Atlas of the OMERACT Heel Enthesitis MRI Scoring System (HEMRIS)
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
Affiliations
Philip G Conaghan
University of Leeds, Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom
Paul Bird
Institute of Applied Health, University of Birmingham, Institute of Translational Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham Health Partners, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Mikkel Østergaard
5 Department of Clinical Medicine, University of Copenhagen Faculty of Health and Medical Sciences, Copenhagen, Denmark
Violaine Foltz
1AP-HP, Paris, France
Jean-Denis Laredo
Radiology, Lariboisière Hospital, Paris, France
Frederique Gandjbakhch
Department of Rheumatology, CHU Pitié-Salpêtrière, Assistance Publique—Hôpitaux de Paris, Paris, France
Philippe Carron
Ghent University Hospital, Rheumatology, Ghent, Belgium
Walter P Maksymowych
Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada
Robert GW Lambert
Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada
Iris Eshed
Radiology, Sheba Medical Center, Tel Hashomer, Israel
Simon Krabbe
1The DANBIO Registry and Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark
Susanne J Pedersen
Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Gentofte and Frederiksberg, Denmark
Ashish J Mathew
Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark
Yasser Emad
Rheumatology, Faculty of Medicine, Cairo University, Giza, Egypt
Maria Simona Stoenoiu
Rheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
Joel Paschke
CARE Arthritis, Edmonton, Alberta, Canada
Daniel Glinatsi
3Rigshospitalet, Glostrup, Center for Rheumatology and Spine Diseases, Copenhagen, Denmark
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.
