Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography

被引：0

作者：

Duftner, Christina ^{[1
]}

Redlinger, Norbert ^{[1
]}

Bruyn, George A. ^{[2
,3
]}

Chadachan, Veerendra ^{[4
]}

Chrysidis, Stavros ^{[5
,6
]}

Correyero, Maria ^{[7
]}

D'Agostino, Maria Antonietta ^{[8
,9
]}

Nielsen, Berit Dalsgaard ^{[10
,11
]}

Dasgupta, Bhaskar ^{[12
]}

De Miguel, Eugenio ^{[13
]}

Diamantopoulos, Andreas P. ^{[14
]}

Fulvio, Giovanni ^{[15
,16
]}

Gkikopoulos, Nikitas ^{[17
]}

Hartung, Wolfgang ^{[18
]}

Hocevar, Alojzija ^{[19
]}

Keen, Helen ^{[1
]}

Kurteva, Vesselina ^{[20
]}

Mandl, Peter ^{[21
]}

Manger, Eva ^{[1
]}

Mercatelli, Paolo ^{[22
]}

Midtgard, Irina ^{[23
]}

Monti, Sara ^{[24
]}

Muller, Raili ^{[25
]}

Mykkanen, Kati ^{[26
,27
]}

Pineda, Carlos ^{[28
]}

Ponte, Cristina ^{[29
]}

Reffat, Duriad ^{[30
]}

Sarbu, Adela-Cristina ^{[31
]}

Seitz, Luca ^{[32
]}

Terslev, Lene ^{[33
,34
]}

Schmidt, Wolfgang ^{[35
]}

Dejaco, Christian ^{[36
,37
]}

机构：

[1] Med Univ Innsbruck, Dept Internal Med, Clin Div Internal Med 2, Innsbruck, Tirol, Austria

[2] MC Grp Hosp, Lelystad, Netherlands

[3] Tergooi MC Hosp, Hilversum, Netherlands

[4] Tan Tock Seng Hosp, Dept Internal Med Vasc Med, Singapore, Singapore

[5] Univ Hosp Southern Denmark, Esbjerg Hosp, Dept Cardiol, Esbjerg, Denmark

[6] Univ Southern Denmark, Dept Reg Hlth Res, Esbjerg, Denmark

[7] Hosp Univ 12 Octubre, Dept Rheumatol, Madrid, Spain

[8] Fdn Policlin Univ Agostino Gemelli IRCSS, Rome, Italy

[9] INSERM, Paris, France

[10] Aarhus Univ Hosp, Dept Rheumatol, Aarhus, Denmark

[11] Reg Hosp Horsens, Dept Med, Horsens, Denmark

[12] Southend Univ Hosp, Dept Rheumatol, Westcliff on Sea, England

[13] Hosp Univ La Paz, Madrid, Spain

[14] Akershus Univ Hosp, Internal Med, Lorenskog, Norway

[15] Univ Pisa, Dept Clin & Expt Med, Rheumatol Unit, Pisa, Italy

[16] Univ Pisa, Dept Clin & Translat Sci, Pisa, Italy

[17] Schulthess Klin, Dept Rheumatol, Zurich, Switzerland

[18] Asklepios Clin, Rheumatol Clin Immunol, Bad Abbach, Germany

[19] Univ Ljubljana, Med Fac, Ljubljana, Slovenia

[20] Klin Favoriten, Med Abt Rheumatol & Osteol 2, Vienna, Austria

[21] Med Univ Vienna, Div Rheumatol, Internal Med 3, Internal Med 3, Vienna, Austria

[22] Azienda Osped Careggi, Florence, Italy

[23] Northen Bodo Hosp, Rheumatol Dept, Bodo, Norway

[24] Fdn IRCCS Policlin San Matteo, Div Rheumatol, Pavia, PV, Italy

[25] Tartu Univ Hosp, Inst Clin Med, Tartu, Estonia

[26] Univ Helsinki, Rheumatol, Helsinki, Finland

[27] Helsinki Univ Hosp, Helsinki, Finland

[28] Inst Nacl RehabilLuis Guillermo Ibarra Ibarra, Div Infectol, Mexico City 14389, Mexico

[29] Ctr Hosp Univ Lisboa Norte EPE, Rheumatol, Lisbon, Portugal

[30] Univ Hosp Kerry, Dept Rheumatol, Tralee, Kerry, Ireland

[31] Inselspital Bern, Dept Rheumatol & Immunol, Bern, Switzerland

[32] Univ Bern, Inselspital, Bern, Switzerland

[33] Rigshosp Glostrup, Ctr Rheumatol & Spine Dis, Glostrup, Denmark

[34] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark

[35] Standort Berlin Wannsee, Immanuel Krankenhaus Berlin, Berlin, Germany

[36] Med Univ Graz, Rheumatol, Graz, Austria

[37] Hosp Brun SABES ASDAA, Dept Rheumatol, Brunico, Italy

来源：

RMD OPEN | 2025年 / 11卷 / 01期

关键词：

Giant Cell Arteritis; Ultrasonography; Vasculitis; ULTRASOUND; SONOGRAPHY;

D O I：

10.1136/rmdopen-2024-004667

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To test the reliability of the Outcome Measures in Rheumatology Giant cell arteritis (GCA) Ultrasonography Score (OGUS) and other composite scores in a patient-based exercise involving experts and non-experts in vascular ultrasonography.Methods Six GCA patients were scanned twice (two rounds separated >= 3 hours) by 12 experts and 12 non-experts. Non-experts received 90 min of theoretical and 240 min of practical training between rounds 1 and 2. Ultrasonography was conducted on temporal arteries (common superficial, frontal and parietal branches) and axillary arteries bilaterally to calculate the OGUS, the Southend score and the Halo count. Inter-reader and intra-reader reliability were assessed by intraclass correlation coefficient (ICC).Results Mean age of GCA patients was 78 +/- 5.1 years, 2 (33.3%) were women, and all were in clinical remission. Expert inter-reader ICC of the OGUS was 0.60 in both rounds, 0.40 in round 1 and 0.51 in round 2 for the Southend score and 0.45 and 0.52, respectively, for the Halo count. Median ICCs for intra-reader reliability were 0.86, 0.73 and 0.65 for the OGUS, Southend score and Halo count, respectively. For non-experts, inter-reader ICCs in round 1 were 0.20 for the OGUS, 0.20 for a normalised Southend score (=score divided by available segments) and 0.35 for a normalised Halo count. After training, inter-reader reliability ICCs improved to 0.52, 0.29 and 0.54, respectively.Results Mean age of GCA patients was 78 +/- 5.1 years, 2 (33.3%) were women, and all were in clinical remission. Expert inter-reader ICC of the OGUS was 0.60 in both rounds, 0.40 in round 1 and 0.51 in round 2 for the Southend score and 0.45 and 0.52, respectively, for the Halo count. Median ICCs for intra-reader reliability were 0.86, 0.73 and 0.65 for the OGUS, Southend score and Halo count, respectively. For non-experts, inter-reader ICCs in round 1 were 0.20 for the OGUS, 0.20 for a normalised Southend score (=score divided by available segments) and 0.35 for a normalised Halo count. After training, inter-reader reliability ICCs improved to 0.52, 0.29 and 0.54, respectively.Conclusion Inter-reader reliability was fair to moderate, and intra-reader reliability was good for OGUS, Southend score and Halo count among experts. Inter-reader reliability of non-experts in vascular ultrasonography improved after the training.

引用

页数：9

共 3 条

[1] RELIABILITY OF THE OMERACT GIANT CELL ARTERITIS ULTRASOUND SCORE (OGUS): RESULTS OF A PATIENT-BASED EXERCISE OF VASCULAR ULTRASONOGRAPHY EXPERTS AND NON-EXPERTS
Duftner, C.
Redlinger, N.
Bruyn, G.
Chadachan, V.
Chrysidis, S.
Correyero-Plaza, M.
Nielsen, B. Dalsgaard
Dasgupta, B.
De Miguel, E.
Diamantopoulos, A.
Reffat, D.
Fulvio, G.
Gkikopoulos, N.
Hartung, W.
Hocevar, A.
Kurteva, V. A.
Manger, E.
Mercatelli, P.
Midtgard, I.
Monti, S.
Mueller, R.
Mykkanen, K.
Ponte, C.
Sarbu, A. C.
Seitz, L.
Schmidt, W. A.
Dejaco, C.
ANNALS OF THE RHEUMATIC DISEASES, 2024, 83
[2] Assessing Vasculitis in Giant Cell Arteritis by Ultrasound: Results of OMERACT Patient-based Reliability Exercises
Schafer, Valentin S.
Chrysidis, Stavros
Dejaco, Christian
Duftner, Christina
Iagnocco, Annamaria
Bruyn, George A.
Carrara, Greta
D'Agostino, Maria Antonietta
De Miguel, Eugenio
Diamantopoulos, Andreas P.
Fredberg, Ulrich
Hartung, Wolfgang
Hocevar, Alojzija
Juche, Aaron
Kermani, Tanaz A.
Koster, Matthew J.
Lorenzen, Tove
Macchioni, Pierluigi
Milchert, Marcin
Dohn, Uffe Moller
Mukhtyar, Chetan
Ponte, Cristina
Ramiro, Sofia
Scire, Carlo A.
Terslev, Lene
Warrington, Kenneth J.
Dasgupta, Bhaskar
Schmidt, Wolfgang A.
JOURNAL OF RHEUMATOLOGY, 2018, 45 (09) : 1289 - 1295
[3] A Patient Based Reliability Exercise of Omeract Ultrasound Definitions in Giant Cell Arteritis
Schaefer, Valentin S.
Chrysidis, Stavros
Dejaco, Christian
Duftner, Christina
Iagnocco, Annamaria
Bruyn, George A. W.
Carrara, Greta
D'Agostino, M. A.
De Miguel, Eugenio
Diamantopoulos, Andreas P.
Fredberg, Ulrich
Hartung, Wolfgang
Hocevar, Alojzija
Kermani, Tanaz A.
Koster, Matthew J.
Lorenzen, Tove
Macchioni, Pierluigi
Milchert, Marcin
Dohn, Uffe Moller
Mukhtyar, Chetan
Ponte, Cristina
Ramiro, Sofia
Scire, Carlo Alberto
Terslev, Lene
Warrington, Kenneth J.
Dasgupta, Bhaskar
Schmidt, Wolfgang A.
ARTHRITIS & RHEUMATOLOGY, 2017, 69

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