Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in Axial Spondyloarthritis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Demographic Characteristics and Assessment of Clinical, Laboratory, and Imaging Data
2.3. Statistical Analysis
3. Results
Associations between Clinical and MRI Findings
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Demographic and Clinical Features Patients (n = 34) | Data |
---|---|
Sex (patients, %) | 29 males (85.29%); 5 females (14.79%) |
Age (years) (mean, SD) | 39.14 (10.31) |
Disease duration (months) (mean, SD) | 14.57 (13.25) |
Patrick’s maneuver (patients, %) | |
Right | 28 patients (82.35%) |
Left | 25 patients (73.52%) |
VAS (mm) (mean, SD) | |
Right | 72.3 (11.8) |
Left | 71.1 (10.2) |
ESR (mm/h) (mean, SD) | 46.55 (23.49) |
CRP (mg/L) (mean, SD) | 30.29 (23.22) |
BASDAI (mean, SD) | 7.34 (1.57) |
ASDAS-CRP (mean, SD) | 4.67 (1.24) |
BASFI (mean, SD) | 7.24 (1.64) |
MRI Findings | Senior Radiologist n(%) | Junior Radiologist n(%) | Senior Rheumatologist n(%) | Junior Rheumatologist n(%) |
---|---|---|---|---|
LEFT (n = 34) | ||||
Bone marrow edema | 15 (44.11) | 13 (38.24) | 14 (41.18) | 10 (29.41) |
Synovitis | 4 (11.76) | 3 (8.82) | 2 (5.88) | 2 (5.88) |
Enthesitis | 9 (26.47) | 5 (14.71) | 6 (17.65) | 5 (14.71) |
Subchondral sclerosis | 17 (50) | 13 (38.24) | 14 (41.18) | 17 (50) |
Erosions | 14 (41.18) | 15 (44.12) | 13 (38.24) | 10 (29.41) |
Backfill | 7 (20.59) | 4 (11.76) | 5 (14.71) | 3 (8.82) |
Fat metaplasia | 6 (17.65) | 7 (20.59) | 6 (17.65) | 4 (11.76) |
Joint space narrowing | 13 (38.24) | 10 (29.41) | 12 (35.29) | 8 (23.53) |
RIGHT (n = 34) | ||||
Bone marrow edema | 20 (58.82) | 14 (41.18) | 13 (38.24) | 9 (26.47) |
Synovitis | 7 (20.59) | 3 (8.82) | 4 (11.76) | 2 (5.88) |
Enthesitis | 6 (17.65) | 4 (11.76) | 6 (17.65) | 5 (14.71) |
Subchondral sclerosis | 19 (55.88) | 17 (50.00) | 15 (44.12) | 17 (50.00) |
Erosions | 12 (35.29) | 9 (26.47) | 13 (38.24) | 8 (23.53) |
Backfill | 4 (11.76) | 3 (8.82) | 3 (8.82) | 2 (5.88) |
Fat metaplasia | 8 (23.53) | 6 (17.65) | 5 (14.71) | 5 (14.71) |
Joint space narrowing | 13 (38.24) | 11 (32.35) | 10 (29.41) | 8 (23.53) |
MRI Findings n = 68 | SR n(%) | JR n(%) | SRh n(%) | JRh n(%) | SR vs. JR κ Agreement | SR vs. SRh κ Agreement | SR vs. JRh κ Agreement |
---|---|---|---|---|---|---|---|
Bone marrow edema | 35 (51.47) | 27 (39.71) | 27 (39.71) | 19 (27.94) | 0.766 substantial | 0.709 substantial | 0.535 moderate |
Synovitis | 11 (16.18) | 6 (8.82) | 6 (8.82) | 4 (5.88) | 0.668 substantial | 0.535 moderate | 0.489 moderate |
Enthesitis | 15 (22.06) | 9 (10.29) | 12 (17.65) | 10 (14.71) | 0.64 substantial | 0.716 substantial | 0.7 substantial |
Subchondral sclerosis | 36 (52.94) | 30 (44.12) | 29 (42.65) | 34 (50) | 0.649 substantial | 0.679 substantial | 0.647 substantial |
Erosions | 26 (38.24) | 24 (35.29) | 26 (38.24) | 18 (26.47) | 0.747 substantial | 0.813 almost perfect | 0.603 moderate |
Backfill | 11 (16.18) | 7 (10.29) | 8 (11.76) | 5 (7.35) | 0.492 moderate | 0.649 substantial | 0.402 poor |
Fat metaplasia | 14 (20.59) | 13 (19.12) | 11 (16.18) | 9 (13.24) | 0.55 moderate | 0.43 moderate | 0.396 poor |
Joint space narrowing | 26 (38.42) | 21 (30.88) | 22 (32.35) | 16 (23.53) | 0.709 substantial | 0.743 substantial | 0.597 moderate |
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Mușetescu, A.E.; Bobircă, A.; Gherghina, F.L.; Florescu, A.; Bobircă, F.; Ciurea, P.L.; Criveanu, C.; Muscă, A.; Florescu, L.M.; Gheonea, I.A. Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in Axial Spondyloarthritis. Life 2022, 12, 470. https://doi.org/10.3390/life12040470
Mușetescu AE, Bobircă A, Gherghina FL, Florescu A, Bobircă F, Ciurea PL, Criveanu C, Muscă A, Florescu LM, Gheonea IA. Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in Axial Spondyloarthritis. Life. 2022; 12(4):470. https://doi.org/10.3390/life12040470
Chicago/Turabian StyleMușetescu, Anca Emanuela, Anca Bobircă, Florin Liviu Gherghina, Alesandra Florescu, Florin Bobircă, Paulina Lucia Ciurea, Cristina Criveanu, Alice Muscă, Lucian Mihai Florescu, and Ioana Andreea Gheonea. 2022. "Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in Axial Spondyloarthritis" Life 12, no. 4: 470. https://doi.org/10.3390/life12040470
APA StyleMușetescu, A. E., Bobircă, A., Gherghina, F. L., Florescu, A., Bobircă, F., Ciurea, P. L., Criveanu, C., Muscă, A., Florescu, L. M., & Gheonea, I. A. (2022). Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in Axial Spondyloarthritis. Life, 12(4), 470. https://doi.org/10.3390/life12040470