{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:39:22Z","timestamp":1762875562465},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T00:00:00Z","timestamp":1386892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Abbvie Singapore"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Ultrasonography is sensitive for synovitis detection but interobserver variation in both acquisition and image interpretation is still a concern. The objective was to assess if a short collegiate consensus would improve inter\u2010observer reliability in scoring of synovitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight rheumatologists (Singapore) participated in a 1\u2010day consensus meeting divided into: (i) still\u2010image interpretation and consensus followed by; (ii) image acquisition and interpretation, according to definitions and synovitis scoring rules endorsed by <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>utcome <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>easures in <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>heumatology (<jats:styled-content style=\"fixed-case\">OMERACT<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">TUI<\/jats:styled-content> (Targeted Ultrasound Initiative). Interobserver reliability of semiquantitative scoring in <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\u2010mode, <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ower <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>oppler (<jats:styled-content style=\"fixed-case\">PDUS<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>uropean <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>eague <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>gainst <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>heumatism (<jats:styled-content style=\"fixed-case\">EULAR<\/jats:styled-content>)\u2010<jats:styled-content style=\"fixed-case\">OMERACT PDUS<\/jats:styled-content> composite score was assessed by intraclass correlation co\u2010efficient (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>). Agreement at the joint region level was calculated using prevalence\u2010adjusted\u2010biased\u2010adjusted\u2010kappa (<jats:styled-content style=\"fixed-case\">PABAK<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\u2010mode still images, <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> was good at 0.75 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.66\u20130.82) while for <jats:styled-content style=\"fixed-case\">PDUS<\/jats:styled-content> images this was excellent at <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>\u00a0=\u00a00.88 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.83\u20130.92) with ICC improving by 12% for B\u2010mode and 13% for PDUS respectively. During image acquisition and interpretation, <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\u2010mode scoring showed <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>\u00a0=\u00a00.75 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.66\u20130.84) while for <jats:styled-content style=\"fixed-case\">PDUS<\/jats:styled-content> the <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> was lower at 0.59 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.48\u20130.72). The <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">OMERACT PDUS<\/jats:styled-content> composite synovitis scoring was good at 0.77 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.68\u20130.85). At the joint level, agreement varied with <jats:styled-content style=\"fixed-case\">PABAK<\/jats:styled-content> being excellent in the small joints of the hands but poor to fair in the wrists, elbows, ankles and metatarsophalangeal joints, and no agreement at the knees (<jats:styled-content style=\"fixed-case\">PABAK<\/jats:styled-content> range \u22120.34 to 0.85).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A consensus meeting was useful in improving interobserver variation in US synovitis scoring of still images, but image acquisition and interpretation especially in non\u2010hand joints require further standardization.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12247","type":"journal-article","created":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T06:55:33Z","timestamp":1386917733000},"page":"776-781","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Achieving 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