Assessing the Reliability of the OMERACT Juvenile Idiopathic Arthritis Magnetic Resonance Scoring System for Temporomandibular Joints (JAMRIS-TMJ).

Autor: Tolend M; Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada., Doria AS; Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada.; Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada., Meyers AB; Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA., Larheim TA; Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, 0317 Oslo, Norway., Abramowicz S; Division of Oral and Maxillofacial Surgery, Departments of Surgery and Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USA.; Oral and Maxillofacial Surgery, Children's Healthcare of Atlanta, Atlanta, GA 30322, USA., Aguet J; Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada., Appenzeller S; Department of Orthopedics, Rheumatology and Traumatology, School of Medical Science, University of Campinas, Campinas 13083-970, Brazil., Arvidsson LZ; Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, 0317 Oslo, Norway., Averill LW; Department of Medical Imaging, Nemours Children's Health System, Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USA., Feldman BM; Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada.; Division of Rheumatology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada., Guleria S; Austin Radiological Association, Austin, TX 78731, USA., Inarejos Clemente EJ; Department of Diagnostic Imaging, Hospital Sant Joan de Deu, 08950 Barcelona, Spain., Jaremko JL; Department of Radiology & Diagnostic Imaging, University of Alberta, Edmonton, AB T6G 2B7, Canada., Junhasavasdikul T; Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand., von Kalle T; Department of Pediatric Radiology, Radiologisches Institut, Olgahospital Klinikum Stuttgart, 70174 Stuttgart, Germany., Kirkhus E; Department of Radiology, Oslo University Hospital, 0424 Oslo, Norway., Koos B; Department of Orthodontics, University Hospital Tübingen, 72076 Tübingen, Germany., Miller E; Department of Medical Imaging, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON K1H 8L1, Canada., Moineddin R; Department of Family & Community Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada., Panwar J; Department of Radiology, Christian Medical College and Hospital, Vellore 632004, Tamil Nadu, India., Peacock ZS; Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA 02114, USA., Resnick CM; Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA 02115, USA., van Rossum MA; Department of Pediatrics, Emma Children's Hospital, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands.; Amsterdam Rheumatology and Immunology Center, Reade, 1007 MB Amsterdam, The Netherlands., Stimec J; Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada., Tomlinson G; Department of Medicine, University Health Network, Toronto, ON M5G 2C4, Canada., Tzaribachev N; Pediatric Rheumatology Research Institute, 24576 Bad Bramstedt, Germany., Kellenberger CJ; Department of Diagnostic Imaging, University Children's Hospital Zürich, 8032 Zürich, Switzerland.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2021 Sep 07; Vol. 10 (18). Date of Electronic Publication: 2021 Sep 07.
DOI: 10.3390/jcm10184047
Abstrakt: Contrast-enhanced magnetic resonance imaging (MRI) remains the most comprehensive modality to assess juvenile idiopathic arthritis (JIA)-related inflammation and osteochondral damage in the temporomandibular joints (TMJ). This study tested the reliability of a new JIA MRI scoring system for TMJ (JAMRIS-TMJ) and the impact of variations in calibration and reader specialty. Thirty-one MRI exams of bilateral TMJs were scored independently using the JAMRIS-TMJ by 20 readers consisting of radiologists and non-radiologist clinicians in three reading groups, with or without a calibrating atlas and/or tutorial. The inter-reader reliability in the multidisciplinary cohort assessed by the generalizability coefficient was 0.61-0.67 for the inflammatory and 0.66-0.74 for the damage domain. The atlas and tutorial did not improve agreement within radiologists, but improved the agreement between radiologist and non-radiologist groups. Agreements between different calibration levels were 0.02 to 0.08 lower by the generalizability coefficient compared to agreement within calibration levels; agreement between specialty groups was 0.04 to 0.10 lower than within specialty groups. Averaging two radiologists raised the reliability above 0.8 for both domains. Therefore, the reliability of JAMRIS-TMJ was moderate-to-good depending on the presence of specialty and calibration differences. The atlas and tutorial are necessary to improve reliability when the reader cohort consists of multiple specialties.
Databáze: MEDLINE