Inter & intra-observer reliability of grading ultrasound videoclips with hand pathology in rheumatoid arthritis by using non- sophisticated internet tools (LUMINA study)

To evaluate the inter- and intraobserver agreement of a group of European rheumatologist ultrasonographers in grading musculoskeletal ultrasound videoclips posted on the Internet by using a non-sophisticated electronic environment. Forty short movie clips (less than 30 secs) were made available over...

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Bibliographic Details
Published in:	Medical ultrasonography Vol. 16; no. 1; pp. 32 - 36
Main Authors:	Vlad, Violeta, Berghea, Florin, Iagnocco, Annamaria, Micu, Mihaela, Damjanov, Nemanja, Skakic, Vlado, Prodanovic, Slavica, Radunovic, Goran, Szkudlarek, Marcin, Nestorova, Rodina, Petranova, Tzvetanka, Kakavouli, Jasna, Porta, Francesco, Perricone, Carlo, Ciechomska, Anna, Moller, Ingrid, Varzaru, Luminita, Peric, Porin, Dejaco, Christian, Bojinca, Mihai, Fodor, Daniela, Milicescu, Mihaela, Naredo, Esperanza
Format:	Journal Article
Language:	English
Published:	Romania Romanian Society of Ultrasonography in Medicine and Biology 01-03-2014
Subjects:	Arthritis, Rheumatoid - diagnostic imaging Clinical Competence - statistics & numerical data Europe Hand - diagnostic imaging Humans Internet Observer Variation Reproducibility of Results Sensitivity and Specificity Software Ultrasonography - statistics & numerical data User-Computer Interface Video Recording - statistics & numerical data
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Summary:	To evaluate the inter- and intraobserver agreement of a group of European rheumatologist ultrasonographers in grading musculoskeletal ultrasound videoclips posted on the Internet by using a non-sophisticated electronic environment. Forty short movie clips (less than 30 secs) were made available over the Internet to all participants. Normal and pathological RA hand joints and tendons were included in the movie clips. In the first phase 30 investigators from European countries were invited to evaluate the clips and to interpret/grade them. No instruction session was held prior to the initiation of the study. For synovitis the requested scoring system included 0 to3 grades and for tenosynovitis a binary variable 0/1; separate evaluations were performed for gray scale (GS) and Power Doppler (PD) examinations. In the second phase the responders were asked to grade the same clips in a different order without having access to their first grading scale. Light's k and Cohen's k were used to analyse inter- and intraobserver reliability. Twenty two European rheumatologists agreed to finalise both study phases. Mean Cohen's κ for intraobserver reliability was 0.614/0.689 for tenosynovitis GS/PD and 0.523/0.621 for synovitis GS/PD. Light's k for interobserver reliability was 0.503 for tenosynovitis evaluation and 0.455 for global (synovitis and tenosynovitis) evaluation. Mean global overall agreement was 84.95% (90.2% for global synovitis). An over-the-net US evaluation and grading has shown moderate to good reliability. The results could be improved if a training session is added at the beginning of the study.
ISSN:	1844-4172 2066-8643
DOI:	10.11152/mu.2014.2066.161.vv1fb2