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Definition and Reliability Assessment of Elementary Ultrasonographic Findings in Calcium Pyrophosphate Deposition Disease: A Study by the OMERACT Calcium Pyrophosphate Deposition Disease Ultrasound Subtask Force.
Filippou, Georgios; Scirè, Carlo A; Damjanov, Nemanja; Adinolfi, Antonella; Carrara, Greta; Picerno, Valentina; Toscano, Carmela; Bruyn, George A; D'Agostino, Maria Antonietta; Delle Sedie, Andrea; Filippucci, Emilio; Gutierrez, Marwin; Micu, Mihaela; Möller, Ingrid; Naredo, Esperanza; Pineda, Carlos; Porta, Francesco; Schmidt, Wolfgang A; Terslev, Lene; Vlad, Violeta; Zufferey, Pascal; Iagnocco, Annamaria.
Afiliação
  • Filippou G; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Scirè CA; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Damjanov N; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Adinolfi A; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Carrara G; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Picerno V; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Toscano C; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Bruyn GA; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • D'Agostino MA; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Delle Sedie A; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Filippucci E; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Gutierrez M; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Micu M; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Möller I; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Naredo E; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Pineda C; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Porta F; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Schmidt WA; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Terslev L; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Vlad V; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
  • Zufferey P; From the University of Siena, Siena; Italian Society for Rheumatology (SIR) Epidemiology Unit, Milan; University of Pisa, Pisa; Università Politecnica delle Marche, Jesi; Internal Medicine Division, San Jacopo Hospital, Pistoia; Università degli Studi di Torino, Turin, Italy; University of Belgrade,
  • Iagnocco A; G. Filippou, MD, PhD, University of Siena; C.A. Scirè, MD, Professor of Rheumatology, SIR Epidemiology Unit; N. Damjanov, MD, PhD, Professor of Rheumatology, University of Belgrade; A. Adinolfi, MD, University of Siena; G. Carrara, MSc, SIR Epidemiology Unit; V. Picerno, MD, University of Siena; C.
J Rheumatol ; 44(11): 1744-1749, 2017 Nov.
Article em En | MEDLINE | ID: mdl-28250136
ABSTRACT

OBJECTIVE:

To define the ultrasonographic characteristics of calcium pyrophosphate crystal (CPP) deposits in joints and periarticular tissues and to evaluate the intra- and interobserver reliability of expert ultrasonographers in the assessment of CPP deposition disease (CPPD) according to the new definitions.

METHODS:

After a systematic literature review, a Delphi survey was circulated among a group of expert ultrasonographers, who were members of the CPPD Ultrasound (US) Outcome Measures in Rheumatology (OMERACT) subtask force, to obtain definitions of the US characteristics of CPPD at the level of fibrocartilage (FC), hyaline cartilage (HC), tendon, and synovial fluid (SF). Subsequently, the reliability of US in assessing CPPD at knee and wrist levels according to the agreed definitions was tested in static images and in patients with CPPD. Cohen's κ was used for statistical analysis.

RESULTS:

HC and FC of the knee yielded the highest interobserver κ values among all the structures examined, in both the Web-based (0.73 for HC and 0.58 for FC) and patient-based exercises (0.55 for the HC and 0.64 for the FC). Kappa values for the other structures were lower, ranging from 0.28 in tendons to 0.50 in SF in the static exercise and from 0.09 (proximal patellar tendon) to 0.27 (triangular FC of the wrist) in the patient-based exercise.

CONCLUSION:

The new OMERACT definitions for the US identification of CPPD proved to be reliable at the level of the HC and FC of the knee. Further studies are needed to better define the US characteristics of CPPD and optimize the scanning technique in other anatomical sites.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação do Punho / Condrocalcinose / Ultrassonografia / Cartilagem Hialina / Articulação do Joelho Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação do Punho / Condrocalcinose / Ultrassonografia / Cartilagem Hialina / Articulação do Joelho Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article