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. Author manuscript; available in PMC: 2021 Apr 1.
Published in final edited form as: Arthritis Rheumatol. 2020 Feb 24;72(4):518–528. doi: 10.1002/art.41164

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.

*

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**

MRI scoring method is not included here because it does not measure new bone formation.