Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study.

Autor: Di Matteo A; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy.; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom., Moscioni E; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Lommano MG; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Cipolletta E; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Smerilli G; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Farah S; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Airoldi C; Hospital Provincial, Rheumatology, Rosario, Argentina., Aydin SZ; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Becciolini A; Internal Medicine and Rheumatology Unit, Department of Medicine, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy., Bonfiglioli K; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil., Carotti M; Department of Radiology, Ospedali Riuniti, Università Politecnica delle Marche, Ancona, Italy., Carrara G; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy., Cazenave T; Rheumatology Unit, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina., Corradini D; Rheumatology Unit, University Clinic AOU Cagliari, Monserrato, CA, Italy., Cosatti MA; CEMIC, Centro de Educación Médica e Investigaciones Médicas 'Norberto Quirno', Buenos Aires, Argentina., de Agustin JJ; Rheumatology Unit, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain., Destro Castaniti GM; Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Rheumatology Section, University of Palermo, Palermo, Italy., Di Carlo M; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Di Donato E; Internal Medicine and Rheumatology Unit, Department of Medicine, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy., Di Geso L; Department of Internal Medicine, Ospedale Madonna del Soccorso, San Benedetto del Tronto, Marche, Italy., Elliott A; Centre for Experimental Medicine, Queen's University Belfast, Belfast, United Kingdom., Fodor D; 2nd Department of Internal Medicine, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca, Romania., Francioso F; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Gabba A; Local Health Unit (ASL), Samugheo, OR, Italy.; Local Health Unit (ASL), Orosei, NU, Italy., Hernández-Díaz C; División de Reumatología, Instituto Nacional de Rehabilitación 'Luis Guillermo Ibarra Ibarra', Mexico City, Mexico., Horvath R; Department of Paediatric and Adult Rheumatology, University Hospital Motol, Prague, Czechia., Hurnakova J; Department of Paediatric and Adult Rheumatology, University Hospital Motol, Prague, Czechia., Jesus D; Department of Rheumatology, Centro Hospitalar de Leiria, Leiria, Portugal., Marin J; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Martire MV; San Roque Hospital, La Plata, Argentina., Mashadi Mirza R; Department of Radiology, A. O. Ospedali Riuniti Marche Nord, Pesaro, Italy., Massarotti M; Department of Rheumatology, University Hospitals Dorset NHS Foundation Trust, Christchurch Hospital, Christchurch, United Kingdom., Musca AA; Department of Rheumatology, Colentina Clinical Hospital, Bucharest, Romania., Nair J; Department of Rheumatology, Liverpool University Hospitals Foundation Trust, Liverpool, United Kingdom., Okano T; Department of Orthopedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan., Papalopoulos I; Department of Rheumatology, Clinical Immunology and Allergy, University Hospital of Heraklion, Heraklion, Greece., Rosa J; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Rosemffet M; Rheumatology Unit, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina., Rovisco J; Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Rozza D; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy., Salaffi F; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Scioscia C; Rheumatology Unit, Department of Emergency and Organ Transplants (DETO), University of Bari, Bari, Italy., Scirè CA; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy., Tamas MM; Department of Rheumatology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca, Romania., Tanimura S; Department of Rheumatology, Hokkaido Medical Center for Rheumatic Diseases, Sapporo, Japan., Ventura-Rios L; División de Reumatología, Instituto Nacional de Rehabilitación 'Luis Guillermo Ibarra Ibarra', Mexico City, Mexico., Villota-Eraso C; IPS Servicio Integral de Reumatología e Inmunología Doctor Orlando Villota, Pasto, Colombia., Villota O; Division of Rheumatology, Fundación Hospital San Pedro, Pasto, Colombia., Voulgari PV; Department of Rheumatology, School of Health Science, Faculty of Medicine, University of Ioannina, Ioannina, Greece., Vreju FA; Department of Rheumatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Vukatana G; Rheumatology Unit, IRCCS Policlinico S. Orsola-Malpighi, Bologna, Italy., Hereter JZ; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Zanetti A; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy., Grassi W; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy., Filippucci E; Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy.
Jazyk: angličtina
Zdroj: Frontiers in medicine [Front Med (Lausanne)] 2023 Jan 17; Vol. 9, pp. 1090468. Date of Electronic Publication: 2023 Jan 17 (Print Publication: 2022).
DOI: 10.3389/fmed.2022.1090468
Abstrakt: Objectives: To investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases.
Methods: Forty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of quadriceps muscle in 80 static images and 20 clips from 64 patients with different rheumatic diseases and 8 healthy subjects. Two visual scales were evaluated, a visual semi-quantitative scale (0-3) and a continuous quantitative measurement ("VAS echogenicity," 0-100). The same assessment was repeated to calculate intra-observer reliability. US muscle echogenicity was also calculated by an independent research assistant using a software for the analysis of scientific images (ImageJ). Inter and intra reliabilities were assessed by means of prevalence-adjusted bias-adjusted Kappa (PABAK), intraclass correlation coefficient (ICC) and correlations through Kendall's Tau and Pearson's Rho coefficients.
Results: The semi-quantitative scale showed a moderate inter-reliability [PABAK = 0.58 (0.57-0.59)] and a substantial intra-reliability [PABAK = 0.71 (0.68-0.73)]. The lowest inter and intra-reliability results were obtained for the intermediate grades (i.e., grade 1 and 2) of the semi-quantitative scale. "VAS echogenicity" showed a high reliability both in the inter-observer [ICC = 0.80 (0.75-0.85)] and intra-observer [ICC = 0.88 (0.88-0.89)] evaluations. A substantial association was found between the participants assessment of the semi-quantitative scale and "VAS echogenicity" [ICC = 0.52 (0.50-0.54)]. The correlation between these two visual scales and ImageJ analysis was high (tau = 0.76 and rho = 0.89, respectively).
Conclusion: The results of this large, multicenter study highlighted the overall good inter and intra-reliability of the US assessment of muscle echogenicity in patients with different rheumatic diseases.
Competing Interests: SA received honoraria from AbbVie, Celgene, UCB, Novartis, Janssen, Pfizer, and Sanofi. AB served as a speaker for AbbVie, Amgen, Sanofi-Genzyme, and UCB, outside the submitted work. EF had received speaking fees from AbbVie, Amgen, BMS, Janssen, Lilly, Novartis, Roche, Pfizer, and UCB, outside the submitted work. WG had received speaking fees from Celltrion and Pfizer, outside the submitted work.
(Copyright © 2023 Di Matteo, Moscioni, Lommano, Cipolletta, Smerilli, Farah, Airoldi, Aydin, Becciolini, Bonfiglioli, Carotti, Carrara, Cazenave, Corradini, Cosatti, de Agustin, Destro Castaniti, Di Carlo, Di Donato, Di Geso, Elliott, Fodor, Francioso, Gabba, Hernández-Díaz, Horvath, Hurnakova, Jesus, Marin, Martire, Mashadi Mirza, Massarotti, Musca, Nair, Okano, Papalopoulos, Rosa, Rosemffet, Rovisco, Rozza, Salaffi, Scioscia, Scirè, Tamas, Tanimura, Ventura-Rios, Villota-Eraso, Villota, Voulgari, Vreju, Vukatana, Hereter, Zanetti, Grassi and Filippucci.)
Databáze: MEDLINE