Abstract: Brucella spondylitis (BS) is a global distributed infectious disease and has become a public health problem. Imaging technology plays an important role in the early diagnosis, preoperative evaluation and curative effect monitoring of BS. Because there were not any special clinical symptom, so the imaging findings would play an important role for diagnosis and differential diagnosis. Imaging diagnostic criteria for BS was formulated by evidence-based medicine guideline methodology. Imaging methods including DR, CT and MRI were recommended for detecting the BS. Based on evidence-based medical evidence and expert opinions, it is concluded that the combined application of DR+MRI as the recommended detection means has higher accuracy, less inspection costs and lower radiation damage for BS patients.Staging for BS include acute, subacute and chronic stage. Combined epidemiological history, clinical manifestations, laboratory, imaging and histopathological examinations were regard as the diagnostic criteria for BS. In this paper, imaging manifestations of BS were systematically expounded so as to provide scientific basis for clinical accurate diagnosis and proper treatment.

Key words: Brucella spondylitis, Imaging, Diagnosis, Consensus, Interpretation