Spondyloarthritis & psoriatic arthritis

Effect of Online Training on the Reliability of Assessing Sacroiliac Joint Radiographs in Axial Spondyloarthritis: A Randomized, Controlled Study

J RheumatolPublished Randomised controlled trial

Authors' conclusion

Agreement on scoring radiographs according to the mNY criteria significantly improved when adding an online RETIC module, but not by slideshow and video alone.

Study context

Population
Readers scoring SIJ radiographs according to the modified New York (mNY) criteria in axSpA, agreement with an expert radiologist
Participants
19 readers
Comparison
Real-time iterative calibration (RETIC) module in addition to slideshow and video vs slideshow and video alone
Primary endpoint
Agreement (κ) with an expert radiologist for mNY positivity/negativity
Methodological detailsonline real-time iterative calibration (RETIC) module, linear mixed models
  • Online real-time iterative calibration (RETIC) module
  • Linear mixed models

Primary result

As reported in the abstract

Change in agreement for mNY-positive and mNY-negative grading
Increase (95% CI)P value
RETIC in addition to slideshow and video
0.17(0.07–0.27)
P = 0.002
Slideshow and video alone
0.00(−0.10 to 0.10)
P = 0.99

Further findings

OutcomeAB
mNY agreement in exercises I, II and III0.61, 0.76, and 0.840.70, 0.68, and 0.86

mNY agreement in exercises I, II and III

Increasing, mainly after RETIC completion

Grading of mNY positivity/negativity and individual pathologies by reader experience

Improvements in both experienced and, particularly, inexperienced readers

Original publication

Effect of Online Training on the Reliability of Assessing Sacroiliac Joint Radiographs in Axial Spondyloarthritis: A Randomized, Controlled Study. J Rheumatol. Published 15 September 2024. doi:10.3899/jrheum.2024-0075

Composed by AI from the published abstract and checked against it. How Briefs are made →

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