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

Abstract

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.

Metadata

Authors/Creators:	Mathew, AJ Krabbe, S Eshed, I Lambert, RGW Laredo, JD Maksymowych, WP Gandjbakhch, F Emad, Y Stoenoiu, MS Foltz, V Bird, P Carron, P Paschke, J Conaghan, PG https://orcid.org/0000-0002-3478-5665 Pedersen, SJ Glinatsi, D Østergaard, M
Copyright, Publisher and Additional Information:	© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Dates:	Accepted: 5 January 2020 Published (online): 11 February 2020 Published: 11 February 2020
Institution:	The University of Leeds
Academic Units:	The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Musculoskeletal Medicine & Imaging (Leeds)
Depositing User:	Symplectic Publications
Date Deposited:	22 Jan 2020 12:27
Last Modified:	25 Jun 2023 22:07
Status:	Published
Publisher:	BMJ Publishing Group
Identification Number:	https://doi.org/10.1136/rmdopen-2019-001150

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

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