Vasculitis & polymyalgia rheumatica

Magnetic Resonance Vasculitis Activity Score (MRVAS)—introducing a standardized magnetic resonance scoring system for assessing the extent of inflammatory burden in giant cell arteritis

Rheumatology (Oxford)Published Reliability study

Authors' conclusion

The proposed MRVAS allows standardized scoring of inflammation in GCA and achieved high agreement rates in a prospective setting.

Study context

Population
Patients with suspected GCA undergoing MRI of the cranial arteries and the aorta and its branches (20 vessel segments)suspected GCA
Participants
80 patients
Exposure
Experienced radiologists vs inexperienced radiologists applying the MRVAS
Outcome
Interrater reliability of the MRVAS (ICC; Cohen's κ for individual vessel segments)
Methodological detailsblinded readers, prospective
  • Blinded readers
  • Prospective

Main finding

As reported in the abstract

Interrater reliability of the MRVAS
ICC, individual vessel-based level, GCA
0.95
ICC, individual vessel-based level, non-GCA
0.96
ICC, overall MRVAS level, GCA
0.96
ICC, overall MRVAS level, non-GCA
1.0
Cohen's κ range, all reader pairs (significant concordance, P < 0.001)
0.78-0.98

Observational data: associations, not effects.

Original publication

MRVAS—introducing a standardized magnetic resonance scoring system for assessing the extent of inflammatory burden in giant cell arteritis. Rheumatology (Oxford). Published 1 February 2024. doi:10.1093/rheumatology/keae056

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