Validity, reproducibility, and responsiveness of a twelve‐joint simplified power doppler ultrasonographic assessment of joint inflammation in rheumatoid arthritis

Naredo, Esperanza; Rodríguez, M. Vázquez; Campos, C.; Rodríguez-Heredia, José Manuel; Medina, Julio A.; Giner, Emilio; Martínez, Olga; Toyos, Francisco Javier; Ruíz, Teresa; Ros, Inmaculada; Pujol, Manuel; Miquel, Xavier; García, L Colao; Aznar, J.J.; Chamizo, E.; Páez, Manuel; Morales, P.; Rueda, A.; Tuneu, Roser; Corominas, Hèctor; Agustín, Juan José de; Moragues, C.; Mínguez, Dolores; Willisch, Alfredo; Cruz, María Isabel González; Aragón, Angel; Iglesias, Gerardo; Armas, Carlos Alberto Gato; valdazo, Juan Pablo; Vargas, Carmen Regla; Calvo‐Alén, Jaime; Juan-Mas, Antonio; Salvador, Georgina; Puigdollers, Angels; Galíndez, E.; Garrido, Noemí; Salaberri, José; Raya, Enrique; Sallés, Meritxell; Díaz, César; Cuadra, José luis; Garrido, Jesús

doi:10.1002/art.23529

Cited by 272 publications

(216 citation statements)

References 39 publications

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“…Two reduced joint counts seemed to present good validity issues: the 12-joint count proposed by Naredo, et al 26 and the 7-joint count by Backhaus, et al 25 .…”

Section: Journal Of Rheumatologymentioning

confidence: 99%

“…Of 3004 studies identified initially, 14 articles were selected to be included in the review 8,9,14,25,26,27,28,29,30,31,32,33,34,35 . Table 1 shows the study design characteristics of the studies.…”

Section: Journal Of Rheumatologymentioning

confidence: 99%

“…The on October 31, 2016 -Published by www.jrheum.org Downloaded from based on suggested frequency of involvement 25 , feasibility 8 , or representative value of target joints 9 , or were developed in a logistic regression model 26 . Two reduced joint counts seemed to present good validity issues: the 12-joint count proposed by Naredo, et al 26 and the 7-joint count by Backhaus, et al 25 .…”

Section: Journal Of Rheumatologymentioning

confidence: 99%

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A Systematic Literature Review Analysis of Ultrasound Joint Count and Scoring Systems to Assess Synovitis in Rheumatoid Arthritis According to the OMERACT Filter

Mandl

Naredo²,

Wakefield³

et al. 2011

J Rheumatol

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Objective. The OMERACT Ultrasound Task Force is currently developing a global synovitis score (GLOSS) with the objective of feasibly measuring global disease activity in patients with rheumatoid arthritis (RA). In order to determine the minimal number of joints to be included in such a scoring system, and to analyze the metric properties of proposed global (i.e., patient level) ultrasound (US) scoring systems of synovitis in RA, a systematic analysis of the literature was performed. Methods. A systematic literature search of Pubmecl and Embase was performed (January 1, 1984, to March 31, 2010). Original research reports written in English including RA, ultrasound, Doppler, and scoring systems were included. The design, subjects, methods, imaging protocols, and performance characteristics studied were analyzed, as well as the ultrasound definition of synovitis. Results. Of 3004 reports identified, 14 articles were included in the review. We found a lack of clear definition of synovitis as well as varying validity data with respect to the proposed scores. Scoring systems included a wide range and number of joints. All analyzed studies assessed construct validity and responsiveness by using clinical examination, laboratory findings, and other imaging modalities as comparators. Both construct validity and responsiveness varied according to the number and size of joints examined and according to the component of synovitis measured [i.e., gray-scale (GS) or power Doppler (PD) alone or in combination]. With regard to feasibility, time of evaluation varied from 15 to 60 min and increased with the number of joints involved in the examination. Conclusions. Ultrasound can be regarded as a valuable tool for globally examining the extent of synovitis in RA. However, it is presently difficult to determine a minimal number of joints to be included in a global ultrasound score. Further validation of proposed scores is needed. (J Rheumatol 2011; 38:2055-62; doi:10.3899/jrheum.110424

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“…Two reduced joint counts seemed to present good validity issues: the 12-joint count proposed by Naredo, et al 26 and the 7-joint count by Backhaus, et al 25 .…”

Section: Journal Of Rheumatologymentioning

confidence: 99%

Section: Journal Of Rheumatologymentioning

confidence: 99%

Section: Journal Of Rheumatologymentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Literature Review Analysis of Ultrasound Joint Count and Scoring Systems to Assess Synovitis in Rheumatoid Arthritis According to the OMERACT Filter

Mandl

Naredo²,

Wakefield³

et al. 2011

J Rheumatol

Self Cite

186

110

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“…The existing methods include (a) a pre-specified 7-joint count [6] and (b) a 12-joint count derived from an ultrasound data reduction method [7].…”

Section: Novel and Existing Methodsmentioning

confidence: 99%

Dichotomous versus semi-quantitative scoring of ultrasound joint inflammation in rheumatoid arthritis using novel individualized joint selection methods

et al. 2016

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ObjectiveThe aim of the study is to compare the responsiveness of two joint inflammation scoring systems (dichotomous scoring (DS) versus semi-quantitative scoring (SQS)) using novel individualized ultrasound joint selection methods and existing ultrasound joint selection methods. MethodsResponsiveness measured by the standardized response means (SRMs) using the DS and the SQS system (for both the novel and existing ultrasound joint selection methods) were derived using the baseline and the 3 months total inflammatory scores from 20 rheumatoid arthritis patients. The relative SRM gain ratios (SRM-Gains) for both scoring system (DS and SQS) comparing the novel to the existing methods were computed. ResultsBoth scoring systems (DS and SQS) demonstrated substantial SRM-Gains (ranged from 3.31 to 5.67 for the DS system and ranged from 1.82 to 3.26 for the SQS system). The SRMs using the novel methods ranged from 0.94 to 1.36 for the DS system and ranged from 0.89 to 1.11 for the SQS system. The SRMs using the existing methods ranged from 0.24 to 0.32 for the DS system and ranged from 0.34 to 0.49 for the SQS system. ConclusionsThe DS system appears to achieve high responsiveness comparable to SQS for the novel individualized ultrasound joint selection methods.

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“…The US examination consisted in a systematic longitudinal and transverse scanning of the synovial sheath-covered area of the tendons following a standardized scanning protocol [21,22]. To scan the TAT, the foot was positioned at rest over its plantar aspect and supported by a towel.…”

Section: Us Assessmentmentioning

confidence: 99%

How does a cadaver model work for testing ultrasound diagnostic capability for rheumatic-like tendon damage?

et al. 2016

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(1); or complete tear (2). All 20 tendons were blindly and independently evaluated twice, over two rounds, by each of the three observers. Overall, technical performance was satisfactory for all items in the two rounds (all values over 2.9 in a Likert scale 1-5). Intraobserver and interobserver agreement for US grading of tendon damage was good (mean κ values 0.62 and 0.71, respectively), with greater reliability found in the TAT than the TPT. Concordance between US findings and experimental tendon lesions was acceptable (70-100 %), again greater for the TAT than for the TPT. A cadaver model with surgically created tendon damage can be useful in evaluating US metric properties of RA tendon lesions Keywords Tendon tear · Tendon damage · Ultrasound · Cadaver · Specimen Abstract To establish whether a cadaver model can serve as an effective surrogate for the detection of tendon damage characteristic of rheumatoid arthritis (RA). In addition, we evaluated intraobserver and interobserver agreement in the grading of RA-like tendon tears shown by US, as well as the concordance between the US findings and the surgically induced lesions in the cadaver model. RA-like tendon damage was surgically induced in the tibialis anterior tendon (TAT) and tibialis posterior tendon (TPT) of ten ankle/ foot fresh-frozen cadaveric specimens. Of the 20 tendons examined, six were randomly assigned a surgically induced partial tear; six a complete tear; and eight left undamaged. Three rheumatologists, experts in musculoskeletal US, assessed from 1 to 5 the quality of US imaging of the cadaveric models on a Likert scale. Tendons were then categorized as having either no damage, (0); partial tear, Electronic supplementary material The online version of this article

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Validity, reproducibility, and responsiveness of a twelve‐joint simplified power doppler ultrasonographic assessment of joint inflammation in rheumatoid arthritis

Cited by 272 publications

References 39 publications

A Systematic Literature Review Analysis of Ultrasound Joint Count and Scoring Systems to Assess Synovitis in Rheumatoid Arthritis According to the OMERACT Filter

A Systematic Literature Review Analysis of Ultrasound Joint Count and Scoring Systems to Assess Synovitis in Rheumatoid Arthritis According to the OMERACT Filter

Dichotomous versus semi-quantitative scoring of ultrasound joint inflammation in rheumatoid arthritis using novel individualized joint selection methods

How does a cadaver model work for testing ultrasound diagnostic capability for rheumatic-like tendon damage?

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