Preliminary Definitions for the Sonographic Features of Synovitis in Children
Objective. Musculoskeletal ultrasonography (US) has the potential to be an important tool in the assessment of disease activity inchildhood arthritides. To assesspathology,clear definitionsforsynovitisneed tobedeveloped first. The aim of thisstudy was to develop and validate these definitions through a...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
American College of Rheumatology
2017
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| Materias: | |
| Acceso en línea: | http://eprints.uanl.mx/17571/1/355.pdf |
| _version_ | 1824414938974650368 |
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| author | Roth, Johannes Ravagnani, Viviana Backhaus, Marina Balint, Peter Bruns, Alessandra Bruyn, George A. Collado, Paz De la Cruz, Lorenia Guillaume Czitrom, Severine Herlin, Troels Hernández, Cristina Iagnocco, Annamaria Jousse Joulin, Sandrine Lanni, Stefano Lilleby, Vibke Malattia, Clara Magni Manzoni, Silvia Modesto, Consuelo Rodriguez, Ana Nieto, Juan Carlos Ohrndorf, Sarah Rossi Semerano, Linda Selvaag, Anne Marit Swen, Nanno Ting, Tracy V. Tzaribachev, Nikolay Vega Fernández, Patricia Vojinovic, Jelena Windschall, Daniel D'Agostino, Maria Antonietta Naredo, Esperanza |
| author_facet | Roth, Johannes Ravagnani, Viviana Backhaus, Marina Balint, Peter Bruns, Alessandra Bruyn, George A. Collado, Paz De la Cruz, Lorenia Guillaume Czitrom, Severine Herlin, Troels Hernández, Cristina Iagnocco, Annamaria Jousse Joulin, Sandrine Lanni, Stefano Lilleby, Vibke Malattia, Clara Magni Manzoni, Silvia Modesto, Consuelo Rodriguez, Ana Nieto, Juan Carlos Ohrndorf, Sarah Rossi Semerano, Linda Selvaag, Anne Marit Swen, Nanno Ting, Tracy V. Tzaribachev, Nikolay Vega Fernández, Patricia Vojinovic, Jelena Windschall, Daniel D'Agostino, Maria Antonietta Naredo, Esperanza |
| author_sort | Roth, Johannes |
| collection | Repositorio Institucional |
| description | Objective. Musculoskeletal ultrasonography (US) has the potential to be an important tool in the assessment of disease activity inchildhood arthritides. To assesspathology,clear definitionsforsynovitisneed tobedeveloped first. The aim of thisstudy was to develop and validate these definitions through an international consensus process. Methods. The decision on which US techniques to use and the components to be included in the definitions, as well as the final wording, were developed by 31 US experts in a consensus process. A Likert scale of 1–5 (where 15complete disagreement and 55complete agreement) was used. A minimum of 80% of the experts scoring 4 or 5 was required for final approval. The definitions were then validated on 120 standardized US images of the wrist, metacarpophalangeal joints, and tibiotalar joints, displaying various degrees of synovitis at various ages. Results. B-mode and Doppler should be used for assessing synovitis in children. A US definition of the various components (i.e., synovial hypertrophy, effusion, and Doppler signal within the synovium) was developed. The definition was validated on still images with a median of 89% of participants (range 80–100) scoring it as 4 or 5 on a Likert scale. Conclusion. US definitions of synovitis and its elementary components covering the entire pediatric age range were successfully developed through a Delphi process and validated in a web-based still-images exercise. These results provide the basis for the standardized US assessment of synovitis in clinical practice and research. |
| format | Article |
| id | eprints-17571 |
| institution | UANL |
| language | English |
| publishDate | 2017 |
| publisher | American College of Rheumatology |
| record_format | eprints |
| spelling | eprints-175712022-03-13T00:12:34Z http://eprints.uanl.mx/17571/ Preliminary Definitions for the Sonographic Features of Synovitis in Children Roth, Johannes Ravagnani, Viviana Backhaus, Marina Balint, Peter Bruns, Alessandra Bruyn, George A. Collado, Paz De la Cruz, Lorenia Guillaume Czitrom, Severine Herlin, Troels Hernández, Cristina Iagnocco, Annamaria Jousse Joulin, Sandrine Lanni, Stefano Lilleby, Vibke Malattia, Clara Magni Manzoni, Silvia Modesto, Consuelo Rodriguez, Ana Nieto, Juan Carlos Ohrndorf, Sarah Rossi Semerano, Linda Selvaag, Anne Marit Swen, Nanno Ting, Tracy V. Tzaribachev, Nikolay Vega Fernández, Patricia Vojinovic, Jelena Windschall, Daniel D'Agostino, Maria Antonietta Naredo, Esperanza RC Medicina Interna, Psiquiatría, Neurología Objective. Musculoskeletal ultrasonography (US) has the potential to be an important tool in the assessment of disease activity inchildhood arthritides. To assesspathology,clear definitionsforsynovitisneed tobedeveloped first. The aim of thisstudy was to develop and validate these definitions through an international consensus process. Methods. The decision on which US techniques to use and the components to be included in the definitions, as well as the final wording, were developed by 31 US experts in a consensus process. A Likert scale of 1–5 (where 15complete disagreement and 55complete agreement) was used. A minimum of 80% of the experts scoring 4 or 5 was required for final approval. The definitions were then validated on 120 standardized US images of the wrist, metacarpophalangeal joints, and tibiotalar joints, displaying various degrees of synovitis at various ages. Results. B-mode and Doppler should be used for assessing synovitis in children. A US definition of the various components (i.e., synovial hypertrophy, effusion, and Doppler signal within the synovium) was developed. The definition was validated on still images with a median of 89% of participants (range 80–100) scoring it as 4 or 5 on a Likert scale. Conclusion. US definitions of synovitis and its elementary components covering the entire pediatric age range were successfully developed through a Delphi process and validated in a web-based still-images exercise. These results provide the basis for the standardized US assessment of synovitis in clinical practice and research. American College of Rheumatology 2017-08 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/17571/1/355.pdf http://eprints.uanl.mx/17571/1.haspreviewThumbnailVersion/355.pdf Roth, Johannes y Ravagnani, Viviana y Backhaus, Marina y Balint, Peter y Bruns, Alessandra y Bruyn, George A. y Collado, Paz y De la Cruz, Lorenia y Guillaume Czitrom, Severine y Herlin, Troels y Hernández, Cristina y Iagnocco, Annamaria y Jousse Joulin, Sandrine y Lanni, Stefano y Lilleby, Vibke y Malattia, Clara y Magni Manzoni, Silvia y Modesto, Consuelo y Rodriguez, Ana y Nieto, Juan Carlos y Ohrndorf, Sarah y Rossi Semerano, Linda y Selvaag, Anne Marit y Swen, Nanno y Ting, Tracy V. y Tzaribachev, Nikolay y Vega Fernández, Patricia y Vojinovic, Jelena y Windschall, Daniel y D'Agostino, Maria Antonietta y Naredo, Esperanza (2017) Preliminary Definitions for the Sonographic Features of Synovitis in Children. Arthritis care & research, 69 (8). pp. 1217-1223. ISSN 2151-464X http://doi.org/10.1002/acr.23130 doi:10.1002/acr.23130 |
| spellingShingle | RC Medicina Interna, Psiquiatría, Neurología Roth, Johannes Ravagnani, Viviana Backhaus, Marina Balint, Peter Bruns, Alessandra Bruyn, George A. Collado, Paz De la Cruz, Lorenia Guillaume Czitrom, Severine Herlin, Troels Hernández, Cristina Iagnocco, Annamaria Jousse Joulin, Sandrine Lanni, Stefano Lilleby, Vibke Malattia, Clara Magni Manzoni, Silvia Modesto, Consuelo Rodriguez, Ana Nieto, Juan Carlos Ohrndorf, Sarah Rossi Semerano, Linda Selvaag, Anne Marit Swen, Nanno Ting, Tracy V. Tzaribachev, Nikolay Vega Fernández, Patricia Vojinovic, Jelena Windschall, Daniel D'Agostino, Maria Antonietta Naredo, Esperanza Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| title_full | Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| title_fullStr | Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| title_full_unstemmed | Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| title_short | Preliminary Definitions for the Sonographic Features of Synovitis in Children |
| title_sort | preliminary definitions for the sonographic features of synovitis in children |
| topic | RC Medicina Interna, Psiquiatría, Neurología |
| url | http://eprints.uanl.mx/17571/1/355.pdf |
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