There are many clinical studies investigating the differences between non-radiographic axial spondyloarthritis and ankylosing spondylitis(AS), but few focus on radiology. Spondyloarthritis Research Consortium of Canada (SPARCC) and Sacroiliac Joint Structural Score (SSS) scoring systems can assess a broad spectrum of inflammatory and structural lesions. Our results indicate SPARCC scores were significantly improved after treatment. A significant increase in SSS scores for fat metaplasia and backfill was noted. Therefore, using semiquantitative MRI scoring methods can assess abnormal lesions and treatment response. Higher structural damages were seen in AS patients. SPARCC can assess severity of disease pre-treatment and treatment effectiveness.