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Development of a new ultrasound scoring system to evaluate glandular inflammation in Sjögren's syndrome: an OMERACT reliability exercise
A. Hočevar, GA. Bruyn, L. Terslev, JJ. De Agustin, D. MacCarter, S. Chrysidis, P. Collado, C. Dejaco, V. Fana, G. Filippou, S. Finzel, F. Gandjbakhch, P. Hanova, D. Hammenfors, C. Hernandez-Diaz, A. Iagnocco, MA. Mortada, N. Inanc, E. Naredo, S....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 1996 do Před 1 rokem
Open Access Digital Library
od 1996-01-01
Medline Complete (EBSCOhost)
od 1999-01-01 do Před 1 rokem
- MeSH
- lidé MeSH
- podčelistní slinná žláza diagnostické zobrazování MeSH
- reprodukovatelnost výsledků MeSH
- Sjögrenův syndrom * diagnostické zobrazování patologie MeSH
- slinné žlázy diagnostické zobrazování patologie MeSH
- ultrasonografie metody MeSH
- zánět patologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: The aim of this exercise from the OMERACT Ultrasound subgroup on Sjögren's syndrome was to develop and assess the reliability of a consensus-based semiquantitative colour Doppler US scoring system for pathologic salivary gland vascularization in patients with primary Sjögren's syndrome (pSS). METHODS: Using the Delphi method, a colour Doppler semiquantitative scoring system for vascularization of bilateral parotid and submandibular glands was developed and tested in static images and on patients (9 pSS patients and 9 sonographers). Intra-reader and inter-reader reliability of grading the salivary glands were computed by weighted Cohen and Light's kappa analysis, respectively. RESULTS: The consensus-based semiquantitative score was: grade 0, no visible vascular signals; grade 1, focal, dispersed vascular signals; grade 2, diffuse vascular signals detected in <50% of the gland; grade 3, diffuse vascular signals in >50% of the gland. In static images, the intra- and inter-reader reliability showed excellent kappa values (95% CI) of 0.90 (0.87, 0.93) and 0.80 (0.74, 0.84), respectively, for all four salivary glands together. In patients, the intra- and inter-reader reliability for all four salivary glands together was kappa = 0.84 (0.73, 0.92) and 0.70 (0.64, 0.76), respectively. CONCLUSION: The consensus-based colour Doppler US scoring for the evaluation of salivary gland vascularization in pSS showed a good inter-reader reliability and excellent intra-reader reliability in static images and in patients. The clinical application of the developed scoring system should be tested in clinical settings.
Academic Rheumatology Centre Università degli Studi di Torino Turin Italy
Centre for Rheumatology and Spinal Diseases Rigshospitalet Copenhagen Denmark
Department of Rheumatology Haukeland University Hospital Bergen Norway
Department of Rheumatology Hospital of Bruneck
Department of Rheumatology Hospital of Southwest Jutland Esbjerg Denmark
Department of Rheumatology Hospital Universitari Vall d'Hebron Barcelona Spain
Department of Rheumatology MC Groep Hospitals Lelystad The Netherlands
Department of Rheumatology Medical University Graz Graz Austria
Department of Rheumatology University Hospital of Nancy Nancy France
Department of Rheumatology University Medical Centre Ljubljana Slovenia
Division of Rheumatology Marmara University School of Medicine Istanbul Turkey
Faculty of Electrical Engineering University of Ljubljana Ljubljana Slovenia
Institute of Rheumatology Prague Czech Republic
Medical Centre for Rheumatology Berlin Buch Immanuel Krankenhaus Berlin Berlin Germany
Musculoskeletal Ultrasound Laboratory Instituto Nacional de Rehabilitacion Mexico City Mexico
Paris Saclay University of Versailles Saint Quentin en Yvelines UMRII73
Rheumatology Department Chu de Brest University of Brest INSERM Brest France
Rheumatology Department North Valley Hospital Whitefish MT USA
Rheumatology Department Pitié Salpêtrière Hospital APHP Paris France
Rheumatology Department Royal Perth Hospital Perth WA Australia
Rheumatology Faculty of Medicine Zagazig University Zagazig Egypt
Section of Rheumatology Department of Medical Sciences University of Ferrara Ferrara Italy
Citace poskytuje Crossref.org
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- $a Development of a new ultrasound scoring system to evaluate glandular inflammation in Sjögren's syndrome: an OMERACT reliability exercise / $c A. Hočevar, GA. Bruyn, L. Terslev, JJ. De Agustin, D. MacCarter, S. Chrysidis, P. Collado, C. Dejaco, V. Fana, G. Filippou, S. Finzel, F. Gandjbakhch, P. Hanova, D. Hammenfors, C. Hernandez-Diaz, A. Iagnocco, MA. Mortada, N. Inanc, E. Naredo, S. Ohrndorf, N. Perko, WA. Schmidt, G. Tamborrini, M. Tomšič, I. Chary-Valckenaere, A. Zabotti, HI. Keen, C. Pineda, MA. D'Agostino, S. Jousse-Joulin
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- $a OBJECTIVE: The aim of this exercise from the OMERACT Ultrasound subgroup on Sjögren's syndrome was to develop and assess the reliability of a consensus-based semiquantitative colour Doppler US scoring system for pathologic salivary gland vascularization in patients with primary Sjögren's syndrome (pSS). METHODS: Using the Delphi method, a colour Doppler semiquantitative scoring system for vascularization of bilateral parotid and submandibular glands was developed and tested in static images and on patients (9 pSS patients and 9 sonographers). Intra-reader and inter-reader reliability of grading the salivary glands were computed by weighted Cohen and Light's kappa analysis, respectively. RESULTS: The consensus-based semiquantitative score was: grade 0, no visible vascular signals; grade 1, focal, dispersed vascular signals; grade 2, diffuse vascular signals detected in <50% of the gland; grade 3, diffuse vascular signals in >50% of the gland. In static images, the intra- and inter-reader reliability showed excellent kappa values (95% CI) of 0.90 (0.87, 0.93) and 0.80 (0.74, 0.84), respectively, for all four salivary glands together. In patients, the intra- and inter-reader reliability for all four salivary glands together was kappa = 0.84 (0.73, 0.92) and 0.70 (0.64, 0.76), respectively. CONCLUSION: The consensus-based colour Doppler US scoring for the evaluation of salivary gland vascularization in pSS showed a good inter-reader reliability and excellent intra-reader reliability in static images and in patients. The clinical application of the developed scoring system should be tested in clinical settings.
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