The OMERACT Ultrasound Task Force — Advances and Priorities

D'Agostino, Maria Antonietta; Conaghan, Philip G.; Naredo, Esperanza; Aegerter, Philippe; Iagnocco, Annamaria; Freeston, Jane; Filippucci, Emilio; Möller, Ingrid; Pineda, Carlos; Joshua, Fredrick; Backhaus, Marina; Keen, Helen; Kaeley, Gurjeet; Zisweiler, Hans Rudolf; Schmidt, Wolfgang A.; Bálint, Péter; Bruyn, G. A. W.; Jousse‐Joulin, Sandrine; Kane, David; Szkudlarek, Marcin; Terslev, Lene; Wakefield, Richard J.

doi:10.3899/jrheum.090354

Cited by 68 publications

(31 citation statements)

References 8 publications

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“…Results confirmed that a consensus scoring system of synovitis based on consensus definitions, combined with a standardized acquisition protocol, provided good intra-and inter-reliability 21,22 . In order to be able to make assumptions on global disease activity, it is necessary to move from the level of single joints to the level of the patient as a global entity.…”

Section: Journal Of Rheumatologysupporting

confidence: 60%

“…Our Task Force has worked towards the development of a reliable standardized scoring system for synovitis in RA that is applicable to all joints and is consistent between machines, and which combines GS and PD in a semiquantitative 0-3 scale 21,22 . Results confirmed that a consensus scoring system of synovitis based on consensus definitions, combined with a standardized acquisition protocol, provided good intra-and inter-reliability 21,22 .…”

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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184

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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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Section: Journal Of Rheumatologysupporting

confidence: 60%

Section: Journal Of Rheumatologymentioning

confidence: 99%

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

184

110

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“…Results confirmed that the OMERACT ultrasound definitions and scoring system of synovitis combined with a standardized acquisition protocol provided good intra-and interobserver reliability. This work was presented at OMERACT 8 9 .…”

Section: Journal Of Rheumatologymentioning

confidence: 99%

The OMERACT Ultrasound Task Force — Status and Perspectives

Naredo¹,

Wakefield²,

Iagnocco³

et al. 2011

J Rheumatol

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103

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This article reports the most recent work of the Outcome Measures in Rheumatology (OMERACT) Ultrasound Task Force, and highlights the future research priorities discussed at the OMERACT 10 meeting. Results of the following studies were presented: (1) intra- and interobserver reliability of ultrasound detecting and scoring synovitis in different joints of patients with rheumatoid arthritis (RA); (2) systematic review of previous ultrasound scoring systems of synovitis in RA; (3) enthesitis systematic review and Delphi definition exercise in spondyloarthritis enthesitis; (4) enthesitis intra- and interobserver reliability exercise; and (5) Delphi definition exercise in hand osteoarthritis, and reliability exercises. Study conclusions were discussed, and a future research agenda was approved, notably further validation of an OMERACT ultrasound global synovitis score (GLOSS) in RA, emphasizing the importance of testing feasibility, predictive value, and added value over standard clinical variables. Future research areas will include validating scoring systems for enthesitis and osteoarthritis, and testing the metric qualities of ultrasound for evaluating tenosynovitis and structural damage in RA.

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“…Over the last decade, the OMERACT MSUS group has assessed the metric properties of US in detecting and scoring potential endpoint in rheumatic diseases for clinical trials and practice [24][25][26][27][28]. The group has worked on validation of US-detected and graded tendon damage in RA [19,20], which is an essential component of the structural damage in this disease [19,20].…”

Section: Discussionmentioning

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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The OMERACT Ultrasound Task Force — Advances and Priorities

Cited by 68 publications

References 8 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

The OMERACT Ultrasound Task Force — Status and Perspectives

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

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