Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis
Background The Spondyloarthritis Research Consortium of Canada (SPARCC) developers have created web-based calibration modules for the SPARCC MRI sacroiliac joint (SIJ) scoring methods. We aimed to test the impact of applying these e-modules on the feasibility and reliability of these methods.Methods...
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BMJ Publishing Group
2024-02-01
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| author | Mikkel Østergaard Kristyna Bubová Monika Gregová Robert GW Lambert Susanne Juhl Pedersen Manouk de Hooge Iris Eshed Stephanie Wichuk Adrian Ciurea Michael S Nissen Ashish J Mathew Joel Paschke Raphael Micheroli Burkhard Möller Walter Maksymowych Nora Vladimirova Žiga Snoj Anna Enevold Fløistrup E F Hadsbjerg Karlo Pintaric Marie Wetterslev Karel Gorican |
| author_facet | Mikkel Østergaard Kristyna Bubová Monika Gregová Robert GW Lambert Susanne Juhl Pedersen Manouk de Hooge Iris Eshed Stephanie Wichuk Adrian Ciurea Michael S Nissen Ashish J Mathew Joel Paschke Raphael Micheroli Burkhard Möller Walter Maksymowych Nora Vladimirova Žiga Snoj Anna Enevold Fløistrup E F Hadsbjerg Karlo Pintaric Marie Wetterslev Karel Gorican |
| author_sort | Mikkel Østergaard |
| collection | DOAJ |
| description | Background The Spondyloarthritis Research Consortium of Canada (SPARCC) developers have created web-based calibration modules for the SPARCC MRI sacroiliac joint (SIJ) scoring methods. We aimed to test the impact of applying these e-modules on the feasibility and reliability of these methods.Methods The SPARCC-SIJRETIC e-modules contain cases with baseline and follow-up scans and an online scoring interface. Visual real-time feedback regarding concordance/discordance of scoring with expert readers is provided by a colour-coding scheme. Reliability is assessed in real time by intraclass correlation coefficient (ICC), cases being scored until ICC targets are attained. Participating readers (n=17) from the EuroSpA Imaging project were randomised to one of two reader calibration strategies that each comprised three stages. Baseline and follow-up scans from 25 cases were scored after each stage was completed. Reliability was compared with a SPARCC developer, and the System Usability Scale (SUS) assessed feasibility.Results The reliability of readers for scoring bone marrow oedema was high after the first stage of calibration, and only minor improvement was noted following the use of the inflammation module. Greater enhancement of reader reliability was evident after the use of the structural module and was most consistently evident for the scoring of erosion (ICC status/change: stage 1 (0.42/0.20) to stage 3 (0.50/0.38)) and backfill (ICC status/change: stage 1 (0.51/0.19) to stage 3 (0.69/0.41)). The feasibility of both e-modules was evident by high SUS scores.Conclusion The SPARCC-SIJRETIC e-modules are feasible, effective knowledge transfer tools, and their use is recommended before using the SPARCC methods for clinical research and tria |
| format | Article |
| id | doaj-art-844efd7af5b6493480e81fc1f3cd7f89 |
| institution | Kabale University |
| issn | 2056-5933 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
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| series | RMD Open |
| spelling | doaj-art-844efd7af5b6493480e81fc1f3cd7f892025-08-20T03:48:31ZengBMJ Publishing GroupRMD Open2056-59332024-02-0110110.1136/rmdopen-2023-003923Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritisMikkel Østergaard0Kristyna Bubová1Monika Gregová2Robert GW Lambert3Susanne Juhl Pedersen4Manouk de Hooge5Iris Eshed6Stephanie Wichuk7Adrian Ciurea8Michael S Nissen9Ashish J Mathew10Joel Paschke11Raphael Micheroli12Burkhard Möller13Walter Maksymowych14Nora Vladimirova15Žiga Snoj16Anna Enevold Fløistrup E F Hadsbjerg17Karlo Pintaric18Marie Wetterslev19Karel Gorican202 Department of Clinical Medicine, University of Copenhagen, Kobenhavn, DenmarkFirst Faculty of Medicine, Rheumatology, Charles University, Prague, Czech RepublicFirst Faculty of Medicine, Rheumatology, Charles University, Prague, Czech Republic11 Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, DenmarkDepartment of Rheumatology, University Hospital Ghent, Gent, BelgiumTel Aviv Sourasky Medical Center, Tel Aviv, IsraelRheumatology, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada25 Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandRheumatology, Geneva University Hospitals, Geneva, SwitzerlandDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkCaRE (Canadian Research Education) Arthritis, Edmonton, Alberta, CanadaDepartment of Rheumatology, University Hospital of Zurich, Zurich, SwitzerlandRheumatology, Inselspital Universitatsspital Bern, Bern, SwitzerlandMedicine, University of Alberta, Edmonton, Alberta, CanadaCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, DenmarkRadiology, UKC Ljubljana, Ljubljana, SloveniaCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, DenmarkRadiology, UKC Ljubljana, Ljubljana, Slovenia1 Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Copenhagen, DenmarkRadiology, Geneva University Hospitals, Geneva, SwitzerlandBackground The Spondyloarthritis Research Consortium of Canada (SPARCC) developers have created web-based calibration modules for the SPARCC MRI sacroiliac joint (SIJ) scoring methods. We aimed to test the impact of applying these e-modules on the feasibility and reliability of these methods.Methods The SPARCC-SIJRETIC e-modules contain cases with baseline and follow-up scans and an online scoring interface. Visual real-time feedback regarding concordance/discordance of scoring with expert readers is provided by a colour-coding scheme. Reliability is assessed in real time by intraclass correlation coefficient (ICC), cases being scored until ICC targets are attained. Participating readers (n=17) from the EuroSpA Imaging project were randomised to one of two reader calibration strategies that each comprised three stages. Baseline and follow-up scans from 25 cases were scored after each stage was completed. Reliability was compared with a SPARCC developer, and the System Usability Scale (SUS) assessed feasibility.Results The reliability of readers for scoring bone marrow oedema was high after the first stage of calibration, and only minor improvement was noted following the use of the inflammation module. Greater enhancement of reader reliability was evident after the use of the structural module and was most consistently evident for the scoring of erosion (ICC status/change: stage 1 (0.42/0.20) to stage 3 (0.50/0.38)) and backfill (ICC status/change: stage 1 (0.51/0.19) to stage 3 (0.69/0.41)). The feasibility of both e-modules was evident by high SUS scores.Conclusion The SPARCC-SIJRETIC e-modules are feasible, effective knowledge transfer tools, and their use is recommended before using the SPARCC methods for clinical research and triahttps://rmdopen.bmj.com/content/10/1/e003923.full |
| spellingShingle | Mikkel Østergaard Kristyna Bubová Monika Gregová Robert GW Lambert Susanne Juhl Pedersen Manouk de Hooge Iris Eshed Stephanie Wichuk Adrian Ciurea Michael S Nissen Ashish J Mathew Joel Paschke Raphael Micheroli Burkhard Möller Walter Maksymowych Nora Vladimirova Žiga Snoj Anna Enevold Fløistrup E F Hadsbjerg Karlo Pintaric Marie Wetterslev Karel Gorican Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis RMD Open |
| title | Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis |
| title_full | Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis |
| title_fullStr | Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis |
| title_full_unstemmed | Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis |
| title_short | Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis |
| title_sort | validation of sparcc mri retic e tools for increasing scoring proficiency of mri sacroiliac joint lesions in axial spondyloarthritis |
| url | https://rmdopen.bmj.com/content/10/1/e003923.full |
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