Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarth
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Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarth. / Maksymowych, Walter; Hadsbjerg, Anna Enevold Fløistrup E.F.; Østergaard, Mikkel; Micheroli, Raphael; Pedersen, Susanne Juhl; Ciurea, Adrian; Vladimirova, Nora; Nissen, Michael S.; Bubova, Kristyna; Wichuk, Stephanie; de Hooge, Manouk; Mathew, Ashish J.; Pintaric, Karlo; Gregová, Monika; Snoj, Ziga; Wetterslev, Marie; Gorican, Karel; Möller, Burkhard; Eshed, Iris; Paschke, Joel; Lambert, Robert Gw.
In: RMD Open, Vol. 10, No. 1, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarth
AU - Maksymowych, Walter
AU - Hadsbjerg, Anna Enevold Fløistrup E.F.
AU - Østergaard, Mikkel
AU - Micheroli, Raphael
AU - Pedersen, Susanne Juhl
AU - Ciurea, Adrian
AU - Vladimirova, Nora
AU - Nissen, Michael S.
AU - Bubova, Kristyna
AU - Wichuk, Stephanie
AU - de Hooge, Manouk
AU - Mathew, Ashish J.
AU - Pintaric, Karlo
AU - Gregová, Monika
AU - Snoj, Ziga
AU - Wetterslev, Marie
AU - Gorican, Karel
AU - Möller, Burkhard
AU - Eshed, Iris
AU - Paschke, Joel
AU - Lambert, Robert Gw
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2024
Y1 - 2024
N2 - 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-SIJ RETIC 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-SIJ RETIC e-modules are feasible, effective knowledge transfer tools, and their use is recommended before using the SPARCC methods for clinical research and tria.
AB - 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-SIJ RETIC 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-SIJ RETIC e-modules are feasible, effective knowledge transfer tools, and their use is recommended before using the SPARCC methods for clinical research and tria.
KW - Magnetic Resonance Imaging
KW - Outcome and Process Assessment, Health Care
KW - Spondylitis, Ankylosing
U2 - 10.1136/rmdopen-2023-003923
DO - 10.1136/rmdopen-2023-003923
M3 - Journal article
C2 - 38351052
AN - SCOPUS:85185220837
VL - 10
JO - RMD Open
JF - RMD Open
SN - 2056-5933
IS - 1
ER -
ID: 383745785