The OMERACT-RAMRIS Rheumatoid Arthritis Magnetic Resonance Imaging Joint Space Narrowing Score: Intrareader and Interreader Reliability and Agreement with Computed Tomography and Conventional Radiography

Autor: Iris Eshed, Charles Peterfy, Philip G. Conaghan, Pernille Bøyesen, Uffe Møller Døhn, Frédérique Gandjbakhch, Violaine Foltz, Mikkel Østergaard, Harry K. Genant, Espen A Haavardsholm, Bo Ejbjerg, Annelies Boonen, Siri Lillegraven, Paul Bird, F McQueen
Přispěvatelé: Interne Geneeskunde, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Effectiveness of Diagnosis and Intervention in patients with Rheumatic Diseases
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Adult
Male
Wrist Joint
musculoskeletal diseases
Joint space narrowing
medicine.medical_specialty
Intraclass correlation
Radiography
Immunology
MAGNETIC RESONANCE IMAGING
Computed tomography
RADIOGRAPHY
Wrist
Severity of Illness Index
Arthritis
Rheumatoid
Metacarpophalangeal Joint
CARTILAGE LOSS
ULTRASONOGRAPHY
Rheumatology
medicine
Immunology and Allergy
Humans
RHEUMATOID ARTHRITIS
Reliability (statistics)
Aged
Observer Variation
DAMAGE
medicine.diagnostic_test
GOLIMUMAB
business.industry
JOINT SPACE NARROWING
Reproducibility of Results
Magnetic resonance imaging
Middle Aged
medicine.disease
musculoskeletal system
METHOTREXATE
medicine.anatomical_structure
Rheumatoid arthritis
RELIABILITY
Female
Radiology
COMPUTED TOMOGRAPHY
business
Nuclear medicine
Tomography
X-Ray Computed
BONE EROSIONS
MRI
Zdroj: Journal of Rheumatology, 41(2), 392-397. Journal of Rheumatology Publishing Co. Ltd.
ISSN: 0315-162X
Popis: Objective.To test the intrareader and interreader reliability of assessment of joint space narrowing (JSN) in rheumatoid arthritis (RA) wrist and metacarpophalangeal (MCP) joints on magnetic resonance imaging (MRI) and computed tomography (CT) using the newly proposed OMERACT-RAMRIS JSN scoring method, and to compare JSN assessment on MRI, CT, and radiography.Methods.After calibration of readers, MRI and CT images of the wrist and second to fifth MCP joints from 14 patients with RA and 1 healthy control were assessed twice for JSN by 3 readers, blinded to clinical and imaging data. Radiographs were scored by the Sharp/van der Heijde method. Intraclass correlation coefficients (ICC) and smallest detectable differences (SDD) were calculated, and the performance of various simplified scores was investigated.Results.Both MRI and CT showed high intrareader (ICC ≥ 0.95) and interreader (ICC ≥ 0.94) reliability for total (wrist + MCP) assessment of JSN. Agreement was generally lower for MCP joints than for wrist joints, particularly for CT. Intrareader SDD for MCP/wrist/MCP + wrist were 1.2/6.1/6.4 JSN units for MRI, while 2.7/8.3/9.9 JSN units for CT. JSN on MRI and CT correlated moderately well with corresponding radiographic JSN scores (MCP 2–5: 0.49 and 0.56; wrist areas assessed by Sharp/van der Heijde: 0.80 and 0.95), and high ICC between scores on MRI and CT were demonstrated (MCP: 0.94; wrist: 0.92; MCP + wrist: 0.92).Conclusion.The OMERACT-RAMRIS MRI JSN scoring system showed high intrareader and interreader reliability, and high correlation with CT scores of JSN. The suggested JSN score may, after further validation in longitudinal studies, become a useful tool in RA clinical trials.
Databáze: OpenAIRE
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