Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle
Abstract Objective The clinical decision-making process in paediatric arthritis lacks an objective, reliable bedside imaging tool. The aim of this study was to develop a US scanning protocol and assess the reliability of B-mode and Doppler scoring systems for inflammatory lesions of the paediatric a...
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| Veröffentlicht in: | Rheumatology (Oxford, England) England), 2023-06, Vol.62 (6), p.2239-2246 |
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| creator | Vega-Fernandez, Patricia De Ranieri, Deirdre Oberle, Edward Clark, Matthew Bukulmez, Hulya Lin, Clara Shenoi, Susan Thatayatikom, Akaluck Woolnough, Leandra Benham, Heather Brunner, Emily Henrickson, Michael Pratt, Laura R Proulx-Gauthier, Jean-Philippe Janow, Ginger Cassedy, Amy Ting, Tracy V Roth, Johannes |
| description | Abstract
Objective
The clinical decision-making process in paediatric arthritis lacks an objective, reliable bedside imaging tool. The aim of this study was to develop a US scanning protocol and assess the reliability of B-mode and Doppler scoring systems for inflammatory lesions of the paediatric ankle.
Methods
As part of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) US group, 19 paediatric rheumatologists through a comprehensive literature review developed a set of standardized views and scoring systems to assess inflammatory lesions of the synovial recesses as well as tendons of the paediatric ankle. Three rounds of scoring of still images were followed by one practical exercise. Agreement among raters was assessed using two-way single score intraclass correlation coefficients (ICC).
Results
Of the 37 initially identified views to assess the presence of ankle synovitis and tenosynovitis, nine views were chosen for each B-mode and Doppler mode semi-quantitative evaluation. Several scoring exercises and iterative modifications resulted in a final highly reliable scoring system: anterior tibiotalar joint ICC: 0.93 (95% CI 0.92, 0.94), talonavicular joint ICC: 0.86 (95% CI 0.81, 0.90), subtalar joint ICC: 0.91 (95% CI 0.88, 0.93) and tendons ICC: 0.96 (95% CI 0.95, 0.97).
Conclusion
A comprehensive and reliable paediatric ankle US scanning protocol and scoring system for the assessment of synovitis and tenosynovitis were successfully developed. Further validation of this scoring system may allow its use as an outcome measure for both clinical and research applications. |
| doi_str_mv | 10.1093/rheumatology/keac622 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10234197</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/rheumatology/keac622</oup_id><sourcerecordid>2730321294</sourcerecordid><originalsourceid>FETCH-LOGICAL-c449t-b4e43a4689ef7fd3a4eb09c0b56fce9eb66bd7428b3bb10efbe8bc7548d1ff2a3</originalsourceid><addsrcrecordid>eNqNkUtrGzEURkVpaF79B6Vo2Y1jvTyPVSmmLwh006yFpLnyqNFIU92ZgP99x7Fr0l1XuqBzjz70EfKOszvOWrkuPcyDmXLMu_36EYyrhHhFrriqxIpJKV6fZ6EuyTXiL8bYhsvmDbmUlWSNEu0Vmbd5GAv0kDA8ATWpowViMDYCxZzyrpixD44aREAcIE3PDLpcQtpR3OMEA_W50JB8NMMhUdnTCBhyQpo9nXqgo4EumKkcROkxwi258CYivD2dN-Thy-ef22-r-x9fv28_3a-cUu20sgqUNKpqWvC175YRLGsds5vKO2jBVpXtaiUaK63lDLyFxrp6o5qOey-MvCEfj95xtgN0bolfTNRjCYMpe51N0P_epNDrXX7SnAmpeFsvhg8nQ8m_Z8BJDwEdxGgS5Bm1qOXywVy0akHVEXUlIxbw53c404fK9MvK9KmyZe39y4znpb8dLcD6COR5_D_lH8eorj0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2730321294</pqid></control><display><type>article</type><title>Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Vega-Fernandez, Patricia ; De Ranieri, Deirdre ; Oberle, Edward ; Clark, Matthew ; Bukulmez, Hulya ; Lin, Clara ; Shenoi, Susan ; Thatayatikom, Akaluck ; Woolnough, Leandra ; Benham, Heather ; Brunner, Emily ; Henrickson, Michael ; Pratt, Laura R ; Proulx-Gauthier, Jean-Philippe ; Janow, Ginger ; Cassedy, Amy ; Ting, Tracy V ; Roth, Johannes</creator><creatorcontrib>Vega-Fernandez, Patricia ; De Ranieri, Deirdre ; Oberle, Edward ; Clark, Matthew ; Bukulmez, Hulya ; Lin, Clara ; Shenoi, Susan ; Thatayatikom, Akaluck ; Woolnough, Leandra ; Benham, Heather ; Brunner, Emily ; Henrickson, Michael ; Pratt, Laura R ; Proulx-Gauthier, Jean-Philippe ; Janow, Ginger ; Cassedy, Amy ; Ting, Tracy V ; Roth, Johannes</creatorcontrib><description>Abstract
Objective
The clinical decision-making process in paediatric arthritis lacks an objective, reliable bedside imaging tool. The aim of this study was to develop a US scanning protocol and assess the reliability of B-mode and Doppler scoring systems for inflammatory lesions of the paediatric ankle.
Methods
As part of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) US group, 19 paediatric rheumatologists through a comprehensive literature review developed a set of standardized views and scoring systems to assess inflammatory lesions of the synovial recesses as well as tendons of the paediatric ankle. Three rounds of scoring of still images were followed by one practical exercise. Agreement among raters was assessed using two-way single score intraclass correlation coefficients (ICC).
Results
Of the 37 initially identified views to assess the presence of ankle synovitis and tenosynovitis, nine views were chosen for each B-mode and Doppler mode semi-quantitative evaluation. Several scoring exercises and iterative modifications resulted in a final highly reliable scoring system: anterior tibiotalar joint ICC: 0.93 (95% CI 0.92, 0.94), talonavicular joint ICC: 0.86 (95% CI 0.81, 0.90), subtalar joint ICC: 0.91 (95% CI 0.88, 0.93) and tendons ICC: 0.96 (95% CI 0.95, 0.97).
Conclusion
A comprehensive and reliable paediatric ankle US scanning protocol and scoring system for the assessment of synovitis and tenosynovitis were successfully developed. Further validation of this scoring system may allow its use as an outcome measure for both clinical and research applications.</description><identifier>ISSN: 1462-0324</identifier><identifier>EISSN: 1462-0332</identifier><identifier>DOI: 10.1093/rheumatology/keac622</identifier><identifier>PMID: 36308429</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Clinical Science</subject><ispartof>Rheumatology (Oxford, England), 2023-06, Vol.62 (6), p.2239-2246</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology. 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-b4e43a4689ef7fd3a4eb09c0b56fce9eb66bd7428b3bb10efbe8bc7548d1ff2a3</citedby><cites>FETCH-LOGICAL-c449t-b4e43a4689ef7fd3a4eb09c0b56fce9eb66bd7428b3bb10efbe8bc7548d1ff2a3</cites><orcidid>0000-0002-4911-7256</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36308429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vega-Fernandez, Patricia</creatorcontrib><creatorcontrib>De Ranieri, Deirdre</creatorcontrib><creatorcontrib>Oberle, Edward</creatorcontrib><creatorcontrib>Clark, Matthew</creatorcontrib><creatorcontrib>Bukulmez, Hulya</creatorcontrib><creatorcontrib>Lin, Clara</creatorcontrib><creatorcontrib>Shenoi, Susan</creatorcontrib><creatorcontrib>Thatayatikom, Akaluck</creatorcontrib><creatorcontrib>Woolnough, Leandra</creatorcontrib><creatorcontrib>Benham, Heather</creatorcontrib><creatorcontrib>Brunner, Emily</creatorcontrib><creatorcontrib>Henrickson, Michael</creatorcontrib><creatorcontrib>Pratt, Laura R</creatorcontrib><creatorcontrib>Proulx-Gauthier, Jean-Philippe</creatorcontrib><creatorcontrib>Janow, Ginger</creatorcontrib><creatorcontrib>Cassedy, Amy</creatorcontrib><creatorcontrib>Ting, Tracy V</creatorcontrib><creatorcontrib>Roth, Johannes</creatorcontrib><title>Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle</title><title>Rheumatology (Oxford, England)</title><addtitle>Rheumatology (Oxford)</addtitle><description>Abstract
Objective
The clinical decision-making process in paediatric arthritis lacks an objective, reliable bedside imaging tool. The aim of this study was to develop a US scanning protocol and assess the reliability of B-mode and Doppler scoring systems for inflammatory lesions of the paediatric ankle.
Methods
As part of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) US group, 19 paediatric rheumatologists through a comprehensive literature review developed a set of standardized views and scoring systems to assess inflammatory lesions of the synovial recesses as well as tendons of the paediatric ankle. Three rounds of scoring of still images were followed by one practical exercise. Agreement among raters was assessed using two-way single score intraclass correlation coefficients (ICC).
Results
Of the 37 initially identified views to assess the presence of ankle synovitis and tenosynovitis, nine views were chosen for each B-mode and Doppler mode semi-quantitative evaluation. Several scoring exercises and iterative modifications resulted in a final highly reliable scoring system: anterior tibiotalar joint ICC: 0.93 (95% CI 0.92, 0.94), talonavicular joint ICC: 0.86 (95% CI 0.81, 0.90), subtalar joint ICC: 0.91 (95% CI 0.88, 0.93) and tendons ICC: 0.96 (95% CI 0.95, 0.97).
Conclusion
A comprehensive and reliable paediatric ankle US scanning protocol and scoring system for the assessment of synovitis and tenosynovitis were successfully developed. Further validation of this scoring system may allow its use as an outcome measure for both clinical and research applications.</description><subject>Clinical Science</subject><issn>1462-0324</issn><issn>1462-0332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqNkUtrGzEURkVpaF79B6Vo2Y1jvTyPVSmmLwh006yFpLnyqNFIU92ZgP99x7Fr0l1XuqBzjz70EfKOszvOWrkuPcyDmXLMu_36EYyrhHhFrriqxIpJKV6fZ6EuyTXiL8bYhsvmDbmUlWSNEu0Vmbd5GAv0kDA8ATWpowViMDYCxZzyrpixD44aREAcIE3PDLpcQtpR3OMEA_W50JB8NMMhUdnTCBhyQpo9nXqgo4EumKkcROkxwi258CYivD2dN-Thy-ef22-r-x9fv28_3a-cUu20sgqUNKpqWvC175YRLGsds5vKO2jBVpXtaiUaK63lDLyFxrp6o5qOey-MvCEfj95xtgN0bolfTNRjCYMpe51N0P_epNDrXX7SnAmpeFsvhg8nQ8m_Z8BJDwEdxGgS5Bm1qOXywVy0akHVEXUlIxbw53c404fK9MvK9KmyZe39y4znpb8dLcD6COR5_D_lH8eorj0</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Vega-Fernandez, Patricia</creator><creator>De Ranieri, Deirdre</creator><creator>Oberle, Edward</creator><creator>Clark, Matthew</creator><creator>Bukulmez, Hulya</creator><creator>Lin, Clara</creator><creator>Shenoi, Susan</creator><creator>Thatayatikom, Akaluck</creator><creator>Woolnough, Leandra</creator><creator>Benham, Heather</creator><creator>Brunner, Emily</creator><creator>Henrickson, Michael</creator><creator>Pratt, Laura R</creator><creator>Proulx-Gauthier, Jean-Philippe</creator><creator>Janow, Ginger</creator><creator>Cassedy, Amy</creator><creator>Ting, Tracy V</creator><creator>Roth, Johannes</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4911-7256</orcidid></search><sort><creationdate>20230601</creationdate><title>Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle</title><author>Vega-Fernandez, Patricia ; De Ranieri, Deirdre ; Oberle, Edward ; Clark, Matthew ; Bukulmez, Hulya ; Lin, Clara ; Shenoi, Susan ; Thatayatikom, Akaluck ; Woolnough, Leandra ; Benham, Heather ; Brunner, Emily ; Henrickson, Michael ; Pratt, Laura R ; Proulx-Gauthier, Jean-Philippe ; Janow, Ginger ; Cassedy, Amy ; Ting, Tracy V ; Roth, Johannes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-b4e43a4689ef7fd3a4eb09c0b56fce9eb66bd7428b3bb10efbe8bc7548d1ff2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical Science</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vega-Fernandez, Patricia</creatorcontrib><creatorcontrib>De Ranieri, Deirdre</creatorcontrib><creatorcontrib>Oberle, Edward</creatorcontrib><creatorcontrib>Clark, Matthew</creatorcontrib><creatorcontrib>Bukulmez, Hulya</creatorcontrib><creatorcontrib>Lin, Clara</creatorcontrib><creatorcontrib>Shenoi, Susan</creatorcontrib><creatorcontrib>Thatayatikom, Akaluck</creatorcontrib><creatorcontrib>Woolnough, Leandra</creatorcontrib><creatorcontrib>Benham, Heather</creatorcontrib><creatorcontrib>Brunner, Emily</creatorcontrib><creatorcontrib>Henrickson, Michael</creatorcontrib><creatorcontrib>Pratt, Laura R</creatorcontrib><creatorcontrib>Proulx-Gauthier, Jean-Philippe</creatorcontrib><creatorcontrib>Janow, Ginger</creatorcontrib><creatorcontrib>Cassedy, Amy</creatorcontrib><creatorcontrib>Ting, Tracy V</creatorcontrib><creatorcontrib>Roth, Johannes</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Rheumatology (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vega-Fernandez, Patricia</au><au>De Ranieri, Deirdre</au><au>Oberle, Edward</au><au>Clark, Matthew</au><au>Bukulmez, Hulya</au><au>Lin, Clara</au><au>Shenoi, Susan</au><au>Thatayatikom, Akaluck</au><au>Woolnough, Leandra</au><au>Benham, Heather</au><au>Brunner, Emily</au><au>Henrickson, Michael</au><au>Pratt, Laura R</au><au>Proulx-Gauthier, Jean-Philippe</au><au>Janow, Ginger</au><au>Cassedy, Amy</au><au>Ting, Tracy V</au><au>Roth, Johannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle</atitle><jtitle>Rheumatology (Oxford, England)</jtitle><addtitle>Rheumatology (Oxford)</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>62</volume><issue>6</issue><spage>2239</spage><epage>2246</epage><pages>2239-2246</pages><issn>1462-0324</issn><eissn>1462-0332</eissn><abstract>Abstract
Objective
The clinical decision-making process in paediatric arthritis lacks an objective, reliable bedside imaging tool. The aim of this study was to develop a US scanning protocol and assess the reliability of B-mode and Doppler scoring systems for inflammatory lesions of the paediatric ankle.
Methods
As part of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) US group, 19 paediatric rheumatologists through a comprehensive literature review developed a set of standardized views and scoring systems to assess inflammatory lesions of the synovial recesses as well as tendons of the paediatric ankle. Three rounds of scoring of still images were followed by one practical exercise. Agreement among raters was assessed using two-way single score intraclass correlation coefficients (ICC).
Results
Of the 37 initially identified views to assess the presence of ankle synovitis and tenosynovitis, nine views were chosen for each B-mode and Doppler mode semi-quantitative evaluation. Several scoring exercises and iterative modifications resulted in a final highly reliable scoring system: anterior tibiotalar joint ICC: 0.93 (95% CI 0.92, 0.94), talonavicular joint ICC: 0.86 (95% CI 0.81, 0.90), subtalar joint ICC: 0.91 (95% CI 0.88, 0.93) and tendons ICC: 0.96 (95% CI 0.95, 0.97).
Conclusion
A comprehensive and reliable paediatric ankle US scanning protocol and scoring system for the assessment of synovitis and tenosynovitis were successfully developed. Further validation of this scoring system may allow its use as an outcome measure for both clinical and research applications.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>36308429</pmid><doi>10.1093/rheumatology/keac622</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4911-7256</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Rheumatology (Oxford, England), 2023-06, Vol.62 (6), p.2239-2246 |
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| source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Clinical Science |
| title | Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle |
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