Osteoarthritis

Development of an Ultrasound Imaging Atlas for Grading Osteoarthritis in the First Metatarsophalangeal Joint

Arthritis Care Res (Hoboken)Published Reliability study

Authors' conclusion

The AUTUSI atlas demonstrated excellent intraexaminer and interexaminer reproducibility for evaluating first MTPJ joint effusion, synovial hypertrophy, synovitis, joint space narrowing, osteophytes, and cartilage thickness.

Study context

Population
Participants with and without radiographically confirmed first metatarsophalangeal joint (MTPJ) osteoarthritis (OA)30 with first MTPJ OA
Participants
57 participants
Outcome
Intraexaminer and interexaminer reproducibility of the AUTUSI atlas (percentage agreement and Gwet's AC2)
Methodological detailssemiquantitative ultrasound (US) atlas, 6 examiners, 2 sessions
  • Semiquantitative US atlas
  • 6 examiners
  • 2 sessions

Main finding

As reported in the abstract

Reproducibility of AUTUSI atlas grading

Interexaminer percentage agreement (almost perfect-to-perfect)

96% to 100%

Interexaminer Gwet's AC2

0.81 to 1.00

Intraexaminer percentage agreement (moderate-to-perfect)

67% to 100%

Intraexaminer Gwet's AC2

0.54 to 1.00

Original publication

Development of an Ultrasound Imaging Atlas for Grading Osteoarthritis in the First Metatarsophalangeal Joint. Arthritis Care Res (Hoboken). Published 10 August 2024. doi:10.1002/acr.25407

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