Consensus-driven conceptual development of a standardized whole body-MRI scoring system for assessment of disease activity in juvenile idiopathic arthritis: MRI in JIA OMERACT working group.
Whole body-MRI is helpful in directing diagnostic and treatment approaches, and as a research outcome measure. We describe our initial consensus-driven phase towards developing a whole body-MRI scoring system for juvenile idiopathic arthritis. An iterative approach using three rounds of anonymous De...
| Published in: | Seminars in Arthritis & Rheumatism Vol. 51; no. 6; pp. 1350 - 1360 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
W B Saunders
Dec2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154084330&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154084330 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00490172 4GQ jtl: Seminars in Arthritis & Rheumatism issn: 00490172 maglogo: N pubinfo: dt: Dec2021 vid: 51 iid: 6 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 154084330 154084330 154084330 10.1016/j.semarthrit.2021.07.017 154084330 ppf: 1350 ppct: 10 formats: tig: atl: Consensus-driven conceptual development of a standardized whole body-MRI scoring system for assessment of disease activity in juvenile idiopathic arthritis: MRI in JIA OMERACT working group. aug: au: Panwar, Jyoti Tolend, Mirkamal Redd, Bernadette Srinivasalu, Hemalatha Colbert, Robert A. Akikusa, Jonathan Appenzeller, Simone Carrino, John A. Herregods, Nele Jans, Lennart Highmore, Kerri von Kalle, Thekla Kirkhus, Eva Rumsey, Dax G. Jaremko, Jacob L. Clemente, Inarejos Emilio J. van Rossum, Marion A. Stimec, Jennifer Tse, Shirley M. Twilt, Marinka affil: Department of Radiology, Christian Medical College, Vellore, India sug: subj: Arthritis Diagnosis Magnetic Resonance Imaging Standards Disease Attributes Diagnosis Systems Development Consensus Human Delphi Technique Questionnaires Pediatric Care Expert Clinicians ab: Whole body-MRI is helpful in directing diagnostic and treatment approaches, and as a research outcome measure. We describe our initial consensus-driven phase towards developing a whole body-MRI scoring system for juvenile idiopathic arthritis. An iterative approach using three rounds of anonymous Delphi surveys followed by a consensus meeting was used to draft the structure of the whole body-MRI scoring system, including the relevant anatomic joints and entheses for assessment, diagnostic item selection, definition and grading, and selection of appropriate MRI planes and sequences. The surveys were completed independently by an international expert group consisting of pediatric radiologists and rheumatologists. Twenty-two experts participated in at least one of three rounds of Delphi surveys and a concluding consensus meeting. A first iteration scoring system was developed which ultimately included the assessment of 100 peripheral, 23 chest, and 76 axial joints, and 64 entheses, with 2–4 diagnostic items graded in each of the items, using binary (presence/absence) and 2-3-level ordinal scores. Recommendations on anatomic MRI planes and sequences were specified as the minimally necessary imaging protocol for the scoring system. A novel whole body-MRI scoring system for juvenile idiopathic arthritis was developed by consensus among members of MRI in JIA OMERACT working group. Further iterative refinements, reliability testing, and responsiveness are warranted in upcoming studies. [Display omitted] pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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