TY - JOUR
T1 - The OMERACT MRI in Enthesitis Initiative
T2 - Definitions of Key Pathologies, Suggested MRI Sequences, and a Novel Heel Enthesitis Scoring System
AU - Mathew, Ashish J
AU - Krabbe, Simon
AU - Eshed, Iris
AU - Gandjbakhch, Frédérique
AU - Bird, Paul
AU - Pedersen, Susanne Juhl
AU - Stoenoiu, Maria S
AU - Foltz, Violaine
AU - Glinatsi, Daniel Erik
AU - Lambert, Robert G
AU - Hermann, Kay Geert A
AU - Maksymowych, Walter P
AU - Haugen, Ida K
AU - Jaremko, Jacob L
AU - Poggenborg, René Panduro
AU - Paschke, Joel
AU - Laredo, Jean-Denis
AU - Carron, Philippe
AU - Conaghan, Philip G
AU - Østergaard, Mikkel
N1 - COPECARE
PY - 2019/9
Y1 - 2019/9
N2 - OBJECTIVE: To develop and validate an enthesitis magnetic resonance imaging (MRI) scoring system for spondyloarthritis/psoriatic arthritis, using the heel as model.METHODS: Consensus definitions of key pathologies and 3 heel enthesitis multireader scoring exercises were done, separated by discussion, training, and calibration.RESULTS: Definitions for bone and soft tissue pathologies were agreed. In the final exercise, median pairwise single-measures intraclass correlation coefficients (ICC; patient-level) for entheseal inflammation status/change scores were 0.83/0.82 for all readers. For radiologists and selected rheumatologists, ICC were 0.91/0.84 and quadratic-weighted κ (lesion-level) 0.57-0.91/0.45-0.81.CONCLUSION: The proposed definitions and Heel Enthesitis Scoring System (HEMRIS) are reliable among trained readers and promising for clinical trials.
AB - OBJECTIVE: To develop and validate an enthesitis magnetic resonance imaging (MRI) scoring system for spondyloarthritis/psoriatic arthritis, using the heel as model.METHODS: Consensus definitions of key pathologies and 3 heel enthesitis multireader scoring exercises were done, separated by discussion, training, and calibration.RESULTS: Definitions for bone and soft tissue pathologies were agreed. In the final exercise, median pairwise single-measures intraclass correlation coefficients (ICC; patient-level) for entheseal inflammation status/change scores were 0.83/0.82 for all readers. For radiologists and selected rheumatologists, ICC were 0.91/0.84 and quadratic-weighted κ (lesion-level) 0.57-0.91/0.45-0.81.CONCLUSION: The proposed definitions and Heel Enthesitis Scoring System (HEMRIS) are reliable among trained readers and promising for clinical trials.
U2 - 10.3899/jrheum.181093
DO - 10.3899/jrheum.181093
M3 - Journal article
C2 - 30709961
SN - 0315-162X
VL - 46
SP - 1232
EP - 1238
JO - Journal of Rheumatology
JF - Journal of Rheumatology
IS - 9
ER -