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Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis: a study from the OMERACT Large Vessel Vasculitis Ultrasound Working Group
S. Chrysidis, C. Duftner, C. Dejaco, VS. Schäfer, S. Ramiro, G. Carrara, CA. Scirè, A. Hocevar, AP. Diamantopoulos, A. Iagnocco, C. Mukhtyar, C. Ponte, E. Naredo, E. De Miguel, GA. Bruyn, KJ. Warrington, L. Terslev, M. Milchert, MA. D'Agostino,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2015
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od 2015
PubMed Central
od 2015
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od 2015
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od 2015-01-01
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od 2015-01-01
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od 2015-01-01
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od 2015-01-01
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od 2015
- Publikační typ
- časopisecké články MeSH
Objectives: To define the elementary ultrasound (US) lesions in giant cell arteritis (GCA) and to evaluate the reliability of the assessment of US lesions according to these definitions in a web-based reliability exercise. Methods: Potential definitions of normal and abnormal US findings of temporal and extracranial large arteries were retrieved by a systematic literature review. As a subsequent step, a structured Delphi exercise was conducted involving an expert panel of the Outcome Measures in Rheumatology (OMERACT) US Large Vessel Vasculitis Group to agree definitions of normal US appearance and key elementary US lesions of vasculitis of temporal and extracranial large arteries. The reliability of these definitions on normal and abnormal blood vessels was tested on 150 still images and videos in a web-based reliability exercise. Results: Twenty-four experts participated in both Delphi rounds. From originally 25 statements, nine definitions were obtained for normal appearance, vasculitis and arteriosclerosis of cranial and extracranial vessels. The 'halo' and 'compression' signs were the key US lesions in GCA. The reliability of the definitions for normal temporal and axillary arteries, the 'halo' sign and the 'compression' sign was excellent with inter-rater agreements of 91-99% and mean kappa values of 0.83-0.98 for both inter-rater and intra-rater reliabilities of all 25 experts. Conclusions: The 'halo' and the 'compression' signs are regarded as the most important US abnormalities for GCA. The inter-rater and intra-rater agreement of the new OMERACT definitions for US lesions in GCA was excellent.
Arcispedale Santa Maria Nuova Reggio Emilia Italy
Asklepios Medical Center Bad Abbach Germany
Copenhagen Center for Arthritis Research Copenhagen Denmark
Department of Rheumatology and Internal Medicine Pomeranian Medical University Szczecin Poland
Department of Rheumatology Hospital of Southwest Jutland Esbjerg Denmark
Department of Rheumatology Norfolk and Norwich University Hospital Norwich UK
Department of Rheumatology University Medical Centre Ljubljana Ljubljana Slovenia
Department of Rheumatology University of California Los Angeles California USA
Diagnostic Centre Region Hospital Silkeborg Silkeborg Denmark
Epidemiology Unit Italian Society for Rheumatology Milan Italy
Hôpital Ambroise Paré Boulogne Billancourt France
Hospital de Santa Maria CHLN Lisbon Academic Medical Centre Lisbon Portugal
Hospital Universitario Fundación Jiménez Díaz Madrid Spain
Leiden University Medical Center Leiden The Netherlands
Martina Hansens Hospital Bærum Oslo Norway
MC Groep Hospitals Lelystad The Netherlands
Medical Centre for Rheumatology Immanuel Krankenhaus Berlin Berlin Germany
Rheumatology Mayo Clinic Rochester Minnesota USA
Southend University Hospital NHS Foundation Trust and Anglia Ruskin University Southend on Sea UK
Citace poskytuje Crossref.org
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