[Correspondence] An imaging crisis in axial spondyloarthritis – Authors' reply

We thank Audai H Abudayeh and Iakiv V Fishchenko for their thoughtful contribution to this discussion. The correspondence raises two key aspects: first, the role of recent advances in MRI, such as three-dimensional gradient-echo sequences such as volume interpolated breathhold examination (VIBE), to improve sensitivity for erosions and second, the therapeutic potential of early treatment with biologics to induce structural repair. Together, these points convey a more optimistic view of MRI for early diagnosis in axial spondyloarthritis.