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
Přispěvatelé: General Paediatrics, AII - Amsterdam institute for Infection and Immunity, AII - Inflammatory diseases
Rok vydání: 2021
Předmět:
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