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

Identifieur interne : 003F37 ( Main/Exploration ); précédent : 003F36; suivant : 003F38

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

Auteurs : Uffe M Ller D Hn [Danemark, Royaume-Uni, Israël, Pays-Bas, Norvège, États-Unis, France, Australie, Nouvelle-Zélande] ; Philip G. Conaghan ; Iris Eshed ; Annelies Boonen ; Pernille Boyesen ; Charles G. Peterfy ; Siri Lillegraven ; Bo Ejbjerg ; Frederique Gandjbakhch ; Paul Bird ; Violaine Foltz ; Harry K. Genant ; Espen Haavardsholm ; Fiona M. Mcqueen ; Mikkel Stergaard

Source :

RBID : Pascal:14-0078233

Descripteurs français

English descriptors

Abstract

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.


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Le document en format XML

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<s1>Sheba Medical Center, Tel Aviv University</s1>
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<s1>Maastricht University Medical Center</s1>
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<s1>Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Glostrup</s1>
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<country>Royaume-Uni</country>
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<s1>Sheba Medical Center, Tel Aviv University</s1>
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<wicri:noRegion>University of California</wicri:noRegion>
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<s1>University of New South Wales (NSW)</s1>
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<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
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<s1>University of Auckland</s1>
<s2>Auckland</s2>
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</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>University of Auckland</wicri:noRegion>
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<name sortKey="Conaghan, Philip G" sort="Conaghan, Philip G" uniqKey="Conaghan P" first="Philip G." last="Conaghan">Philip G. Conaghan</name>
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<author>
<name sortKey="Eshed, Iris" sort="Eshed, Iris" uniqKey="Eshed I" first="Iris" last="Eshed">Iris Eshed</name>
</author>
<author>
<name sortKey="Boonen, Annelies" sort="Boonen, Annelies" uniqKey="Boonen A" first="Annelies" last="Boonen">Annelies Boonen</name>
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<author>
<name sortKey="Boyesen, Pernille" sort="Boyesen, Pernille" uniqKey="Boyesen P" first="Pernille" last="Boyesen">Pernille Boyesen</name>
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<name sortKey="Peterfy, Charles G" sort="Peterfy, Charles G" uniqKey="Peterfy C" first="Charles G." last="Peterfy">Charles G. Peterfy</name>
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<name sortKey="Lillegraven, Siri" sort="Lillegraven, Siri" uniqKey="Lillegraven S" first="Siri" last="Lillegraven">Siri Lillegraven</name>
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<name sortKey="Ejbjerg, Bo" sort="Ejbjerg, Bo" uniqKey="Ejbjerg B" first="Bo" last="Ejbjerg">Bo Ejbjerg</name>
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<name sortKey="Gandjbakhch, Frederique" sort="Gandjbakhch, Frederique" uniqKey="Gandjbakhch F" first="Frederique" last="Gandjbakhch">Frederique Gandjbakhch</name>
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<name sortKey="Bird, Paul" sort="Bird, Paul" uniqKey="Bird P" first="Paul" last="Bird">Paul Bird</name>
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<name sortKey="Foltz, Violaine" sort="Foltz, Violaine" uniqKey="Foltz V" first="Violaine" last="Foltz">Violaine Foltz</name>
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<name sortKey="Genant, Harry K" sort="Genant, Harry K" uniqKey="Genant H" first="Harry K." last="Genant">Harry K. Genant</name>
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<name sortKey="Haavardsholm, Espen" sort="Haavardsholm, Espen" uniqKey="Haavardsholm E" first="Espen" last="Haavardsholm">Espen Haavardsholm</name>
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<name sortKey="Mcqueen, Fiona M" sort="Mcqueen, Fiona M" uniqKey="Mcqueen F" first="Fiona M." last="Mcqueen">Fiona M. Mcqueen</name>
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<name sortKey=" Stergaard, Mikkel" sort=" Stergaard, Mikkel" uniqKey=" Stergaard M" first="Mikkel" last=" Stergaard">Mikkel Stergaard</name>
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<title level="j" type="main">Journal of rheumatology</title>
<title level="j" type="abbreviated">J. rheumatol.</title>
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<date when="2014">2014</date>
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<title level="j" type="main">Journal of rheumatology</title>
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<term>Adult</term>
<term>Aged</term>
<term>Arthritis, Rheumatoid (diagnostic imaging)</term>
<term>Arthritis, Rheumatoid (pathology)</term>
<term>Chronic</term>
<term>Computerized axial tomography</term>
<term>Evaluation scale</term>
<term>Female</term>
<term>Humans</term>
<term>Interindividual comparison</term>
<term>Joint space</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Metacarpophalangeal Joint (diagnostic imaging)</term>
<term>Metacarpophalangeal Joint (pathology)</term>
<term>Middle Aged</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Observer Variation</term>
<term>Radiography</term>
<term>Reliability</term>
<term>Reproducibility of Results</term>
<term>Rheumatoid arthritis</term>
<term>Rheumatology</term>
<term>Severity of Illness Index</term>
<term>Tomography, X-Ray Computed</term>
<term>Wrist Joint (diagnostic imaging)</term>
<term>Wrist Joint (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Articulation du poignet (anatomopathologie)</term>
<term>Articulation du poignet (imagerie diagnostique)</term>
<term>Articulation métacarpophalangienne (anatomopathologie)</term>
<term>Articulation métacarpophalangienne (imagerie diagnostique)</term>
<term>Biais de l'observateur</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique ()</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Polyarthrite rhumatoïde (anatomopathologie)</term>
<term>Polyarthrite rhumatoïde (imagerie diagnostique)</term>
<term>Reproductibilité des résultats</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
</keywords>
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<term>Articulation du poignet</term>
<term>Articulation métacarpophalangienne</term>
<term>Polyarthrite rhumatoïde</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
<term>Metacarpophalangeal Joint</term>
<term>Wrist Joint</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Articulation du poignet</term>
<term>Articulation métacarpophalangienne</term>
<term>Polyarthrite rhumatoïde</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Magnetic Resonance Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
<term>Metacarpophalangeal Joint</term>
<term>Wrist Joint</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
<term>Reproducibility of Results</term>
<term>Severity of Illness Index</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biais de l'observateur</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Polyarthrite rhumatoïde</term>
<term>Radiographie</term>
<term>Imagerie RMN</term>
<term>Echelle d'évaluation</term>
<term>Comparaison interindividuelle</term>
<term>Fiabilité</term>
<term>Reproductibilité des résultats</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Rhumatologie</term>
<term>Chronique</term>
<term>Interligne articulaire</term>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Danemark</li>
<li>France</li>
<li>Israël</li>
<li>Norvège</li>
<li>Nouvelle-Zélande</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Hovedstaden</li>
<li>Nouvelle-Galles du Sud</li>
<li>Île-de-France</li>
<li>Østlandet</li>
</region>
<settlement>
<li>Copenhague</li>
<li>Oslo</li>
<li>Paris</li>
<li>Sydney</li>
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<name sortKey="Boonen, Annelies" sort="Boonen, Annelies" uniqKey="Boonen A" first="Annelies" last="Boonen">Annelies Boonen</name>
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<name sortKey="Conaghan, Philip G" sort="Conaghan, Philip G" uniqKey="Conaghan P" first="Philip G." last="Conaghan">Philip G. Conaghan</name>
<name sortKey="Ejbjerg, Bo" sort="Ejbjerg, Bo" uniqKey="Ejbjerg B" first="Bo" last="Ejbjerg">Bo Ejbjerg</name>
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<name sortKey="Foltz, Violaine" sort="Foltz, Violaine" uniqKey="Foltz V" first="Violaine" last="Foltz">Violaine Foltz</name>
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<name sortKey="Genant, Harry K" sort="Genant, Harry K" uniqKey="Genant H" first="Harry K." last="Genant">Harry K. Genant</name>
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<name sortKey="Peterfy, Charles G" sort="Peterfy, Charles G" uniqKey="Peterfy C" first="Charles G." last="Peterfy">Charles G. Peterfy</name>
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<name sortKey="D Hn, Uffe M Ller" sort="D Hn, Uffe M Ller" uniqKey="D Hn U" first="Uffe M Ller" last="D Hn">Uffe M Ller D Hn</name>
</noRegion>
<name sortKey="D Hn, Uffe M Ller" sort="D Hn, Uffe M Ller" uniqKey="D Hn U" first="Uffe M Ller" last="D Hn">Uffe M Ller D Hn</name>
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</country>
<country name="Pays-Bas">
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</noRegion>
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<region name="Østlandet">
<name sortKey="D Hn, Uffe M Ller" sort="D Hn, Uffe M Ller" uniqKey="D Hn U" first="Uffe M Ller" last="D Hn">Uffe M Ller D Hn</name>
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<country name="France">
<region name="Île-de-France">
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<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="D Hn, Uffe M Ller" sort="D Hn, Uffe M Ller" uniqKey="D Hn U" first="Uffe M Ller" last="D Hn">Uffe M Ller D Hn</name>
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<noRegion>
<name sortKey="D Hn, Uffe M Ller" sort="D Hn, Uffe M Ller" uniqKey="D Hn U" first="Uffe M Ller" last="D Hn">Uffe M Ller D Hn</name>
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</record>

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