Reddit reviews Ankylosing Spondylitis (Oxford American Respiratory Library) (Oxford American Rheumatology Library)
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I'm not a doctor, so I'm not disagreeing with you, but my little booklet about AS says that sacroilitis revealed by STIR MRI has both sensitivity and specificity of 90%. It's also from 2009.
I just recall my rheumatologist that glanced at my MRI evaulation for no more than 5 seconds (before asking me about anything else), and said "It's Bechterew's. 100% certain." :-)
By the way, I paid full price (no insurance involved) for my MRI, but it was not a contrast MRI.