Sjögren's disease & overlap diseases

Applying the consensus-based salivary glands ultrasound scoring system in lacrimal glands: results of a static image-based OMERACT reliability exercise

Semin Arthritis RheumPublished Reliability study

Authors' conclusion

The consensus-based semi-quantitative ultrasound scoring system for salivary glands showed good to excellent intra-observer and good inter-observer reliability when applied to the lacrimal glands using static images.

Study context

Population
Static US images of lacrimal glands from patients with suspected pSjD, scored by 14 rheumatologists with the OMERACT salivary gland ultrasound (SGUS) scoring system (0–3)
Participants
14 rheumatologists
Outcome
Intra- and inter-observer reliability (kappa) of the SGUS scoring system applied to lacrimal glands
Methodological detailsOMERACT static image-based exercise, inter- and intra-observer reliability, kappa statistics, Participants' musculoskeletal US experience 2-28 years, SGUS experience 0-12 years; 11/14 had no prior lacrimal gland US experience, 13/14 had SGUS experience
  • OMERACT static image-based exercise
  • Inter- and intra-observer reliability
  • Kappa statistics
  • Participants' musculoskeletal US experience 2-28 years, SGUS experience 0-12 years; 11/14 had no prior lacrimal gland US experience, 13/14 had SGUS experience

Main finding

As reported in the abstract

Reliability of SGUS scoring system in lacrimal glands

Intra-observer reliability (kappa range), good to excellent

0.63 to 1.00

95% CI 0.77–0.89

Inter-observer reliability (kappa), good agreement

0.63

95% CI 0.61–0.65

Original publication

Applying the consensus-based salivary glands ultrasound scoring system in lacrimal glands: results of a static image-based OMERACT reliability exercise. Semin Arthritis Rheum. Published 11 June 2026. doi:10.1016/j.semarthrit.2026.153019

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