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Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis
OBJECTIVES: To systematically review the literature on inter- and intra-rater reliability of scoring US and MRI changes in hand OA. METHODS: MEDLINE, EMBASE, CINHAL, Web of Science and AMED were searched from inception to January 2020. Kappa (κ), weighted kappa (κ(w)) and intra-class correlation coe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824416/ https://www.ncbi.nlm.nih.gov/pubmed/34086885 http://dx.doi.org/10.1093/rheumatology/keab470 |
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author | Obotiba, Abasiama D Swain, Subhashisa Kaur, Jaspreet Doherty, Michael Zhang, Weiya Abhishek, Abhishek |
author_facet | Obotiba, Abasiama D Swain, Subhashisa Kaur, Jaspreet Doherty, Michael Zhang, Weiya Abhishek, Abhishek |
author_sort | Obotiba, Abasiama D |
collection | PubMed |
description | OBJECTIVES: To systematically review the literature on inter- and intra-rater reliability of scoring US and MRI changes in hand OA. METHODS: MEDLINE, EMBASE, CINHAL, Web of Science and AMED were searched from inception to January 2020. Kappa (κ), weighted kappa (κ(w)) and intra-class correlation coefficients for dichotomous, semi-quantitative and summated scores, respectively, and their 95% CI were pooled using a random-effects model. Heterogeneity between studies was assessed and reliability estimates were interpreted using the Landis–Koch classification. RESULTS: Fifty studies met the inclusion criteria (29 US, 17 MRI, 4 involving both modalities). The pooled κ (95% CI) for inter-rater reliability was substantial for US-detected osteophytes [0.66 (0.54, 0.79)], grey-scale synovitis [0.64 (0.32, 0.97)] and power Doppler [0.76, (0.47, 1.05)], whereas intra-rater reliability was almost perfect for osteophytes [0.82 (0.80, 0.84)], central bone erosions (CBEs) [0.83 (0.78, 0.89)] and effusion [0.83 (0.74, 0.91)], and substantial for grey-scale synovitis [0.64 (0.49, 0.79)] and power Doppler [0.70 (0.59, 0.80)]. Inter-rater reliability for dichotomous assessment was substantial for MRI-detected CBEs [0.75 (0.67, 0.83)] and synovitis [0.69 (0.51, 0.87)], slight for osteophytes [0.14 (0.04, 0.25)], and almost perfect for sum score of osteophytes, CBEs, joint space narrowing (JSN), and bone marrow lesions (BMLs) (0.81–0.89). Intra-rater reliability was almost perfect for sum score of MRI synovitis [0.92 (0.87, 0.96)], BMLs [0.88 (0.78, 0.98)], osteophytes [0.86 (0.74, 0.98)], CBEs [0.83 (0.66, 1.00)] and JSN [0.91 (0.87, 0.91)]. CONCLUSION: US and MRI are reliable in detecting hand OA features. US may be preferred due to low cost and increasing availability. |
format | Online Article Text |
id | pubmed-8824416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88244162022-02-09 Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis Obotiba, Abasiama D Swain, Subhashisa Kaur, Jaspreet Doherty, Michael Zhang, Weiya Abhishek, Abhishek Rheumatology (Oxford) Systematic Review and Meta Analysis OBJECTIVES: To systematically review the literature on inter- and intra-rater reliability of scoring US and MRI changes in hand OA. METHODS: MEDLINE, EMBASE, CINHAL, Web of Science and AMED were searched from inception to January 2020. Kappa (κ), weighted kappa (κ(w)) and intra-class correlation coefficients for dichotomous, semi-quantitative and summated scores, respectively, and their 95% CI were pooled using a random-effects model. Heterogeneity between studies was assessed and reliability estimates were interpreted using the Landis–Koch classification. RESULTS: Fifty studies met the inclusion criteria (29 US, 17 MRI, 4 involving both modalities). The pooled κ (95% CI) for inter-rater reliability was substantial for US-detected osteophytes [0.66 (0.54, 0.79)], grey-scale synovitis [0.64 (0.32, 0.97)] and power Doppler [0.76, (0.47, 1.05)], whereas intra-rater reliability was almost perfect for osteophytes [0.82 (0.80, 0.84)], central bone erosions (CBEs) [0.83 (0.78, 0.89)] and effusion [0.83 (0.74, 0.91)], and substantial for grey-scale synovitis [0.64 (0.49, 0.79)] and power Doppler [0.70 (0.59, 0.80)]. Inter-rater reliability for dichotomous assessment was substantial for MRI-detected CBEs [0.75 (0.67, 0.83)] and synovitis [0.69 (0.51, 0.87)], slight for osteophytes [0.14 (0.04, 0.25)], and almost perfect for sum score of osteophytes, CBEs, joint space narrowing (JSN), and bone marrow lesions (BMLs) (0.81–0.89). Intra-rater reliability was almost perfect for sum score of MRI synovitis [0.92 (0.87, 0.96)], BMLs [0.88 (0.78, 0.98)], osteophytes [0.86 (0.74, 0.98)], CBEs [0.83 (0.66, 1.00)] and JSN [0.91 (0.87, 0.91)]. CONCLUSION: US and MRI are reliable in detecting hand OA features. US may be preferred due to low cost and increasing availability. Oxford University Press 2021-06-04 /pmc/articles/PMC8824416/ /pubmed/34086885 http://dx.doi.org/10.1093/rheumatology/keab470 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Systematic Review and Meta Analysis Obotiba, Abasiama D Swain, Subhashisa Kaur, Jaspreet Doherty, Michael Zhang, Weiya Abhishek, Abhishek Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title | Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title_full | Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title_fullStr | Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title_full_unstemmed | Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title_short | Reliability of detection of ultrasound and MRI features of hand osteoarthritis: a systematic review and meta-analysis |
title_sort | reliability of detection of ultrasound and mri features of hand osteoarthritis: a systematic review and meta-analysis |
topic | Systematic Review and Meta Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824416/ https://www.ncbi.nlm.nih.gov/pubmed/34086885 http://dx.doi.org/10.1093/rheumatology/keab470 |
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