Assessing the Reliability of the OMERACT Juvenile Idiopathic Arthritis Magnetic Resonance Scoring System for Temporomandibular Joints (JAMRIS-TMJ)
Autor: | Emilio J. Inarejos Clemente, Mirkamal Tolend, Jacob L. Jaremko, Eva Kirkhus, Zachary S. Peacock, Rahim Moineddin, Bernd Koos, Thekla von Kalle, Simone Appenzeller, Marion A J van Rossum, Lauren W. Averill, Arthur B. Meyers, Jyoti Panwar, Jennifer Stimec, Tore A. Larheim, Cory M. Resnick, Saurabh Guleria, Brian M. Feldman, Nikolay Tzaribachev, Linda Z. Arvidsson, Julien Aguet, George Tomlinson, Andrea S. Doria, Shelly Abramowicz, Elka Miller, Thitiporn Junhasavasdikul, Christian J. Kellenberger |
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Přispěvatelé: | General Paediatrics, AII - Amsterdam institute for Infection and Immunity, AII - Inflammatory diseases |
Rok vydání: | 2021 |
Předmět: |
musculoskeletal diseases
Scoring system education Specialty Arthritis Article temporomandibular joints stomatognathic system medicine magnetic resonance imaging Generalizability theory Reliability (statistics) Orthodontics reliability outcome measure medicine.diagnostic_test business.industry Outcome measures Magnetic resonance imaging General Medicine generalizability theory medicine.disease stomatognathic diseases Cohort juvenile idiopathic arthritis Medicine business |
Zdroj: | Journal of Clinical Medicine Volume 10 Issue 18 r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname Journal of Clinical Medicine, Vol 10, Iss 4047, p 4047 (2021) Journal of clinical medicine, 10(18):4047. Multidisciplinary Digital Publishing Institute (MDPI) |
ISSN: | 2077-0383 |
Popis: | 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: | OpenAIRE |
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