Rheumatoid arthritis

Application of vascular index based on superb microvascular imaging technique for assessing disease activity in rheumatoid arthritis patients with signal-positive joints

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

As a quantitative indicator to assess synovitis activity of RA patients, SMI-based VI was helpful in assessing RA disease activity.

Study context

Population
Rheumatoid arthritis (RA) patients who underwent superb microvascular imaging (SMI) of 28 joints
Participants
119 patients
Comparison
SMI-based vascular index (VI) parameters vs Disease Activity Score (DAS28) disease activity
Outcome
Correlation of VI parameters with DAS28 and clinical/laboratory indicators; ability to identify DAS28 <2.6/DAS28 ≤3.2 (ROC)

Performance

As reported in the abstract

Correlation with DAS28
Test or modelR with DAS28
VIsum0.740
VIstand0.659

R with DAS28

VIsum0.740
VIstand0.659
Correlation of VIsum and VIstand with DAS28
P < 0.05
Differences of VIsum and VIstand among the 4 disease activity groups statistically significant
P < 0.05

Further findings

OutcomeVIsum
Identification of DAS28 <2.6/DAS28 ≤3.2 (ROC)
Cut-off for DAS28 <2.6/DAS28 ≤3.235.5/47.8
AUC for DAS28 <2.6/DAS28 ≤3.20.872/0.846

Identification of DAS28 <2.6/DAS28 ≤3.2 (ROC)

VIsum had higher diagnostic efficacy than VIstand for identifying remission or low and below activity

Original publication

Application of vascular index based on superb microvascular imaging technique for assessing disease activity in rheumatoid arthritis patients with signal-positive joints. Clin Exp Rheumatol. Published 25 November 2024. doi:10.55563/clinexprheumatol/8x1nhn

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