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Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study
A. Di Matteo, E. Moscioni, MG. Lommano, E. Cipolletta, G. Smerilli, S. Farah, C. Airoldi, SZ. Aydin, A. Becciolini, K. Bonfiglioli, M. Carotti, G. Carrara, T. Cazenave, D. Corradini, MA. Cosatti, JJ. de Agustin, GM. Destro Castaniti, M. Di Carlo,...
Status neindexováno Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2014
Free Medical Journals
od 2014
PubMed Central
od 2014
Europe PubMed Central
od 2014
Open Access Digital Library
od 2014-01-01
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od 2014-01-01
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od 2014
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: To investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases. METHODS: Forty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of quadriceps muscle in 80 static images and 20 clips from 64 patients with different rheumatic diseases and 8 healthy subjects. Two visual scales were evaluated, a visual semi-quantitative scale (0-3) and a continuous quantitative measurement ("VAS echogenicity," 0-100). The same assessment was repeated to calculate intra-observer reliability. US muscle echogenicity was also calculated by an independent research assistant using a software for the analysis of scientific images (ImageJ). Inter and intra reliabilities were assessed by means of prevalence-adjusted bias-adjusted Kappa (PABAK), intraclass correlation coefficient (ICC) and correlations through Kendall's Tau and Pearson's Rho coefficients. RESULTS: The semi-quantitative scale showed a moderate inter-reliability [PABAK = 0.58 (0.57-0.59)] and a substantial intra-reliability [PABAK = 0.71 (0.68-0.73)]. The lowest inter and intra-reliability results were obtained for the intermediate grades (i.e., grade 1 and 2) of the semi-quantitative scale. "VAS echogenicity" showed a high reliability both in the inter-observer [ICC = 0.80 (0.75-0.85)] and intra-observer [ICC = 0.88 (0.88-0.89)] evaluations. A substantial association was found between the participants assessment of the semi-quantitative scale and "VAS echogenicity" [ICC = 0.52 (0.50-0.54)]. The correlation between these two visual scales and ImageJ analysis was high (tau = 0.76 and rho = 0.89, respectively). CONCLUSION: The results of this large, multicenter study highlighted the overall good inter and intra-reliability of the US assessment of muscle echogenicity in patients with different rheumatic diseases.
CEMIC Centro de Educación Médica e Investigaciones Médicas Norberto Quirno Buenos Aires Argentina
Centre for Experimental Medicine Queen's University Belfast Belfast United Kingdom
Department of Internal Medicine Ospedale Madonna del Soccorso San Benedetto del Tronto Marche Italy
Department of Paediatric and Adult Rheumatology University Hospital Motol Prague Czechia
Department of Radiology A O Ospedali Riuniti Marche Nord Pesaro Italy
Department of Radiology Ospedali Riuniti Università Politecnica delle Marche Ancona Italy
Department of Rheumatology Centro Hospitalar de Leiria Leiria Portugal
Department of Rheumatology Centro Hospitalar e Universitário de Coimbra Coimbra Portugal
Department of Rheumatology Colentina Clinical Hospital Bucharest Romania
Department of Rheumatology Hokkaido Medical Center for Rheumatic Diseases Sapporo Japan
Department of Rheumatology Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca Romania
Department of Rheumatology Liverpool University Hospitals Foundation Trust Liverpool United Kingdom
Department of Rheumatology University of Medicine and Pharmacy of Craiova Craiova Romania
Division of Rheumatology Fundación Hospital San Pedro Pasto Colombia
Epidemiology Unit Italian Society of Rheumatology Milan Italy
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo São Paulo SP Brazil
Hospital Italiano de Buenos Aires Buenos Aires Argentina
Hospital Provincial Rheumatology Rosario Argentina
IPS Servicio Integral de Reumatología e Inmunología Doctor Orlando Villota Pasto Colombia
Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds Leeds United Kingdom
Local Health Unit Orosei NU Italy
Local Health Unit Samugheo OR Italy
Ottawa Hospital Research Institute University of Ottawa Ottawa ON Canada
Rheumatology Unit Department of Emergency and Organ Transplants University of Bari Bari Italy
Rheumatology Unit Instituto de Rehabilitación Psicofísica Buenos Aires Argentina
Rheumatology Unit IRCCS Policlinico S Orsola Malpighi Bologna Italy
Rheumatology Unit University Clinic AOU Cagliari Monserrato CA Italy
Citace poskytuje Crossref.org
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- $a Di Matteo, Andrea $u Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy $u Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom
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- $a Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study / $c A. Di Matteo, E. Moscioni, MG. Lommano, E. Cipolletta, G. Smerilli, S. Farah, C. Airoldi, SZ. Aydin, A. Becciolini, K. Bonfiglioli, M. Carotti, G. Carrara, T. Cazenave, D. Corradini, MA. Cosatti, JJ. de Agustin, GM. Destro Castaniti, M. Di Carlo, E. Di Donato, L. Di Geso, A. Elliott, D. Fodor, F. Francioso, A. Gabba, C. Hernández-Díaz, R. Horvath, J. Hurnakova, D. Jesus, J. Marin, MV. Martire, R. Mashadi Mirza, M. Massarotti, AA. Musca, J. Nair, T. Okano, I. Papalopoulos, J. Rosa, M. Rosemffet, J. Rovisco, D. Rozza, F. Salaffi, C. Scioscia, CA. Scirè, MM. Tamas, S. Tanimura, L. Ventura-Rios, C. Villota-Eraso, O. Villota, PV. Voulgari, FA. Vreju, G. Vukatana, JZ. Hereter, A. Zanetti, W. Grassi, E. Filippucci
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- $a OBJECTIVES: To investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases. METHODS: Forty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of quadriceps muscle in 80 static images and 20 clips from 64 patients with different rheumatic diseases and 8 healthy subjects. Two visual scales were evaluated, a visual semi-quantitative scale (0-3) and a continuous quantitative measurement ("VAS echogenicity," 0-100). The same assessment was repeated to calculate intra-observer reliability. US muscle echogenicity was also calculated by an independent research assistant using a software for the analysis of scientific images (ImageJ). Inter and intra reliabilities were assessed by means of prevalence-adjusted bias-adjusted Kappa (PABAK), intraclass correlation coefficient (ICC) and correlations through Kendall's Tau and Pearson's Rho coefficients. RESULTS: The semi-quantitative scale showed a moderate inter-reliability [PABAK = 0.58 (0.57-0.59)] and a substantial intra-reliability [PABAK = 0.71 (0.68-0.73)]. The lowest inter and intra-reliability results were obtained for the intermediate grades (i.e., grade 1 and 2) of the semi-quantitative scale. "VAS echogenicity" showed a high reliability both in the inter-observer [ICC = 0.80 (0.75-0.85)] and intra-observer [ICC = 0.88 (0.88-0.89)] evaluations. A substantial association was found between the participants assessment of the semi-quantitative scale and "VAS echogenicity" [ICC = 0.52 (0.50-0.54)]. The correlation between these two visual scales and ImageJ analysis was high (tau = 0.76 and rho = 0.89, respectively). CONCLUSION: The results of this large, multicenter study highlighted the overall good inter and intra-reliability of the US assessment of muscle echogenicity in patients with different rheumatic diseases.
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