Pediatric rheumatology

Preliminary validation of a web-based MRI scoring system for children with chronic nonbacterial osteomyelitis (ChRonic nonbacterial Osteomyelitis Magnetic Resonance Imaging Scoring: CROMRIS)

Pediatr Rheumatol Online JPublished Validation study

Authors' conclusion

The web-based CROMRIS portal developed was usable and showed substantial-moderate agreement in the total CROMRIS Activity Index total scores among experienced radiologists after self-guided learning of the atlas and video.

Study context

Population
Children with chronic nonbacterial osteomyelitis; MRI scored by radiologists
Outcome
Interrater reliability of the CROMRIS Activity Index among radiologists, by body region
Methodological detailsqualitative, user-centered design approach, web-based
  • Qualitative, user-centered design approach
  • Web-based

Performance

As reported in the abstract

Interrater reliability, CROMRIS Activity Index: excellent for clavicle, tibia, cervical and lumbar spines

> 0.9

Mean kappa of each category of bones (substantial interrater reliability; long bones and clavicle most affected by CNO)

> 0.6

Original publication

Preliminary validation of a web-based MRI scoring system for children with chronic nonbacterial osteomyelitis (ChRonic nonbacterial Osteomyelitis Magnetic Resonance Imaging Scoring: CROMRIS). Pediatr Rheumatol Online J. Published 1 August 2025. doi:10.1186/s12969-025-01135-x

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