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OMERACT definition and reliability assessment of chronic ultrasound lesions of the axillary artery in giant cell arteritis
VS. Schäfer, S. Chrysidis, WA. Schmidt, C. Duftner, A. Iagnocco, GA. Bruyn, G. Carrara, E. De Miguel, AP. Diamantopoulos, BD. Nielsen, U. Fredberg, W. Hartung, P. Hanova, IT. Hansen, A. Hocevar, A. Juche, TA. Kermani, T. Lorenzen, P. Macchioni,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
- MeSH
- arteria axillaris diagnostické zobrazování MeSH
- lidé MeSH
- obrovskobuněčná arteritida * diagnostické zobrazování MeSH
- reprodukovatelnost výsledků MeSH
- revmatologie * MeSH
- ultrasonografie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: To define chronic ultrasound lesions of the axillary artery (AA) in long-standing giant cell arteritis (GCA) and to evaluate the reliability of the new ultrasound definition in a web-based exercise. METHODS: A structured Delphi, involving an expert panel of the Large Vessel Vasculitis subgroup of the Outcome Measures in Rheumatology (OMERACT) Ultrasound Working Group was carried out. The reliability of the new definition was tested in a 2-round web-based exercise involving 23 experts and using 50 still images each from AA of long-standing and acute GCA patients, as well as 50 images from healthy individuals. RESULTS: The final OMERACT ultrasound definition of chronic changes was based on measurement and appearance of the intima-media complex. The overall reliability of the new definition for chronic ultrasound changes in longstanding GCA of the AA was good to excellent with Light's kappa values of 0.79-0.80 for inter-reader reliability and mean Light's-kappa of 0.88 for intra-reader reliability. The mean inter-rater and intra-rater agreements were 86-87% and 92%, respectively. Good reliabilities were observed comparing the vessels with longstanding versus acute GCA with a mean agreement and kappa values of 81% and 0.63, respectively. CONCLUSION: The new OMERACT ultrasound definition for chronic vasculitis of the AA in GCA revealed a good to excellent inter- and intra-reader reliability in a web-based exercise of experts.
Academic Rheumatology Centre Università degli Studi di Torino Turin Italy
Austria and Department of Rheumatology Hospital of Bruneck Bruneck Italy
Copenhagen University Hospital at Hvidovre Hvidovre Denmark
David Geffen School of Medicine California USA
Department of Clinical Medicine University of Copenhagen Copenhagen Denmark
Department of Internal Medicine 6 Medical University Innsbruck Innsbruck Austria
Department of Rheumatology Aarhus University Hospital Aarhus Denmark
Department of Rheumatology and Clinical Immunology Asklepios Medical Center 93077 Bad Abbach Germany
Department of Rheumatology and Immunology University of Bern Inselspital Switzerland
Department of Rheumatology Esbjerg Hospital Esbjerg Denmark
Department of Rheumatology Institute of Rheumatology Prague Czech Republic
Department of Rheumatology Martina Hansens Hospital Bïrum Oslo Norway
Department of Rheumatology MC Hospital Group Lelystad The Netherlands
Department of Rheumatology Medical University of Graz Graz
Department of Rheumatology Norfolk and Norwich University Hospital Norwich UK
Department of Rheumatology Odense University Hospital Odense Denmark
Department of Rheumatology Silkeborg Hospital Silkeborg Denmark
Department of Rheumatology University Medical Centre Ljubljana
Diagnostic Centre Silkeborg Regional Hospital Silkeborg Denmark
Division of Rheumatology University of California Los Angeles
Epidemiology Research Unit Italian Society for Rheumatology Milano Italy
Immanuel Krankenhaus Berlin Medical Centre for Rheumatology Berlin Buch Berlin Germany
Rheumatology Fondazione IRCCS Policlinico San Matteo University of Pavia Pavia Italy
Rheumatology La Paz University Hospital Madrid Spain
Rheumatology Southend University Hospital NHS Foundation Trust Essex UK
Slovenian Faculty of Medicine University of Ljubljana Ljubljana Slovenia
Società Italiana di Reumatologia Unità Epidemiologica Milan Italy
Citace poskytuje Crossref.org
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- $a Schäfer, Valentin Sebastian $u Clinic for Internal Medicine III, Department of Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Germany. Electronic address: valentin.s.schaefer@hotmail.de
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- $a OBJECTIVES: To define chronic ultrasound lesions of the axillary artery (AA) in long-standing giant cell arteritis (GCA) and to evaluate the reliability of the new ultrasound definition in a web-based exercise. METHODS: A structured Delphi, involving an expert panel of the Large Vessel Vasculitis subgroup of the Outcome Measures in Rheumatology (OMERACT) Ultrasound Working Group was carried out. The reliability of the new definition was tested in a 2-round web-based exercise involving 23 experts and using 50 still images each from AA of long-standing and acute GCA patients, as well as 50 images from healthy individuals. RESULTS: The final OMERACT ultrasound definition of chronic changes was based on measurement and appearance of the intima-media complex. The overall reliability of the new definition for chronic ultrasound changes in longstanding GCA of the AA was good to excellent with Light's kappa values of 0.79-0.80 for inter-reader reliability and mean Light's-kappa of 0.88 for intra-reader reliability. The mean inter-rater and intra-rater agreements were 86-87% and 92%, respectively. Good reliabilities were observed comparing the vessels with longstanding versus acute GCA with a mean agreement and kappa values of 81% and 0.63, respectively. CONCLUSION: The new OMERACT ultrasound definition for chronic vasculitis of the AA in GCA revealed a good to excellent inter- and intra-reader reliability in a web-based exercise of experts.
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