Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis: A study from the OMERACT large vessel vasculitis ultrasound working group
| Autor: | Eugenio de Miguel, George A W Bruyn, Marcin Milchert, Greta Carrara, Christina Duftner, Wolfgang Hartung, Lene Terslev, Bhaskar Dasgupta, Valentin S. Schäfer, Petra Hanova, Esperanza Naredo, Wolfgang A. Schmidt, Christian Dejaco, Annamaria Iagnocco, Tanaz A. Kermani, Pierluigi Macchioni, Chetan Mukhtyar, Maria Antonietta D'Agostino, Naina Rastalsky, Carlo Alberto Scirè, Cristina Ponte, Sofia Ramiro, Ulrich Fredberg, Stavros Chrysidis, Andreas P. Diamantopoulos, Tove Lorenzen, Mattew J. Koster, Kenneth J. Warrington, Alojzija Hočevar, Uffe Møller Døhn |
|---|---|
| Přispěvatelé: | Chrysidis, S, Duftner, C, Dejaco, C, Schafer, V, Ramiro, S, Carrara, G, Scire, C, Hocevar, A, Diamantopoulos, A, Iagnocco, A, Mukhtyar, C, Ponte, C, Naredo, E, De Miguel, E, Bruyn, G, Warrington, K, Terslev, L, Milchert, M, D'Agostino, M, Koster, M, Rastalsky, N, Hanova, P, Macchioni, P, Kermani, T, Lorenzen, T, Dohn, U, Fredberg, U, Hartung, W, Dasgupta, B, Schmidt, W |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Vasculitis
giant cell arteriti medicine.medical_specialty Settore MED/16 - REUMATOLOGIA giant cell arteritis systemic vasculitis ultrasonography Rheumatology Immunology and Allergy Immunology education NO 03 medical and health sciences 0302 clinical medicine Internal medicine Large vessel vasculitis medicine 030212 general & internal medicine systemic vasculiti Reliability (statistics) 030203 arthritis & rheumatology business.industry Ultrasound medicine.disease Giant cell arteritis Radiology business Kappa Systemic vasculitis |
| Zdroj: | Chrysidis, S, Duftner, C, Dejaco, C, Schäfer, V S, Ramiro, S, Carrara, G, Scirè, C A, Hocevar, A, Diamantopoulos, A P, Iagnocco, A, Mukhtyar, C, Ponte, C, Naredo, E, De Miguel, E, Bruyn, G A, Warrington, K J, Terslev, L, Milchert, M, D'Agostino, M A, Koster, M J, Rastalsky, N, Hanova, P, Macchioni, P, Kermani, T A, Lorenzen, T, Døhn, U M, Fredberg, U, Hartung, W, Dasgupta, B & Schmidt, W A 2018, ' Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis : a study from the OMERACT Large Vessel Vasculitis Ultrasound Working Group ', RMD Open, vol. 4, no. 1, e000598 . https://doi.org/10.1136/rmdopen-2017-000598 RMD Open Chrysidis, S, Duftner, C, Dejaco, C, Schäfer, V S, Ramiro, S, Carrara, G, Scirè, C A, Hocevar, A, Diamantopoulos, A P, Iagnocco, A, Mukhtyar, C, Ponte, C, Naredo, E, De Miguel, E, Bruyn, G A, Warrington, K J, Terslev, L, Milchert, M, D'Agostino, M A, Koster, M J, Rastalsky, N, Hanova, P, Macchioni, P, Kermani, T A, Lorenzen, T, Døhn, U M, Fredberg, U, Hartung, W, Dasgupta, B & Schmidt, W A 2018, ' Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis : A study from the OMERACT large vessel vasculitis ultrasound working group ', RMD Open, vol. 4, no. 1, e000598 . https://doi.org/10.1136/rmdopen-2017-000598 Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid |
| Popis: | Objectives: To define the elementary ultrasound (US) lesions in giant cell arteritis (GCA) and to evaluate the reliability of the assessment of US lesions according to these definitions in a web-based reliability exercise.Methods: Potential definitions of normal and abnormal US findings of temporal and extracranial large arteries were retrieved by a systematic literature review. As a subsequent step, a structured Delphi exercise was conducted involving an expert panel of the Outcome Measures in Rheumatology (OMERACT) US Large Vessel Vasculitis Group to agree definitions of normal US appearance and key elementary US lesions of vasculitis of temporal and extracranial large arteries. The reliability of these definitions on normal and abnormal blood vessels was tested on 150 still images and videos in a web-based reliability exercise.Results: Twenty-four experts participated in both Delphi rounds. From originally 25 statements, nine definitions were obtained for normal appearance, vasculitis and arteriosclerosis of cranial and extracranial vessels. The 'halo' and 'compression' signs were the key US lesions in GCA. The reliability of the definitions for normal temporal and axillary arteries, the 'halo' sign and the 'compression' sign was excellent with inter-rater agreements of 91-99% and mean kappa values of 0.83-0.98 for both inter-rater and intra-rater reliabilities of all 25 experts.Conclusions: The 'halo' and the 'compression' signs are regarded as the most important US abnormalities for GCA. The inter-rater and intra-rater agreement of the new OMERACT definitions for US lesions in GCA was excellent. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|