Abstract | OBJECTIVE: METHODS: We performed 16 injections in 9 patients on an outpatient basis (6 men, 3 women, mean age at onset 24.7 +/- 7.5 yrs). All patients had MRI guided injection of 40 mg triamcinolone acetonide into SI joints using an open 0.2 Tesla unit. Before and 3 months after corticosteroid injection they underwent an MRI examination with a closed 1.5 Tesla unit. RESULTS: Seven of 9 patients reported subjective improvement that lasted at least a mean of 10.8 +/- 5.6 months. Subchondral bone marrow edema on fat suppressed images resolved in 8 patients after corticosteroid injection. CONCLUSION: MRI guided corticosteroid injection of SI joints appears to be an effective and safe procedure without exposure to radiation. It is a useful therapeutic modality, especially in young patients with severe isolated sacroiliitis.
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Authors | I Günaydin, P L Pereira, T Daikeler, M Mohren, J Trübenbach, F Schick, L Kanz, I Kötter |
Journal | The Journal of rheumatology
(J Rheumatol)
Vol. 27
Issue 2
Pg. 424-8
(Feb 2000)
ISSN: 0315-162X [Print] Canada |
PMID | 10685809
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adrenal Cortex Hormones
(administration & dosage)
- Adult
- Arthritis
(drug therapy, pathology)
- Child
- Drug Resistance
- Female
- Humans
- Magnetic Resonance Imaging
- Male
- Pilot Projects
- Radiography
- Sacroiliac Joint
(diagnostic imaging, drug effects)
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