lumbar spine |
Number of scored intervertebral disk spaces (IDS) | 12 (C2/C3 to C7/T1, T12/L1 to L5/S1) |
23 (C2/C3 to L5/S1) |
13 (T3/T4 to L3/L4) |
Number of scoring sites per IDS | 2 | 8 | circumferential |
Total score | 0 – 72 | 0 – 552 | not applicable |
Training human readers | needed | needed | not needed |
Sensitivity to change (in 2 years) | mSASSS increase in 30 – 40% patients | any net change in 61 –76% patients; the SDC in 37 – 43% patients | volume increase in more than 70% patients |
Inter-reader ICC of change scores | 0.17 – 0.67 | whole spine: 0.77 spine segments: 0.32–0.75 |
Not applicable: measured by computer algorithm, no human readers involved. |
Radiation | 1.5mSV* | 4 mSV | 8 mSV |
mSASSS: modified Stoke AS Spine Score; CTSS: computed tomography syndesmophyte score; CT: computed tomography; SDC: smallest detectable change; ICC: Intraclass correlation coefficient; mSV: millisievert.
2 views.
MRI scoring method is not included here because it does not measure new bone formation.