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Quantitative determination of the diagnostic accuracy of the synovitis score and its components

Identifieur interne : 000B07 ( Istex/Corpus ); précédent : 000B06; suivant : 000B08

Quantitative determination of the diagnostic accuracy of the synovitis score and its components

Auteurs : Elisabeth Slansky ; Jialiang Li ; Thomas H Upl ; Lars Morawietz ; Veit Krenn ; Frank Pessler

Source :

RBID : ISTEX:553D6B5A3C6FE12706F58F81E88ACF989200BBBE

English descriptors

Abstract

Slansky E, Li J, Häupl T, Morawietz L, Krenn V & Pessler F
(2010) Histopathology 57, 436–443
Quantitative determination of the diagnostic accuracy of the synovitis score and its components

Url:
DOI: 10.1111/j.1365-2559.2010.03641.x

Links to Exploration step

ISTEX:553D6B5A3C6FE12706F58F81E88ACF989200BBBE

Le document en format XML

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(2010) Histopathology 57, 436–443
Quantitative determination of the diagnostic accuracy of the synovitis score and its components</p>
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<p>Aims:  To assess the diagnostic accuracy of a three‐component synovitis score and to determine the relative contribution of each of its components to its overall discriminatory power.</p>
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<p>Methods and results:  The synovitis score was determined in 666 synovial specimens: normal synovium, n = 33; post‐traumatic arthropathy (PtA), n = 29; osteoarthritis (OA), n = 221; psoriatic arthritis (PsA), n = 42; and rheumatoid arthritis (RA), n = 341. The discriminatory abilities of the score and its components were quantified with binary and multicategory receiver operating characteristic (ROC) analysis. The score differentiated all arthropathies accurately from normal tissue (area under the ROC curve, AUC: 0.87–0.98) and RA from OA or PtA (AUC: 0.85 for both), but could not distinguish well within pairs of inflammatory or degenerative arthropathies. AUCs of the intimal hyperplasia and stromal cellularity components correlated with the AUCs of the complete score markedly more strongly (r = 0.94 and 0.91, respectively) than the inflammatory infiltration component (r = 0.60). Multicategory ROC analysis ranked the score several‐fold higher than any of its components, and the components in the order stromal cellularity>intimal hyperplasia>infiltration.</p>
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(2010)
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<b>Quantitative determination of the diagnostic accuracy of the synovitis score and its components</b>
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<b>Aims: </b>
To assess the diagnostic accuracy of a three‐component synovitis score and to determine the relative contribution of each of its components to its overall discriminatory power.</p>
<p>
<b>Methods and results: </b>
The synovitis score was determined in 666 synovial specimens: normal synovium,
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 = 29; osteoarthritis (OA),
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<i>n</i>
 = 42; and rheumatoid arthritis (RA),
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Combining three distinct histological parameters into a three‐component score produces greatly increased overall diagnostic power. The discriminatory ability of the score stems more from measuring proliferative than infiltrative aspects of synovitis.</p>
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<abstract>Slansky E, Li J, Häupl T, Morawietz L, Krenn V & Pessler F
(2010) Histopathology 57, 436–443
Quantitative determination of the diagnostic accuracy of the synovitis score and its components</abstract>
<abstract>Aims:  To assess the diagnostic accuracy of a three‐component synovitis score and to determine the relative contribution of each of its components to its overall discriminatory power.</abstract>
<abstract>Methods and results:  The synovitis score was determined in 666 synovial specimens: normal synovium, n = 33; post‐traumatic arthropathy (PtA), n = 29; osteoarthritis (OA), n = 221; psoriatic arthritis (PsA), n = 42; and rheumatoid arthritis (RA), n = 341. The discriminatory abilities of the score and its components were quantified with binary and multicategory receiver operating characteristic (ROC) analysis. The score differentiated all arthropathies accurately from normal tissue (area under the ROC curve, AUC: 0.87–0.98) and RA from OA or PtA (AUC: 0.85 for both), but could not distinguish well within pairs of inflammatory or degenerative arthropathies. AUCs of the intimal hyperplasia and stromal cellularity components correlated with the AUCs of the complete score markedly more strongly (r = 0.94 and 0.91, respectively) than the inflammatory infiltration component (r = 0.60). Multicategory ROC analysis ranked the score several‐fold higher than any of its components, and the components in the order stromal cellularity>intimal hyperplasia>infiltration.</abstract>
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