Uson Jacqueline, Loza Estibaliz, Möller Ingrid, Acebes Carlos, Andreu Jose Luis, Batlle Enrique, Bueno Ángel, Collado Paz, Fernández-Gallardo Juan Manuel, González Carlos, Jiménez Palop Mercedes, Lisbona María Pilar, Macarrón Pilar, Maymó Joan, Narváez Jose Antonio, Navarro-Compán Victoria, Sanz Jesús, Rosario M Piedad, Vicente Esther, Naredo Esperanza
Servicio de Reumatología, Hospital Universitario de Móstoles, Móstoles, Madrid, España.
Instituto de Salud Musculoesquelética, Madrid, España.
Reumatol Clin (Engl Ed). 2018 Jan-Feb;14(1):27-35. doi: 10.1016/j.reuma.2016.08.008. Epub 2016 Oct 27.
To develop evidence-based recommendations on the use of ultrasound (US) and magnetic resonance imaging in patients with spondyloarthritis, including psoriatic arthritis, and juvenile idiopathic arthritis.
Recommendations were generated following a nominal group technique. A panel of experts (15 rheumatologists and 3 radiologists) was established in the first panel meeting to define the scope and purpose of the consensus document, as well as chapters, potential recommendations and systematic literature reviews (we used and updated those from previous EULAR documents). A first draft of recommendations and text was generated. Then, an electronic Delphi process (2 rounds) was carried out. Recommendations were voted from 1 (total disagreement) to 10 (total agreement). We defined agreement if at least 70% of participants voted≥7. The level of evidence and grade or recommendation was assessed using the Oxford Centre for Evidence Based Medicine levels of evidence. The full text was circulated and reviewed by the panel. The consensus was coordinated by an expert methodologist.
A total of 12 recommendations were proposed for each disease. They include, along with explanations of the validity of US and magnetic resonance imaging regarding inflammation and damage detection, diagnosis, prediction (structural damage progression, flare, treatment response, etc.), monitoring and the use of US guided injections/biopsies.
These recommendations will help clinicians use US and magnetic resonance imaging in patients with spondyloarthritis and juvenile idiopathic arthritis.
针对脊柱关节炎患者（包括银屑病关节炎和幼年特发性关节炎患者）使用超声（US）和磁共振成像制定基于证据的建议。
采用名义群体技术生成建议。在首次专家小组会议上成立了一个专家小组（15名风湿病学家和3名放射科医生），以确定共识文件的范围和目的，以及章节、潜在建议和系统文献综述（我们使用并更新了先前欧洲抗风湿病联盟文件中的内容）。生成了建议和文本的初稿。然后，进行了两轮电子德尔菲法流程。建议的投票范围为1（完全不同意）至10（完全同意）。如果至少70%的参与者投票≥7，我们则定义为达成共识。使用牛津循证医学中心的证据水平评估证据水平和推荐等级。全文在专家小组中进行了传阅和审查。由一名专家方法学家协调达成共识。
针对每种疾病共提出了12条建议。这些建议包括关于超声和磁共振成像在炎症和损伤检测、诊断、预测（结构损伤进展、病情复发、治疗反应等）、监测以及超声引导下注射/活检使用方面有效性的解释。
这些建议将有助于临床医生在脊柱关节炎和幼年特发性关节炎患者中使用超声和磁共振成像。
