Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)

Objective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Ou...

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Main Authors: Philip G Conaghan, Paul Bird, Mikkel Østergaard, Violaine Foltz, Jean-Denis Laredo, Frederique Gandjbakhch, Philippe Carron, Walter P Maksymowych, Robert GW Lambert, Iris Eshed, Simon Krabbe, Susanne J Pedersen, Ashish J Mathew, Yasser Emad, Maria Simona Stoenoiu, Joel Paschke, Daniel Glinatsi
Format: Article
Language:English
Published: BMJ Publishing Group 2020-02-01
Series:RMD Open
Online Access:https://rmdopen.bmj.com/content/6/1/e001150.full
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author Philip G Conaghan
Paul Bird
Mikkel Østergaard
Violaine Foltz
Jean-Denis Laredo
Frederique Gandjbakhch
Philippe Carron
Walter P Maksymowych
Robert GW Lambert
Iris Eshed
Simon Krabbe
Susanne J Pedersen
Ashish J Mathew
Yasser Emad
Maria Simona Stoenoiu
Joel Paschke
Daniel Glinatsi
author_facet Philip G Conaghan
Paul Bird
Mikkel Østergaard
Violaine Foltz
Jean-Denis Laredo
Frederique Gandjbakhch
Philippe Carron
Walter P Maksymowych
Robert GW Lambert
Iris Eshed
Simon Krabbe
Susanne J Pedersen
Ashish J Mathew
Yasser Emad
Maria Simona Stoenoiu
Joel Paschke
Daniel Glinatsi
author_sort Philip G Conaghan
collection DOAJ
description Objective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS).Methods Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group.Results Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted.Conclusion The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.
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publishDate 2020-02-01
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spelling doaj-art-3a7de484c5dd4ee69fef1b4f8ca1dc672025-08-20T02:13:54ZengBMJ Publishing GroupRMD Open2056-59332020-02-016110.1136/rmdopen-2019-001150Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)Philip G Conaghan0Paul Bird1Mikkel Østergaard2Violaine Foltz3Jean-Denis Laredo4Frederique Gandjbakhch5Philippe Carron6Walter P Maksymowych7Robert GW Lambert8Iris Eshed9Simon Krabbe10Susanne J Pedersen11Ashish J Mathew12Yasser Emad13Maria Simona Stoenoiu14Joel Paschke15Daniel Glinatsi16Rheumatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK1 University of New South Wales, Sydney, New South Wales, Australia1 Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Center of Head and Orthopaedics, Rigshospitalet, Glostrup, DenmarkParis 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, FranceRadiology, Lariboisière Hospital, Paris, FranceDepartment of Rheumatology, CHU Pitié-Salpêtrière, Assistance Publique—Hôpitaux de Paris, Paris, FranceDepartment of Rheumatology, University Hospital Ghent, Gent, BelgiumDepartment of Medicine, University of Alberta, Edmonton, Alberta, CanadaRadiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaDepartment of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, DenmarkCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, DenmarkCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, DenmarkRheumatology, Faculty of Medicine, Cairo University, Giza, EgyptRheumatology, Cliniques Universitaires Saint-Luc, Brussels, BelgiumCaRE (Canadian Research Education) Arthritis, Edmonton, Alberta, CanadaCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Glostrup, DenmarkObjective Assessment of enthesitis, a key feature in spondyloarthritis (SpA) and psoriatic arthritis (PsA), using objective and sensitive methods is pivotal in clinical trials. MRI allows detection of both soft tissue and intra-osseous changes of enthesitis. This article presents an atlas for the Outcome Measures in Rheumatology (OMERACT) Heel Enthesitis Magnetic Resonance ImagingMRI Scoring System (HEMRIS).Methods Following a preliminary selection of potential examples of each grade, as per HEMRIS definitions, the images along with detailed definitions and reader rules were discussed at web-based, interactive meetings between the members of the OMERACT MRI in Arthritis Working Group.Results Reference images of each grade of the MRI features to be assessed using HEMRIS, along with reader rules and recommended MRI sequences are depicted.Conclusion The presented reference images can be used to guide scoring Achilles tendon and plantar fascia (plantar aponeurosis) enthesitis according to the OMERACT HEMRIS in clinical trials and cohorts in which MRI enthesitis is used as an outcome.https://rmdopen.bmj.com/content/6/1/e001150.full
spellingShingle Philip G Conaghan
Paul Bird
Mikkel Østergaard
Violaine Foltz
Jean-Denis Laredo
Frederique Gandjbakhch
Philippe Carron
Walter P Maksymowych
Robert GW Lambert
Iris Eshed
Simon Krabbe
Susanne J Pedersen
Ashish J Mathew
Yasser Emad
Maria Simona Stoenoiu
Joel Paschke
Daniel Glinatsi
Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
RMD Open
title Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
title_full Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
title_fullStr Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
title_full_unstemmed Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
title_short Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
title_sort atlas of the omeract heel enthesitis mri scoring system hemris
url https://rmdopen.bmj.com/content/6/1/e001150.full
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