Table 7

BASRI scoring method

GradeDescription
*Increase grades I and II by one grade each if two of the following bony changes are present: erosions, osteophytes, protrusio.
AP, anteroposterior; BASRI, Bath Ankylosing Spondylitis Radiographic Index.
Note: BASRI spine is the sum of sacroiliac joints (combined as one score 0–4), AP and lateral lumbar spine combined as one score 0–4, and lateral cervical spine 0–4; BASRI total is the sum of BASRI spine and BASRI hips (as one score 0–4).
Sacroiliac joints (NY Criteria)
0NormalNo change
ISuspiciousSuspicious change
IIMinimalSmall localised areas with erosion or sclerosis without alteration in joint width
IIIModerateModerate or advanced sacroilitis with erosions, evidence of sclerosis, widening, narrowing, or partial ankylosing
IVSevereSevere abnormality with total ankylosis
Hip
0NormalNo change
I*Suspicious(Possible) focal joint space narrowing
II*MinimalDefinite narrowing leaving a circumferential joint space >2 mm
IIIModerateNarrowing with circumferential joint space ≤2 mm or bone-on-bone apposition of <2 cm
IVSevereBone deformity or bone-on-bone apposition >2 cm
AP and lateral lumbar and lateral cervical spine
0NormalNo change
ISuspiciousSuspicious but no definite change
IIMinimalAny number of erosions, squaring, sclerosis ± syndesmophytes on ≤2 vertebrae
IIIModerateSyndesmophytes on ≥3 vertebrae ± fusion involving 2 vertebrae
IVSevereFusion involving ≥3 vertebrae
BASRI spine Maximum=12
BASRI total Maximum=16