Reliability of ultrasonography in detecting shoulder disease in patients with rheumatoid arthritis.

Abstract:

OBJECTIVE:To assess the intra and interobserver reproducibility of musculoskeletal ultrasonography (US) among rheumatologists in detecting destructive and inflammatory shoulder abnormalities in patients with rheumatoid arthritis (RA) and to determine the overall agreement between US and MRI. METHODS:A total of 14 observers examined 5 patients in 2 rounds independently and blindly of each other. US results were compared with MRI. Overall agreement of all findings, of positive findings on MRI, as well as intra and interobserver reliabilities, were calculated. RESULTS:Overall agreement between US and MRI was seen in 79% with regard to humeral head erosions (HHE), in 64% with regard to posterior recess synovitis (PRS), in 31% with regard to axillary recess synovitis (ARS), in 64% with regard to bursitis, in 50% with regard to biceps tenosynovitis (BT), and in 84% for complete cuff tear (CCT). Intraobserver and interobserver kappa was 0.69 and 0.43 for HHE, 0.29 and 0.49 for PRS, 0.57 and 1.00 for ARS, -0.17 and 0.51 for bursitis, 0.17 and 0.46 for BT and 0.52 and 0.6 for CCT, respectively. The intraobserver and interobserver kappa for power Doppler (PD) was 0.90 and 0.70 for glenohumeral signals and 0.60 and 0.51 for bursal signals, respectively. CONCLUSIONS:US is a reliable imaging technique for most shoulder pathology in RA especially with regard to PD. Standardisation of scanning technique and definitions of particular lesions may further enhance the reliability of US investigation of the shoulder.

journal_name

Ann Rheum Dis

authors

Bruyn GA,Naredo E,Möller I,Moragues C,Garrido J,de Bock GH,d'Agostino MA,Filippucci E,Iagnocco A,Backhaus M,Swen WA,Balint P,Pineda C,Milutinovic S,Kane D,Kaeley G,Narvaez FJ,Wakefield RJ,Narvaez JA,de Augustin J,

doi

10.1136/ard.2008.089243

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

357-61

issue

3

eissn

0003-4967

issn

1468-2060

pii

ard.2008.089243

journal_volume

68

pub_type

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