Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle
Authors' conclusion
A comprehensive and reliable paediatric ankle US scanning protocol and scoring system for the assessment of synovitis and tenosynovitis were successfully developed.
Study context
- Population
- Paediatric ankle: inflammatory lesions of the synovial recesses and tendons; 19 paediatric rheumatologists as raters
- Participants
- 19 paediatric rheumatologists
- Outcome
- Inter-rater agreement of B-mode and Doppler scoring (two-way single score ICC)
Methodological detailsChildhood Arthritis and Rheumatology Research Alliance (CARRA) US group, iterative consensus development, three rounds of still-image scoring plus one practical exercise
- CARRA US group
- Iterative consensus development
- Three rounds of still-image scoring plus one practical exercise
Recommendations
As reported in the abstract
Inter-rater reliability of final scoring system (ICC)
Anterior tibiotalar joint intraclass correlation coefficients (ICC)
0.93
95% CI 0.92, 0.94
Talonavicular joint ICC
0.86
95% CI 0.81, 0.90
Subtalar joint ICC
0.91
95% CI 0.88, 0.93
Tendons ICC
0.96
95% CI 0.95, 0.97
Further findings
Views selected
- Initially identified views
- 37
- Views chosen for each B-mode and Doppler semi-quantitative evaluation
- 9
Original publication
Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle. Rheumatology (Oxford). Published 29 October 2022. doi:10.
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