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Imaging in axial spondyloarthritis: Focus on sacroiliac joints

About this Video Lesson

Join Prof. Kay-Geert Hermann (Charité Berlin) for a comprehensive introduction to how MRI supports the diagnosis and monitoring of axial spondyloarthritis (axSpA)—from the earliest signs of inflammation to chronic structural changes.

🔍 Highlights include:

  • The evolution of sacroiliitis from initial inflammation to full ankylosis—illustrated with annotated drawings
  • The role of T1-weighted sequences, STIR, and VIBE in routine imaging
  • Key insights from the SIMACT study and related research
  • Recognizing MRI markers such as backfill, fatty lesions, and paraarticular osteitis
  • Practical tips for interpreting sacroiliac joint and spinal findings
  • How to differentiate axSpA from anatomical variants, osteitis condensans, and mechanical mimics

Whether you're a radiologist, rheumatologist, or medical trainee, this lecture equips you with essential knowledge for accurate and confident imaging in axSpA.

Authors

Hermann, Kay G.

Kay G. Hermann

Dr. Hermann is a professor of radiology specialized in musculoskeletal imaging with a focus on arthritides. His research is dedicated mainly to the axial skeleton but the peripheral joints as well. The majority of his research projects are in the field of spondyloarthritis, where he is also connected with other researchers from Canada, UK, Germany, and Israel. He has also a strong track in applying innovative technology within medical education. He is an active member of ASAS, ESSR, DGMSR, and DRG and has won the Conrad Wilhelm Roentgen award in 2011, Felix Wachsmann award in 2014 and DVMB research prize in 2015. In 2019 he was promoted to associate professor.

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Imaging in axial spondyloarthritis: Focus on sacroiliac joints
Imaging in axial spondyloarthritis: Focus on sacroiliac joints

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Imaging in axial spondyloarthritis: Focus on sacroiliac joints

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