Inflammatory myopathies

Quantifying Cutaneous Dermatomyositis: A Novel 3D Image–Based Approach

J RheumatolPublished Prospective validation study

Authors' conclusion

Our results demonstrate favorable validity and responsiveness of the 3D images for evaluating rashes in patients with DM. The 3D image-derived rash area and redness are significant predictors of CDASI scores.

Study context

Population
Patients with dermatomyositis (DM) (81.5% female, 96.3% White; median age 50.0 years)
Participants
27 patients
Comparison
3D image disease activity score vs CDASI and patient-reported outcome measures (PROMs)
Outcome
Feasibility of 3D image-based assessment of cutaneous DM activity: construct validity and responsiveness of 3DAS vs CDASI and PROMs (Spearman r)
Methodological details2 timepoints
  • 2 timepoints

Performance

As reported in the abstract

Construct validity: correlation of 3DAS with CDASI

Spearman r, 3DAS vs CDASI (strong correlation); also correlated strongly with PROMs

r = 0.83

P < 0.001

Further findings

Responsiveness: absolute change from baseline in 3DAS vs CDASI

Spearman r (strong correlation)
r = 0.61; P = 0.004

Generalized linear regression: 3D rash area and redness as predictors of CDASI

Rash area and redness from 3D images were significant predictors of CDASI score

Baseline CDASI score

Median (IQR) CDASI
6.0 (IQR 0.0-17.0)

Original publication

Quantifying Cutaneous Dermatomyositis: A Novel 3D Image–Based Approach. J Rheumatol. Published 1 October 2025. doi:10.3899/jrheum.2025-0537

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