{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:05:48Z","timestamp":1790949948236,"version":"4.1.0"},"reference-count":16,"publisher":"The Journal of Rheumatology","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>To assess the performance of various sonographic elemental entheseal lesions in distinguishing between psoriatic arthritis (PsA) and controls to inform the development of a novel sonographic enthesitis score for PsA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>A total of 100 age- and sex-matched individuals (50 PsA and 50 controls) were evaluated. Eleven entheseal sites were scanned bilaterally according to a standardized protocol by 2 sonographers. Based on the Outcome Measures in Rheumatology (OMERACT) definition of sonographic enthesitis, the following lesions were assessed: structural entheseal changes (hypoechogenicity), thickening, bone erosion, enthesophytes, calcification, and Doppler signal, in addition to bursitis and bone irregularities. The images were read by 2 readers blinded to the clinical information. A series of logistic regression models were used to find the optimal combination of entheseal sites and elementary lesions that distinguished PsA from controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Mean age was 55 \u00b1 10 years (59% males). The optimal model that distinguished PsA from controls included 5 elementary lesions (enthesophytes, Doppler signal, erosions, thickening, and hypoechogenicity) and 6 entheseal sites (patellar ligament insertions into the distal patella and tibial tuberosity, Achilles tendon and plantar fascia insertions into the calcaneus, common extensor tendon insertion into lateral epicondyle, and supraspinatus insertion into the superior facet of the humerus). The area under the receiver-operating characteristic curve for this model was 0.93 (95% CI 0.88\u20130.98).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>We identified potential elemental ultrasonographic abnormalities and entheseal sites that could distinguish PsA and controls. This information will contribute to the development of a new sonographic score for assessment of enthesitis in patients with PsA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3899\/jrheum.171465","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T07:15:29Z","timestamp":1539587729000},"page":"384-390","source":"Crossref","is-referenced-by-count":67,"title":["Development of a Preliminary Ultrasonographic Enthesitis Score in Psoriatic Arthritis \u2014 GRAPPA Ultrasound Working Group"],"prefix":"10.3899","volume":"46","author":[{"given":"Stephanie","family":"Tom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Cook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibel Zehra","family":"Aydin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurjit","family":"Kaeley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihi","family":"Eder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"2019040109152891000_46.4.384.1","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1002\/acr.23174","article-title":"Clinical enthesitis in a prospective longitudinal psoriatic arthritis cohort: Incidence, prevalence, characteristics and outcome","volume":"69","author":"Polachek","year":"2017","journal-title":"Arthritis Care Res"},{"key":"2019040109152891000_46.4.384.2","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1186\/s13075-017-1399-5","article-title":"The association between sonographic enthesitis and radiographic damage in psoriatic arthritis","volume":"19","author":"Polachek","year":"2017","journal-title":"Arthritis Res Ther"},{"key":"2019040109152891000_46.4.384.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)12004-9"},{"key":"2019040109152891000_46.4.384.4","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1159\/000341536","article-title":"Enthesitis in psoriatic disease","volume":"225","author":"McGonagle","year":"2012","journal-title":"Dermatology"},{"key":"2019040109152891000_46.4.384.5","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1002\/art.39573","article-title":"Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 treatment recommendations for psoriatic arthritis","volume":"68","author":"Coates","year":"2016","journal-title":"Arthritis Rheumatol"},{"key":"2019040109152891000_46.4.384.6","doi-asserted-by":"crossref","first-page":"241","DOI":"10.32098\/mltj.02.2016.12","article-title":"Assessment of enthesitis in patients with psoriatic arthritis using clinical examination and ultrasound","volume":"6","author":"Kristensen","year":"2016","journal-title":"Muscles Ligaments Tendons J"},{"key":"2019040109152891000_46.4.384.7","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.10.905"},{"key":"2019040109152891000_46.4.384.8","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22158"},{"key":"2019040109152891000_46.4.384.9","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1093\/rheumatology\/kex179","article-title":"Musculoskeletal ultrasonography for psoriatic arthritis and psoriasis patients: a systematic literature review","volume":"56","author":"Zabotti","year":"2017","journal-title":"Rheumatology"},{"key":"2019040109152891000_46.4.384.10","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2010.134965"},{"key":"2019040109152891000_46.4.384.11","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1002\/acr.22191","article-title":"Defining enthesitis in spondyloarthritis by ultrasound: results of a Delphi process and of a reliability reading exercise","volume":"66","author":"Terslev","year":"2014","journal-title":"Arthritis Care Res"},{"key":"2019040109152891000_46.4.384.12","doi-asserted-by":"crossref","unstructured":"Elalouf O Bakirci Ureyen S Touma Z Anderson M Kaeley G Aydin SZ Psoriatic arthritis sonographic enthesitis instruments: a systematic review of the literature. J Rheumatol 2018 Jul 15 (E-pub ahead of print).","DOI":"10.3899\/jrheum.171466"},{"key":"2019040109152891000_46.4.384.13","doi-asserted-by":"crossref","first-page":"2665","DOI":"10.1002\/art.21972","article-title":"Classification criteria for psoriatic arthritis: development of new criteria from a large international study","volume":"54","author":"Taylor","year":"2006","journal-title":"Arthritis Rheumatol"},{"key":"2019040109152891000_46.4.384.14","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.160715"},{"key":"2019040109152891000_46.4.384.15","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.130949"},{"key":"2019040109152891000_46.4.384.16","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.rdc.2015.07.009","article-title":"Outcome Measures in Psoriatic Arthritis","volume":"41","author":"Coates","year":"2015","journal-title":"Rheum Dis Clin North Am"}],"container-title":["The Journal of Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3899\/jrheum.171465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T06:38:56Z","timestamp":1720679936000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jrheum.org\/lookup\/doi\/10.3899\/jrheum.171465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,15]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,4,1]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.3899\/jrheum.171465"],"URL":"https:\/\/doi.org\/10.3899\/jrheum.171465","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.734241790.793564928","asserted-by":"object"}]},"ISSN":["0315-162X","1499-2752"],"issn-type":[{"value":"0315-162X","type":"print"},{"value":"1499-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,15]]}}}