Classification of axial SpA based on positive imaging (radiographs and/or MRI of the sacroiliac joints) by local rheumatologists or radiologists versus central trained readers in the DESIR cohort.

Rosaline Van den Berg Grégory Lenczner Fabrice Thévenin Pascal Claudepierre 1, 2 Antoine Feydy 3 Monique Reijnierse Alain Saraux 4, 5 Alain Rahmouni 6, 7 Maxime Dougados 8 Désirée Van Der Heijde 9
1 LIC - Laboratoire d'Investigation Clinique
2 Service de rhumatologie [CHU Henri Mondor]
3 Service de radiologie
4 LabEX IGO Immunothérapie Grand Ouest
5 EA2216 - Immunologie et Pathologie
6 Faculté de Médecine Créteil
7 Service Imagerie Médicale
8 Service de rhumatologie [CHU Cochin]
9 Department of Rheumatology
Abstract : OBJECTIVE: Investigating changes in patient classification (ASAS (Assessment of SpondyloArthritis international Society) axSpA criteria) based on evaluation of images of the sacro-iliac joints (MRI-SI and X-SI) by local and central readers. METHODS: The DESIR cohort included patients with inflammatory back pain (IBP; ≥3 months, but <3 years), suggestive of axSpA. Local radiologists/rheumatologists (local-reading) and two central readers (central-reading) evaluated baseline images. Agreement regarding positive MRI (pos-MRI) between central readers and between local-reading and central-reading was calculated (κs). Number of patients classified differently (ASAS criteria) by using local-reading instead of central-reading was calculated. RESULTS: Inter-reader agreement between the two central readers and between local-reading and central-reading was substantial (κ=0.73 and κ=0.70, respectively). In 89/663 MRI-SIs (13.4%) local-reading and central-reading disagreed; 38/223 patients (17.0%) with pos-MRI (local-reading) were negative by central-reading; 51/440 patients (11.6%) with neg-MRI (local-reading) were positive by central-reading. In 163/582 patients eligible for applying ASAS criteria (28.0%), local-reading and central-reading disagreed on positive imaging (MRI-SI and/or X-SI; κ=0.68). In 46/582 patients (7.9%) a different evaluation resulted in a different classification; 18/582 patients (3.1%) classified no-SpA (central-reading) were axSpA by local-reading; 28/582 patients (4.8%) classified axSpA (central-reading) were no-SpA by local-reading. Among axSpA patients (central-reading), 16/419 patients (3.8%) fulfilling imaging-arm by central-reading fulfilled clinical-arm by local-reading; 29/419 patients (6.9%) fulfilling clinical-arm by central-reading fulfilled also imaging-arm by local-reading. CONCLUSIONS: In patients with recent onset IBP, trained readers and local rheumatologists/radiologists agree well on recognising a pos-MRI. While disagreeing in 28% of the patients on positive imaging (MRI-SI and/or X-SI), classification of only 7.9% of the patients changed based on a different evaluation of images, showing the ASAS axSpA criteria's robustness.
Type de document :
Article dans une revue
Annals of the Rheumatic Diseases, BMJ Publishing Group, 2014, epub ahead of print. 〈10.1136/annrheumdis-2014-205432〉
Liste complète des métadonnées
http://hal.univ-brest.fr/hal-01030844
Contributeur : Ghislaine Calvez <>
Soumis le : mardi 22 juillet 2014 - 15:27:18
Dernière modification le : mercredi 10 janvier 2018 - 12:16:02

Identifiants

Collections

UNIV-PARIS5 | UNIV-BREST | IMMUNO | UPEC-UPEM | USPC

Citation

Rosaline Van den Berg, Grégory Lenczner, Fabrice Thévenin, Pascal Claudepierre, Antoine Feydy, et al.. Classification of axial SpA based on positive imaging (radiographs and/or MRI of the sacroiliac joints) by local rheumatologists or radiologists versus central trained readers in the DESIR cohort.. Annals of the Rheumatic Diseases, BMJ Publishing Group, 2014, epub ahead of print. 〈10.1136/annrheumdis-2014-205432〉. 〈hal-01030844〉

Exporter

BibTeX TEI DC DCterms EndNote

Partager

Métriques

Consultations de la notice

183

Contact

support.ccsd.cnrs.fr
hal.support@ccsd.cnrs.fr
Logo CCSD