The OMERACT MRI in enthesitis initiative: Definitions of key pathologies, suggested MRI sequences, and a novel heel enthesitis scoring system

Ashish J. Mathew, Simon Krabbe, Iris Eshed, Frédérique Gandjbakhch, Paul Bird, Susanne J. Pedersen, Maria S. Stoenoiu, Violaine Foltz, Daniel Glinatsi, Robert G. Lambert, Kay Geert A. Hermann, Walter P. Maksymowych, Ida K. Haugen, Jacob L. Jaremko, René P. Poggenborg, Joel Paschke, Jean Denis Laredo, Philippe Carron, Philip G. Conaghan, Mikkel Østergaard*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftReviewpeer review

48 Citationer (Scopus)
12 Downloads (Pure)

Abstract

Objective. To develop and validate an enthesitis magnetic resonance imaging (MRI) scoring system for spondyloarthritis/psoriatic arthritis, using the heel as model. Methods. Consensus definitions of key pathologies and 3 heel enthesitis multireader scoring exercises were done, separated by discussion, training, and calibration. Results. Definitions for bone and soft tissue pathologies were agreed. In the final exercise, median pairwise single-measures intraclass correlation coefficients (ICC; patient-level) for entheseal inflammation status/change scores were 0.83/0.82 for all readers. For radiologists and selected rheumatologists, ICC were 0.91/0.84 and quadratic-weighted κ (lesion-level) 0.57-0.91/0.45-0.81. Conclusion. The proposed definitions and Heel Enthesitis Scoring System (HEMRIS) are reliable among trained readers and promising for clinical trials.

OriginalsprogEngelsk
TidsskriftJournal of Rheumatology
Vol/bind46
Udgave nummer9
Sider (fra-til)1232-1238
Antal sider7
ISSN0315-162X
DOI
StatusUdgivet - 2019

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