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The ICC for the sacroiliitis sum score was 0.91 at both baseline and year2. A total of 62 (54.9%) and 55 (48.7%) patients were classified as r-axSpA at baseline and 65 (57.5%) and 60 (53.1%) patients at year2 based on evaluation of pelvic and AP lumbar radiographs, respectively. The absolute agreement between the methods on the classification was 84.9 and 85.0% at baseline and year2, respectively, with the κ of 0.70 at both time points. Radiographic sacroiliitis can be assessed in AP lumbar radiographs with a similar reliability to conve