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Development and Preliminary Validation of a Magnetic Resonance Imaging Joint Space Narrowing Score for Use in Rheumatoid Arthritis: Potential Adjunct to the OMERACT RA MRI Scoring System

Identifieur interne : 006C04 ( Main/Exploration ); précédent : 006C03; suivant : 006C05

Development and Preliminary Validation of a Magnetic Resonance Imaging Joint Space Narrowing Score for Use in Rheumatoid Arthritis: Potential Adjunct to the OMERACT RA MRI Scoring System

Auteurs : Mikkel Stergaard [Danemark, Norvège, Israël, France, Australie, Pays-Bas, Allemagne, États-Unis, Royaume-Uni, Nouvelle-Zélande] ; Pernille B Yesen ; Iris Eshed ; Frédérique Gandjbakhch ; Siri Lillegraven ; Paul Bird ; Violaine Foltz ; Annelies Boonen ; Marissa Lassere ; Kay-Geert Hermann ; Allen Anandarajah ; Uffe M Ller D Hn ; Jane Freeston ; Charles G. Peterfy ; Harry K. Genant ; Espen A. Haavardsholm ; Fiona M. Mcqueen ; Philip G. Conaghan

Source :

RBID : Pascal:11-0453036

Descripteurs français

English descriptors

Abstract

Objective. To develop and validate a magnetic resonance imaging (MRI) method of assessment of joint space narrowing (JSN) in rheumatoid arthritis (RA). Methods. Phase A: JSN was scored 0-4 on MR images of 5 RA patients and 3 controls at 15 wrist sites and 2nd-5th metacarpophalangeal (MCP) joints by 8 readers (7 once, one twice), using a preliminary scoring system. Phase B: Image review, discussion, and consensus on JSN definition, and revised scoring system. Phase C: MR images of 15 RA patients and 4 controls were scored using revised system by 5 readers (4 once, one twice), and results compared with radiographs [Sharp-van der Heijde (SvdH) method]. Results. Phase A: Intraobserver agreement: intraclass correlation coefficient (ICC) = 0.99; smallest detectable difference (SDD, for mean of readings) = 2.8 JSN units (4.9% of observed maximal score). Interobserver agreement: ICC = 0.93; SDD = 6.4 JSN units (9.9%). Phase B: Agreement was reached on JSN definition (reduced joint space width compared to normal, as assessed in a slice perpendicular to the joint surface), and revised scoring system (0-4 at 17 wrist sites and 2nd-5th MCP; 0: none; 1: 1-33%; 2: 34-66%; 3: 67-99%; 4: ankylosis). Phase C: Intraobserver agreement: ICC = 0.90; SDD = 6.8 JSN units (11.0%). Interobserver agreement: ICC = 0.92 and SDD = 6.2 JSN units (8.7%). The correlation (ICC) with the SvdH radiographic JSN score of the wrist/hand was 0.77. Simplified approaches evaluating fewer joint spaces demonstrated similar reliability and correlation with radiographic scores. Conclusion. An MRI scoring system of JSN in RA wrist and MCP joints was developed and showed construct validity and good intra- and interreader agreements. The system may, after further validation in longitudinal data sets, be useful as an outcome measure in RA.


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Le document en format XML

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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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<s1>Department of Rheumatology, Copenhagen University Hospital at Glostrup</s1>
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<settlement type="city">Copenhague</settlement>
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<s1>Department of Rheumatology, Diakonhjemmet Hospital</s1>
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<s3>NOR</s3>
</inist:fA14>
<country>Norvège</country>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
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<s1>Sheba Medical Center, Tel Aviv University</s1>
<s2>Tel Aviv</s2>
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<country>Israël</country>
<wicri:noRegion>Tel Aviv</wicri:noRegion>
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<affiliation wicri:level="3">
<inist:fA14 i1="04">
<s1>Department of Rheumatology, Pitié Salpetriere Hospital, APHP, Université Paris 6-UPMC</s1>
<s2>Paris</s2>
<s3>FRA</s3>
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<country>France</country>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
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<s1>Division of Medicine, University of NSW</s1>
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<country>Australie</country>
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<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
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<s1>Maastricht University Medical Center</s1>
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<wicri:noRegion>Maastricht University Medical Center</wicri:noRegion>
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<s1>Department of Radiology, Charité University Hospital</s1>
<s2>Berlin</s2>
<s3>DEU</s3>
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<country>Allemagne</country>
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<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
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<s1>Department of Allergy, Immunology and Rheumatology, University of Rochester Medical Center</s1>
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<country>États-Unis</country>
<wicri:noRegion>Rochester, NY</wicri:noRegion>
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<s1>Section of Musculoskeletal Disease, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit</s1>
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<country>Royaume-Uni</country>
<wicri:noRegion>Section of Musculoskeletal Disease, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit</wicri:noRegion>
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<s1>Spire Sciences LLC; University of California San Francisco</s1>
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<s1>Synarc, Inc.</s1>
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<settlement type="city">San Francisco</settlement>
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<s1>Department of Molecular Medicine and Pathology, Faculty of Medicine and Health Sciences, University of Auckland</s1>
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<country>Nouvelle-Zélande</country>
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<name sortKey="B Yesen, Pernille" sort="B Yesen, Pernille" uniqKey="B Yesen P" first="Pernille" last="B Yesen">Pernille B Yesen</name>
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<name sortKey="Eshed, Iris" sort="Eshed, Iris" uniqKey="Eshed I" first="Iris" last="Eshed">Iris Eshed</name>
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<name sortKey="Gandjbakhch, Frederique" sort="Gandjbakhch, Frederique" uniqKey="Gandjbakhch F" first="Frédérique" last="Gandjbakhch">Frédérique Gandjbakhch</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="Bird, Paul" sort="Bird, Paul" uniqKey="Bird P" first="Paul" last="Bird">Paul Bird</name>
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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="Lassere, Marissa" sort="Lassere, Marissa" uniqKey="Lassere M" first="Marissa" last="Lassere">Marissa Lassere</name>
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<name sortKey="Hermann, Kay Geert" sort="Hermann, Kay Geert" uniqKey="Hermann K" first="Kay-Geert" last="Hermann">Kay-Geert Hermann</name>
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<name sortKey="Anandarajah, Allen" sort="Anandarajah, Allen" uniqKey="Anandarajah A" first="Allen" last="Anandarajah">Allen Anandarajah</name>
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<name sortKey="M Ller D Hn, Uffe" sort="M Ller D Hn, Uffe" uniqKey="M Ller D Hn U" first="Uffe" last="M Ller D Hn">Uffe M Ller D Hn</name>
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<name sortKey="Freeston, Jane" sort="Freeston, Jane" uniqKey="Freeston J" first="Jane" last="Freeston">Jane Freeston</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="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 A" sort="Haavardsholm, Espen A" uniqKey="Haavardsholm E" first="Espen A." last="Haavardsholm">Espen A. 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="Conaghan, Philip G" sort="Conaghan, Philip G" uniqKey="Conaghan P" first="Philip G." last="Conaghan">Philip G. Conaghan</name>
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<title xml:lang="en" level="a">Development and Preliminary Validation of a Magnetic Resonance Imaging Joint Space Narrowing Score for Use in Rheumatoid Arthritis: Potential Adjunct to the OMERACT RA MRI Scoring System</title>
<author>
<name sortKey=" Stergaard, Mikkel" sort=" Stergaard, Mikkel" uniqKey=" Stergaard M" first="Mikkel" last=" Stergaard">Mikkel Stergaard</name>
<affiliation wicri:level="3">
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<s1>Department of Rheumatology, Copenhagen University Hospital at Glostrup</s1>
<s2>Copenhagen</s2>
<s3>DNK</s3>
</inist:fA14>
<country>Danemark</country>
<placeName>
<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="02">
<s1>Department of Rheumatology, Diakonhjemmet Hospital</s1>
<s2>Oslo</s2>
<s3>NOR</s3>
</inist:fA14>
<country>Norvège</country>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
<affiliation wicri:level="1">
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<s1>Sheba Medical Center, Tel Aviv University</s1>
<s2>Tel Aviv</s2>
<s3>ISR</s3>
</inist:fA14>
<country>Israël</country>
<wicri:noRegion>Tel Aviv</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="04">
<s1>Department of Rheumatology, Pitié Salpetriere Hospital, APHP, Université Paris 6-UPMC</s1>
<s2>Paris</s2>
<s3>FRA</s3>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
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<s1>Division of Medicine, University of NSW</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
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<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
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<s1>Maastricht University Medical Center</s1>
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<country>Pays-Bas</country>
<wicri:noRegion>Maastricht University Medical Center</wicri:noRegion>
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<s1>Department of Radiology, Charité University Hospital</s1>
<s2>Berlin</s2>
<s3>DEU</s3>
</inist:fA14>
<country>Allemagne</country>
<placeName>
<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1">
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<s1>Department of Allergy, Immunology and Rheumatology, University of Rochester Medical Center</s1>
<s2>Rochester, NY</s2>
<s3>USA</s3>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Rochester, NY</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Section of Musculoskeletal Disease, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit</s1>
<s3>GBR</s3>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Section of Musculoskeletal Disease, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Spire Sciences LLC; University of California San Francisco</s1>
<s2>San Francisco, CA</s2>
<s3>USA</s3>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Spire Sciences LLC; University of California San Francisco</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="11">
<s1>Synarc, Inc.</s1>
<s2>San Francisco</s2>
<s3>USA</s3>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="12">
<s1>Department of Molecular Medicine and Pathology, Faculty of Medicine and Health Sciences, University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>Auckland</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="B Yesen, Pernille" sort="B Yesen, Pernille" uniqKey="B Yesen P" first="Pernille" last="B Yesen">Pernille B Yesen</name>
</author>
<author>
<name sortKey="Eshed, Iris" sort="Eshed, Iris" uniqKey="Eshed I" first="Iris" last="Eshed">Iris Eshed</name>
</author>
<author>
<name sortKey="Gandjbakhch, Frederique" sort="Gandjbakhch, Frederique" uniqKey="Gandjbakhch F" first="Frédérique" last="Gandjbakhch">Frédérique Gandjbakhch</name>
</author>
<author>
<name sortKey="Lillegraven, Siri" sort="Lillegraven, Siri" uniqKey="Lillegraven S" first="Siri" last="Lillegraven">Siri Lillegraven</name>
</author>
<author>
<name sortKey="Bird, Paul" sort="Bird, Paul" uniqKey="Bird P" first="Paul" last="Bird">Paul Bird</name>
</author>
<author>
<name sortKey="Foltz, Violaine" sort="Foltz, Violaine" uniqKey="Foltz V" first="Violaine" last="Foltz">Violaine Foltz</name>
</author>
<author>
<name sortKey="Boonen, Annelies" sort="Boonen, Annelies" uniqKey="Boonen A" first="Annelies" last="Boonen">Annelies Boonen</name>
</author>
<author>
<name sortKey="Lassere, Marissa" sort="Lassere, Marissa" uniqKey="Lassere M" first="Marissa" last="Lassere">Marissa Lassere</name>
</author>
<author>
<name sortKey="Hermann, Kay Geert" sort="Hermann, Kay Geert" uniqKey="Hermann K" first="Kay-Geert" last="Hermann">Kay-Geert Hermann</name>
</author>
<author>
<name sortKey="Anandarajah, Allen" sort="Anandarajah, Allen" uniqKey="Anandarajah A" first="Allen" last="Anandarajah">Allen Anandarajah</name>
</author>
<author>
<name sortKey="M Ller D Hn, Uffe" sort="M Ller D Hn, Uffe" uniqKey="M Ller D Hn U" first="Uffe" last="M Ller D Hn">Uffe M Ller D Hn</name>
</author>
<author>
<name sortKey="Freeston, Jane" sort="Freeston, Jane" uniqKey="Freeston J" first="Jane" last="Freeston">Jane Freeston</name>
</author>
<author>
<name sortKey="Peterfy, Charles G" sort="Peterfy, Charles G" uniqKey="Peterfy C" first="Charles G." last="Peterfy">Charles G. Peterfy</name>
</author>
<author>
<name sortKey="Genant, Harry K" sort="Genant, Harry K" uniqKey="Genant H" first="Harry K." last="Genant">Harry K. Genant</name>
</author>
<author>
<name sortKey="Haavardsholm, Espen A" sort="Haavardsholm, Espen A" uniqKey="Haavardsholm E" first="Espen A." last="Haavardsholm">Espen A. Haavardsholm</name>
</author>
<author>
<name sortKey="Mcqueen, Fiona M" sort="Mcqueen, Fiona M" uniqKey="Mcqueen F" first="Fiona M." last="Mcqueen">Fiona M. Mcqueen</name>
</author>
<author>
<name sortKey="Conaghan, Philip G" sort="Conaghan, Philip G" uniqKey="Conaghan P" first="Philip G." last="Conaghan">Philip G. Conaghan</name>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of rheumatology</title>
<title level="j" type="abbreviated">J. rheumatol.</title>
<idno type="ISSN">0315-162X</idno>
<imprint>
<date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of rheumatology</title>
<title level="j" type="abbreviated">J. rheumatol.</title>
<idno type="ISSN">0315-162X</idno>
</seriesStmt>
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<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cartilage</term>
<term>Chronic</term>
<term>Evaluation scale</term>
<term>Joint space</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Prognosis</term>
<term>Radiography</term>
<term>Rheumatoid arthritis</term>
<term>Rheumatology</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Polyarthrite rhumatoïde</term>
<term>Radiographie</term>
<term>Imagerie RMN</term>
<term>Echelle d'évaluation</term>
<term>Cartilage</term>
<term>Pronostic</term>
<term>Rhumatologie</term>
<term>Chronique</term>
<term>Interligne articulaire</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">Objective. To develop and validate a magnetic resonance imaging (MRI) method of assessment of joint space narrowing (JSN) in rheumatoid arthritis (RA). Methods. Phase A: JSN was scored 0-4 on MR images of 5 RA patients and 3 controls at 15 wrist sites and 2nd-5th metacarpophalangeal (MCP) joints by 8 readers (7 once, one twice), using a preliminary scoring system. Phase B: Image review, discussion, and consensus on JSN definition, and revised scoring system. Phase C: MR images of 15 RA patients and 4 controls were scored using revised system by 5 readers (4 once, one twice), and results compared with radiographs [Sharp-van der Heijde (SvdH) method]. Results. Phase A: Intraobserver agreement: intraclass correlation coefficient (ICC) = 0.99; smallest detectable difference (SDD, for mean of readings) = 2.8 JSN units (4.9% of observed maximal score). Interobserver agreement: ICC = 0.93; SDD = 6.4 JSN units (9.9%). Phase B: Agreement was reached on JSN definition (reduced joint space width compared to normal, as assessed in a slice perpendicular to the joint surface), and revised scoring system (0-4 at 17 wrist sites and 2nd-5th MCP; 0: none; 1: 1-33%; 2: 34-66%; 3: 67-99%; 4: ankylosis). Phase C: Intraobserver agreement: ICC = 0.90; SDD = 6.8 JSN units (11.0%). Interobserver agreement: ICC = 0.92 and SDD = 6.2 JSN units (8.7%). The correlation (ICC) with the SvdH radiographic JSN score of the wrist/hand was 0.77. Simplified approaches evaluating fewer joint spaces demonstrated similar reliability and correlation with radiographic scores. Conclusion. An MRI scoring system of JSN in RA wrist and MCP joints was developed and showed construct validity and good intra- and interreader agreements. The system may, after further validation in longitudinal data sets, be useful as an outcome measure in RA.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<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>Berlin</li>
<li>Californie</li>
<li>Hovedstaden</li>
<li>Nouvelle-Galles du Sud</li>
<li>Île-de-France</li>
<li>Østlandet</li>
</region>
<settlement>
<li>Berlin</li>
<li>Copenhague</li>
<li>Oslo</li>
<li>Paris</li>
<li>San Francisco</li>
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