Vasculitis & polymyalgia rheumatica

OMERACT giant cell arteritis (GCA) phantom project: validation of a 3D-printed ultrasound training phantom for diagnosis of giant cell arteritis

RMD OpenPublished Reliability study

Authors' conclusion

The study demonstrated high reliability among ultrasound experts in applying the OMERACT ultrasound definitions for GCA and in measuring the IMT using a 3D-printed phantom of the AA and TA.

Study context

Population
Ultrasonography experts from 12 European countries examining 3D-printed phantoms of the axillary and superficial temporal arteries
Participants
28 experts12 European countries
Outcome
Reliability of ultrasonography findings (normal/vasculitic classification per OMERACT GCA US definitions) and IMT measurements
Methodological detailsblinded examination, predefined protocol, two rounds, 3D-printed phantoms
  • Blinded examination
  • Predefined protocol
  • Two rounds
  • 3D-printed phantoms

Main finding

As reported in the abstract

Phantoms correctly classified as normal/abnormal, both rounds

>81%

Interrater Fleiss' kappa, classification, round 1

0.80

95% CI 0.78 to 0.81

Interrater Fleiss' kappa, classification, round 2

0.74

95% CI 0.72 to 0.75

Intima-media thickness (IMT) measurement ICC (1.1), both rounds

0.98

95% CI 0.98 to 0.99

Further findings

Intrarater reliability

Median Cohen's kappa
0.83
Median ICC
0.78
  • Described as good

Original publication

OMERACT GCA phantom project: validation of a 3D-printed ultrasound training phantom for diagnosis of giant cell arteritis. RMD Open. Published 6 February 2025. doi:10.1136/rmdopen-2024-005316

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