PMID- 35454961
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2075-1729 (Print)
IS  - 2075-1729 (Electronic)
IS  - 2075-1729 (Linking)
VI  - 12
IP  - 4
DP  - 2022 Mar 23
TI  - Interobserver Reliability of Magnetic Resonance Imaging of Sacroiliac Joints in 
      Axial Spondyloarthritis.
LID - 10.3390/life12040470 [doi]
LID - 470
AB  - INTRODUCTION: Axial spondyloarthritis (axSpA) is characterized by damage to the 
      axial skeleton and entheses, and is often associated with extra-articular 
      manifestations, in the presence of the human leukocyte antigen (HLA) B27. The aim 
      of our study is to assess the performance of rheumatologists in interpreting the 
      inflammatory and structural damage to sacroiliac joints, in comparison to 
      radiologists. MATERIAL AND METHODS: The present study included a total of 34 
      patients diagnosed with axSpA, according to the Assessment of SpondyloArthritis 
      International Society (ASAS) criteria for axSpA, examined from January 2021 to 
      November 2021 in the Departments of Rheumatology and Radiology and Medical 
      Imaging of the University of Medicine and Pharmacy of Craiova. All patients 
      underwent physical examination, laboratory tests, and magnetic resonance imaging 
      (MRI) of the sacroiliac joints. The images were interpreted by a senior 
      radiologist (SR), a junior radiologist (JR), a senior rheumatologist (SRh), and a 
      junior rheumatologist (JRh), who were blinded to the clinical and paraclinical 
      data. RESULTS: The overall kappa was 0.7 for the JR (substantial agreement), 0.707 
      for the SRh (substantial agreement), and 0.601 for the JRh (moderate agreement), 
      in comparison with the SR. Regarding the overall inflammatory changes, the SRh 
      and JR were proven to have substantial agreement (kappa = 0.708 and 0.742, 
      respectively) with the SR, while the JRh was proven to have moderate agreement (kappa 
      = 0.607). The structural damage observed by the JR showed substantial agreement 
      (kappa = 0.676) with the SR, while the SRh and JRh had substantial and moderate 
      agreement (kappa = 0.705 and 0.596, respectively) with the SR. CONCLUSIONS: Our study 
      showed substantial agreement between the senior radiologist, senior 
      rheumatologist, and junior radiologist, and moderate agreement with the junior 
      rheumatologist.
FAU - Musetescu, Anca Emanuela
AU  - Musetescu AE
AD  - Department of Rheumatology, University of Medicine and Pharmacy of Craiova, 
      200349 Craiova, Romania.
FAU - Bobirca, Anca
AU  - Bobirca A
AD  - Department of Rheumatology and Internal Medicine, Carol Davila University of 
      Medicine and Pharmacy, 050474 Bucharest, Romania.
FAU - Gherghina, Florin Liviu
AU  - Gherghina FL
AD  - Department of Physical Medicine and Rehabilitation, University of Medicine and 
      Pharmacy of Craiova, 200349 Craiova, Romania.
FAU - Florescu, Alesandra
AU  - Florescu A
AD  - Department of Rheumatology, University of Medicine and Pharmacy of Craiova, 
      200349 Craiova, Romania.
FAU - Bobirca, Florin
AU  - Bobirca F
AD  - Department of General Surgery, Carol Davila University of Medicine and Pharmacy, 
      050474 Bucharest, Romania.
FAU - Ciurea, Paulina Lucia
AU  - Ciurea PL
AD  - Department of Rheumatology, University of Medicine and Pharmacy of Craiova, 
      200349 Craiova, Romania.
FAU - Criveanu, Cristina
AU  - Criveanu C
AD  - Department of Rheumatology, University of Medicine and Pharmacy of Craiova, 
      200349 Craiova, Romania.
FAU - Musca, Alice
AU  - Musca A
AD  - Department of Internal Medicine and Rheumatology, Dr. I. Cantacuzino Clinical 
      Hospital, 011437 Bucharest, Romania.
FAU - Florescu, Lucian Mihai
AU  - Florescu LM
AD  - Department of Radiology and Medical Imaging, University of Medicine and Pharmacy 
      of Craiova, 200349 Craiova, Romania.
FAU - Gheonea, Ioana Andreea
AU  - Gheonea IA
AD  - Department of Radiology and Medical Imaging, University of Medicine and Pharmacy 
      of Craiova, 200349 Craiova, Romania.
LA  - eng
PT  - Journal Article
DEP - 20220323
PL  - Switzerland
TA  - Life (Basel)
JT  - Life (Basel, Switzerland)
JID - 101580444
PMC - PMC9032207
OTO - NOTNLM
OT  - axial spondyloarthritis
OT  - interobserver reliability
OT  - magnetic resonance imaging
OT  - sacroiliitis
COIS- The authors declare no conflict of interest.
EDAT- 2022/04/24 06:00
MHDA- 2022/04/24 06:01
PMCR- 2022/03/23
CRDT- 2022/04/23 01:05
PHST- 2022/02/23 00:00 [received]
PHST- 2022/03/18 00:00 [revised]
PHST- 2022/03/21 00:00 [accepted]
PHST- 2022/04/23 01:05 [entrez]
PHST- 2022/04/24 06:00 [pubmed]
PHST- 2022/04/24 06:01 [medline]
PHST- 2022/03/23 00:00 [pmc-release]
AID - life12040470 [pii]
AID - life-12-00470 [pii]
AID - 10.3390/life12040470 [doi]
PST - epublish
SO  - Life (Basel). 2022 Mar 23;12(4):470. doi: 10.3390/life12040470.