OMERACT 髋关节炎症磁共振成像评分系统（HIMRISS）在纵向研究中的评估。
OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study.
机构信息
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent's Hospital, Melbourne, Australia.
J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent's Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta.
出版信息
J Rheumatol. 2019 Sep;46(9):1239-1242. doi: 10.3899/jrheum.181043. Epub 2019 Feb 15.
OBJECTIVE
To assess reliability, feasibility, and responsiveness of Hip Inflammation Magnetic resonance imaging Scoring System (HIMRISS) for bone marrow lesions (BML) in hip osteoarthritis (OA).
METHODS
HIMRISS was scored by 8 readers in 360 hips of 90 patients imaged pre/post-hip steroid injection. Pre-scoring, new readers trained online to achieve intraclass correlation coefficient (ICC) > 0.80 versus experts.
RESULTS
HIMRISS reliability was excellent for BML status (ICC 0.83-0.92). Despite small changes post-injection, reliability of BML change scores was high in femur (0.76-0.81) and moderate in acetabulum (0.42-0.56).
CONCLUSION
HIMRISS should be a priority for further assessment of hip BML in OA, and evaluated for use in other arthropathies.
目的
评估髋关节炎症磁共振成像评分系统（HIMRISS）在髋关节骨关节炎（OA）骨髓病变（BML）中的可靠性、可行性和反应性。
方法
由 8 名读者对 90 名接受髋关节类固醇注射前后成像的 360 个髋关节进行 HIMRISS 评分。在评分前，新读者在线接受培训，以达到与专家相比的组内相关系数（ICC）>0.80。
结果
HIMRISS 对 BML 状态的可靠性极好（ICC 0.83-0.92）。尽管注射后有较小的变化，但股骨的 BML 变化评分的可靠性较高（0.76-0.81），髋臼的可靠性中等（0.42-0.56）。
结论
HIMRISS 应成为进一步评估 OA 髋关节 BML 的首要选择，并评估其在其他关节病中的应用。
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