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Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study.
Di Matteo, Andrea; Moscioni, Erica; Lommano, Maria Giovanna; Cipolletta, Edoardo; Smerilli, Gianluca; Farah, Sonia; Airoldi, Carla; Aydin, Sibel Zehra; Becciolini, Andrea; Bonfiglioli, Karina; Carotti, Marina; Carrara, Greta; Cazenave, Tomas; Corradini, Davide; Cosatti, Micaela Ana; de Agustin, Juan Josè; Destro Castaniti, Giulia Maria; Di Carlo, Marco; Di Donato, Eleonora; Di Geso, Luca; Elliott, Ashley; Fodor, Daniela; Francioso, Francesca; Gabba, Alessandra; Hernández-Díaz, Cristina; Horvath, Rudolf; Hurnakova, Jana; Jesus, Diogo; Marin, Josefina; Martire, Maria Victoria; Mashadi Mirza, Riccardo; Massarotti, Marco; Musca, Alice Andreea; Nair, Jagdish; Okano, Tadashi; Papalopoulos, Ioannis; Rosa, Javier; Rosemffet, Marcos; Rovisco, João; Rozza, Davide; Salaffi, Fausto; Scioscia, Crescenzio; Scirè, Carlo Alberto; Tamas, Maria-Magdalena; Tanimura, Shun; Ventura-Rios, Lucio; Villota-Eraso, Catalina; Villota, Orlando; Voulgari, Paraskevi V; Vreju, Florentin Ananu.
Afiliación
  • Di Matteo A; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Moscioni E; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom.
  • Lommano MG; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Cipolletta E; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Smerilli G; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Farah S; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Airoldi C; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Aydin SZ; Hospital Provincial, Rheumatology, Rosario, Argentina.
  • Becciolini A; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
  • Bonfiglioli K; Internal Medicine and Rheumatology Unit, Department of Medicine, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
  • Carotti M; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
  • Carrara G; Department of Radiology, Ospedali Riuniti, Università Politecnica delle Marche, Ancona, Italy.
  • Cazenave T; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy.
  • Corradini D; Rheumatology Unit, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina.
  • Cosatti MA; Rheumatology Unit, University Clinic AOU Cagliari, Monserrato, CA, Italy.
  • de Agustin JJ; CEMIC, Centro de Educación Médica e Investigaciones Médicas "Norberto Quirno", Buenos Aires, Argentina.
  • Destro Castaniti GM; Rheumatology Unit, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
  • Di Carlo M; Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Rheumatology Section, University of Palermo, Palermo, Italy.
  • Di Donato E; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Di Geso L; Internal Medicine and Rheumatology Unit, Department of Medicine, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
  • Elliott A; Department of Internal Medicine, Ospedale Madonna del Soccorso, San Benedetto del Tronto, Marche, Italy.
  • Fodor D; Centre for Experimental Medicine, Queen's University Belfast, Belfast, United Kingdom.
  • Francioso F; 2nd Department of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  • Gabba A; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Hernández-Díaz C; Local Health Unit (ASL), Samugheo, OR, Italy.
  • Horvath R; Local Health Unit (ASL), Orosei, NU, Italy.
  • Hurnakova J; División de Reumatología, Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", Mexico City, Mexico.
  • Jesus D; Department of Paediatric and Adult Rheumatology, University Hospital Motol, Prague, Czechia.
  • Marin J; Department of Paediatric and Adult Rheumatology, University Hospital Motol, Prague, Czechia.
  • Martire MV; Department of Rheumatology, Centro Hospitalar de Leiria, Leiria, Portugal.
  • Mashadi Mirza R; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
  • Massarotti M; San Roque Hospital, La Plata, Argentina.
  • Musca AA; Department of Radiology, A. O. Ospedali Riuniti Marche Nord, Pesaro, Italy.
  • Nair J; Department of Rheumatology, University Hospitals Dorset NHS Foundation Trust, Christchurch Hospital, Christchurch, United Kingdom.
  • Okano T; Department of Rheumatology, Colentina Clinical Hospital, Bucharest, Romania.
  • Papalopoulos I; Department of Rheumatology, Liverpool University Hospitals Foundation Trust, Liverpool, United Kingdom.
  • Rosa J; Department of Orthopedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
  • Rosemffet M; Department of Rheumatology, Clinical Immunology and Allergy, University Hospital of Heraklion, Heraklion, Greece.
  • Rovisco J; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
  • Rozza D; Rheumatology Unit, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina.
  • Salaffi F; Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
  • Scioscia C; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy.
  • Scirè CA; Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Polytechnic University of Marche, Ancona, Italy.
  • Tamas MM; Rheumatology Unit, Department of Emergency and Organ Transplants (DETO), University of Bari, Bari, Italy.
  • Tanimura S; Epidemiology Unit, Italian Society of Rheumatology, Milan, Italy.
  • Ventura-Rios L; Department of Rheumatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  • Villota-Eraso C; Department of Rheumatology, Hokkaido Medical Center for Rheumatic Diseases, Sapporo, Japan.
  • Villota O; División de Reumatología, Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", Mexico City, Mexico.
  • Voulgari PV; IPS Servicio Integral de Reumatología e Inmunología Doctor Orlando Villota, Pasto, Colombia.
  • Vreju FA; Division of Rheumatology, Fundación Hospital San Pedro, Pasto, Colombia.
Front Med (Lausanne) ; 9: 1090468, 2022.
Article en En | MEDLINE | ID: mdl-36733934
ABSTRACT

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.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Risk_factors_studies Idioma: En Revista: Front Med (Lausanne) Año: 2022 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Risk_factors_studies Idioma: En Revista: Front Med (Lausanne) Año: 2022 Tipo del documento: Article País de afiliación: Italia