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Ultrasonography Reliability in the Detection of Inflammatory and Structural Abnormalities: An Exercise in Multiple Joints

2021-12-01Journal article Open access
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dc.contributor.authorBrites, Luisa
dc.contributor.authorSantiago, Mariana
dc.contributor.authorRovisco, João
dc.contributor.authorFreitas, João
dc.contributor.authorSilva, José A. P.
dc.contributor.authorSilva, Inês
dc.contributor.authorTeixeira, Filipa
dc.contributor.authorFaria, Daniela S.
dc.contributor.authorSilva, Cândida G.
dc.contributor.authorFalcão, Sandra
dc.date.accessioned2024-01-25T17:32:36Z
dc.date.available2024-01-25T17:32:36Z
dc.date.issued2021-12-01
dc.description.abstractBackground Ultrasonography is an image technique that allows rheumatologists to visualize structural and inflammatory changes within a joint. The objective of this study was to assess the interobserver and intraobserver reliability of musculoskeletal ultrasound (US) in the detection of inflammatory and destructive joint changes in patients with polyarthritis. Methods A Delphi exercise was undertaken to standardize and adapt the EULAR-OMERACT elementary US definitions of inflammatory lesions (effusion, synovial hypertrophy, power Doppler, bone erosions, and synovitis) for each joint. Fifteen patients were analyzed, and video clips of 600 joints were collected. Each joint was scored for the presence of each elementary component, on 2 separate occasions, by 6 examiners. Interobserver and intraobserver agreement analysis was assessed through Fleiss κ coefficient (κ). Results Considering all patients and all joints, the interobserver values were highest for erosions and lowest for effusion (κ = 0.7314 and κ = 0.6044, respectively). When analyzing different regions, the highest interobserver agreement was for tibiotalar joint (κ = 0.8043) and the lowest for wrist (κ = 0.6767). Intraobserver reliability was excellent for each and all elementary components and anatomical region. Conclusions The present study showed either a good or excellent US interobserver and intraobserver reliability in elementary elements and anatomical region. This kind of US reliability exercises are important for standardization of exploration in everyday practice by reducing the variability associated with this imaging technique, and ensuring a greater degree of homogeneity and future comparability in the assessment of disease activity in polyarthritis patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSupplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal’s Web site (www.jclinrheum.com). JCR: Journal of Clinical Rheumatology 27(8):p e367-e370, December 2021. | DOI: 10.1097/RHU.0000000000001440pt_PT
dc.identifier.doihttp://dx.doi.org/10.1097/rhu.0000000000001440pt_PT
dc.identifier.eissn1536-7355
dc.identifier.issn1076-1608
dc.identifier.urihttp://hdl.handle.net/10400.8/9354
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherLippincott, Williams & Wilkinspt_PT
dc.relation.ispartofseries8;
dc.relation.publisherversionhttps://journals.lww.com/jclinrheum/abstract/2021/12000/ultrasonography_reliability_in_the_detection_of.19.aspxpt_PT
dc.subjectDelphi exercisept_PT
dc.subjectReliabilitypt_PT
dc.subjectSynovitispt_PT
dc.subjectUltrasoundpt_PT
dc.titleUltrasonography Reliability in the Detection of Inflammatory and Structural Abnormalities: An Exercise in Multiple Jointspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee370pt_PT
oaire.citation.startPagee367pt_PT
oaire.citation.titleJCR: Journal of Clinical Rheumatologypt_PT
oaire.citation.volume27pt_PT
person.familyNameSilva
person.givenNameCândida
person.identifier.ciencia-idD513-D305-7FD1
person.identifier.orcid0000-0002-7092-1169
person.identifier.scopus-author-id55429869600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationfd13edbb-44ba-42ba-a658-8f7ed862b0b1
relation.isAuthorOfPublication.latestForDiscoveryfd13edbb-44ba-42ba-a658-8f7ed862b0b1

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