EDITORIAL
Editorials
Diagnosing axial spondyloarthropathy. The new Assessment in SpondyloArthritis international Society criteria: MRI entering centre stage
1 Section of Musculoskeletal Disease, Leeds Institute of Molecular Medicine, University of Leeds, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, UK
2 Defence Medical Rehabilitation Centre, Headley Court, Epsom, Surrey KT18 6JN, UK
Correspondence to:
Professor P Emery, Musculoskeletal Disease, Leeds Institute of Molecular Medicine, University of Leeds, Clinical Director (Rheumatology), Director-Leeds MSK Biomedical Research Unit, Chapel Allerton Hospital, Chapel Town Road, Leeds LS7 4SA, UK; p.emery@leeds.ac.uk
Accepted 10 March 2009
| The first 150 words of the full text of this article appear below. |
In this issue of the Annals of Rheumatic Disease the Assessment in SpondyloArthritis international Society (ASAS) have published three interrelated papers (see pages 770, 777 and 784)1–3 that could contribute to a new era in the diagnosis and classification of axial spondyloathritis (SpA). The first paper focuses on a new definition of inflammatory back pain (IBP), the "expert" criteria, followed by two reports on the development of new classification criteria for axial SpA and their validation in a large multicentre study. These criteria for axial SpA will be welcomed by the spondyloarthropathy community, since the currently available criteria4–6 do not allow for the diagnosis of preradiographic axial SpA. The proposed new set of criteria includes early (preradiographic) and established ankylosing spondylitis (AS), recognising them as a continuum of disease. This is of major importance as it is now clear that the burden of early AS is comparable
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