Reliability of the Pediatric Specific Musculoskeletal Ultrasound Scoring Systems for the Elbow, Wrist, and Finger Joints

Autor: Patricia Vega-Fernandez, Ysabella Esteban, Edward Oberle, Jean-Philippe Proulx-Gauthier, Matthew Clark, Susan Shenoi, Akaluck Thatayatikom, Heather Benham, Emily J. Brunner, Leandra Woolnough, Michael Henrickson, Laura R. Pratt, Deirdre De Ranieri, Sarah Hoffmann, Ginger Janow, Hulya Bukulmez, Mekibib Altaye, Amy Cassedy, Tracy V. Ting, Johannes Roth
Rok vydání: 2022
Předmět:
Zdroj: The Journal of Rheumatology. 50:236-239
ISSN: 1499-2752
0315-162X
DOI: 10.3899/jrheum.220382
Popis: ObjectiveMusculoskeletal ultrasound (MSUS) is increasingly being used in the evaluation of pediatric musculoskeletal diseases. In order to provide objective assessments of arthritis, reliable MSUS scoring systems are needed. Recently, joint-specific scoring systems for arthritis of the pediatric elbow, wrist, and finger joints were proposed by the Childhood Arthritis and Rheumatology Research Alliance (CARRA) MSUS workgroup. This study aimed to assess the reliability of these scoring systems when used by sonographers with different levels of expertise.MethodsMembers of the CARRA MSUS workgroup attended training sessions for scoring the elbow, wrist, and finger. Subsequently, scoring exercises of B mode and power Doppler (PD) mode still images for each joint were performed. Interreader reliability was determined using 2-way single-score intraclass correlation coefficients (ICCs) for synovitis and Cohenfor tenosynovitis.ResultsSeventeen pediatric rheumatologists with different levels of MSUS expertise (1-15 yrs) completed a 2-hour training session and calibration exercise for each joint. Excellent reliability (ICC > 0.75) was found after the first scoring exercise for all the finger and elbow views evaluated on B mode and PD mode, and for all of the wrist views on B mode. After a second training session and a scoring exercise, the wrist PD mode views reached excellent reliability as well.ConclusionThe preliminary CARRA MSUS scoring systems for assessing arthritis of the pediatric elbow, wrist, and finger joints demonstrate excellent reliability among pediatric MSUS sonographers with different levels of expertise. With further validation, this reliable joint-specific scoring system could serve as a clinical tool and scientific outcome measure.
Databáze: OpenAIRE
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