{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T08:18:32Z","timestamp":1793089112731,"version":"4.5.0"},"reference-count":26,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:00:00Z","timestamp":1672444800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Archives of Rheumatology"],"abstract":"<jats:p>Objectives: We aimed to evaluate shoulder joint by magnetic resonance imaging (MRI) using the Juvenile Arthritis Magnetic Resonance Imaging Scoring (JAMRIS) system in children with juvenile idiopathic arthritis (JIA) and to compare clinical, laboratory parameters and disease activity scores with MRI parameters.\r\nPatients and methods: A total of 32 shoulder joints of 20 patients (16 males, 4 females; mean age: 8.9\u00b13.5 years; range, 2.5 to 14 years) with a known diagnosis of JIA and a clinical suspicion of shoulder joint involvement and underwent MRI were included. Reliability was determined by inter- and intra-observer correlation coefficients. Correlation of the clinical and laboratory parameters with JAMRIS scores was done using the non-parametric tests. Sensitivity of clinical examination to detect shoulder joint arthritis was also determined.\r\nResults: Of the 32 joints, 27 joints in 17 patients showed MRI changes. Seven joints in five patients fulfilled the definition of clinical arthritis, all revealed MRI changes. In 25 joints without clinical arthritis, early and late MRI changes were seen in 19 (67%) and 12 (48%) joints, respectively. The inter- and intra-observer correlation coefficients for JAMRIS system were excellent. No correlation was found between MRI parameters, clinical, laboratory, and disease activity scores. The sensitivity of clinical examination to detect shoulder joint arthritis was 25.9%.\r\nConclusion: The JAMRIS system is reliable and reproducible to determine shoulder joint inflammation in JIA. Detection of shoulder joint arthritis by clinical examination has a poor sensitivity<\/jats:p>","DOI":"10.46497\/archrheumatol.2022.9304","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T07:40:16Z","timestamp":1671522016000},"page":"547-558","source":"Crossref","is-referenced-by-count":7,"title":["The reliability of Juvenile Arthritis Magnetic Resonance Imaging Scoring system in the evaluation of the shoulder joint in juvenile idiopathic arthritis"],"prefix":"10.5152","volume":"37","author":[{"family":"Murugan Sudhakar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Shivani Deswal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Namrita Sachdev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Somdipa Pal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Tribhuvan Pal Yadav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2022,12,31]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Dabrowski W, Fonseka N, Ansell BM, Liyanage IS, Arden GP. Shoulder problems in juvenile chronic polyarthritis. Scand J Rheumatol 1979;8:49-53.","DOI":"10.1080\/03009747909105334"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Hemke R, Nusman CM, van der Heijde DM, Doria AS, Kuijpers TW, Maas M, et al. Frequency of joint involvement in juvenile idiopathic arthritis during a 5-year follow-up of newly diagnosed patients: Implications for MR imaging as outcome measure. Rheumatol Int 2015;35:351-7.","DOI":"10.1007\/s00296-014-3108-x"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Hemke R, van Rossum MA, van Veenendaal M, Terra MP, Deurloo EE, de Jonge MC, et al. Reliability and responsiveness of the Juvenile Arthritis MRI Scoring (JAMRIS) system for the knee. Eur Radiol 2013;23:1075-83.","DOI":"10.1007\/s00330-012-2684-y"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Hemke R, Maas M, van Veenendaal M, Dolman KM, van Rossum MA, van den Berg JM, et al. Contrast-enhanced MRI compared with the physical examination in the evaluation of disease activity in juvenile idiopathic arthritis. Eur Radiol 2014;24:327-34.","DOI":"10.1007\/s00330-013-3036-2"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Miller E, Uleryk E, Doria AS. Evidence-based outcomes of studies addressing diagnostic accuracy of MRI of juvenile idiopathic arthritis. AJR Am J Roentgenol 2009;192:1209-18.","DOI":"10.2214\/AJR.08.2304"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Nistala K, Babar J, Johnson K, Campbell-Stokes P, Foster K, Ryder C, et al. Clinical assessment and core outcome variables are poor predictors of hip arthritis diagnosed by MRI in juvenile idiopathic arthritis. Rheumatology (Oxford) 2007;46:699-702.","DOI":"10.1093\/rheumatology\/kel401"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez-Henr\u00edquez P, Solano C, Pe\u00f1a A, Le\u00f3nHern\u00e1ndez S, Hern\u00e1ndez-D\u00edaz C, Guti\u00e9rrez M, et al. Sternoclavicular joint involvement in rheumatoid arthritis: Clinical and ultrasound findings of a neglected joint. Arthritis Care Res (Hoboken) 2013;65:1177-82.","DOI":"10.1002\/acr.21958"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Vilca I, Munitis PG, Pistorio A, Ravelli A, Buoncompagni A, Bica B, et al. Predictors of poor response to methotrexate in polyarticular-course juvenile idiopathic arthritis: Analysis of the PRINTO methotrexate trial. Ann Rheum Dis 2010;69:1479-83.","DOI":"10.1136\/ard.2009.120840"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Albers HM, Wessels JA, van der Straaten RJ, Brinkman DM, Suijlekom-Smit LW, Kamphuis SS, et al. Time to treatment as an important factor for the response to methotrexate in juvenile idiopathic arthritis. Arthritis Rheum 2009;61:46-51.","DOI":"10.1002\/art.24087"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Gylys-Morin VM, Graham TB, Blebea JS, Dardzinski BJ, Laor T, Johnson ND, et al. Knee in early juvenile rheumatoid arthritis: MR imaging findings. Radiology 2001;220:696-706.","DOI":"10.1148\/radiol.2203000461"},{"key":"ref-11","unstructured":"\u00d8stergaard M, Peterfy C, Conaghan P, McQueen F, Bird P, Ejbjerg B, et al. OMERACT rheumatoid arthritis magnetic resonance imaging studies. Core set of MRI acquisitions, joint pathology definitions, and the OMERACT RA-MRI scoring system. J Rheumatol 2003;30:1385-6."},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Malattia C, Damasio MB, Pistorio A, Ioseliani M, Vilca I, Valle M, et al. Development and preliminary validation of a paediatric-targeted MRI scoring system for the assessment of disease activity and damage in juvenile idiopathic arthritis. Ann Rheum Dis 2011;70:440-6.","DOI":"10.1136\/ard.2009.126862"},{"key":"ref-13","unstructured":"Petty RE, Southwood TR, Manners P, Baum J, Glass DN, Goldenberg J, et al. International league of associations for rheumatology classification of juvenile idiopathic arthritis: Second revision, Edmonton, 2001. J Rheumatol 2004;31:390-2."},{"key":"ref-14","unstructured":"Wallace CA, Ruperto N, Giannini E; Childhood Arthritis and Rheumatology Research Alliance; Pediatric Rheumatology International Trials Organization; Pediatric Rheumatology Collaborative Study Group. Preliminary criteria for clinical remission for select categories of juvenile idiopathic arthritis. J Rheumatol 2004;31:2290-4."},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Kieft GJ, Dijkmans BA, Bloem JL, Kroon HM. Magnetic resonance imaging of the shoulder in patients with rheumatoid arthritis. Ann Rheum Dis 1990;49:7-11.","DOI":"10.1136\/ard.49.1.7"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Koos B, Twilt M, Kyank U, Fischer-Brandies H, Gassling V, Tzaribachev N. Reliability of clinical symptoms in diagnosing temporomandibular joint arthritis in juvenile idiopathic arthritis. J Rheumatol 2014;41:1871-7.","DOI":"10.3899\/jrheum.131337"},{"key":"ref-17","unstructured":"Guzm\u00e1n J, Burgos-Vargas R, Duarte-Salazar C, G\u00f3mez-Mora P. Reliability of the articular examination in children with juvenile rheumatoid arthritis: Interobserver agreement and sources of disagreement. J Rheumatol 1995;22:2331-6."},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Verbruggen LA, Shahabpour M, Van Roy P, Osteaux M. Magnetic resonance imaging of articular destruction in juvenile rheumatoid arthritis. Arthritis Rheum 1990;33:1426-30.","DOI":"10.1002\/art.1780330916"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Hermann KG, Backhaus M, Schneider U, Labs K, Loreck D, Z\u00fchlsdorf S, et al. Rheumatoid arthritis of the shoulder joint: Comparison of conventional radiography, ultrasound, and dynamic contrastenhanced magnetic resonance imaging. Arthritis Rheum 2003;48:3338-49.","DOI":"10.1002\/art.11349"},{"key":"ref-20","doi-asserted-by":"crossref","unstructured":"Malattia C, Damasio MB, Magnaguagno F, Pistorio A, Valle M, Martinoli C, et al. Magnetic resonance imaging, ultrasonography, and conventional radiography in the assessment of bone erosions in juvenile idiopathic arthritis. Arthritis Rheum 2008;59:1764-72.","DOI":"10.1002\/art.24313"},{"key":"ref-21","unstructured":"Nandi M, Ganguli SK, Mondal R, Ghosh A. Clinicoserological profile of juvenile idiopathic arthritis. Indian Pediatr 2009;46:640-1."},{"key":"ref-22","unstructured":"Singh S, Salaria M, Kumar L, Minz R, Datta U, Sehgal S. Clinico-immunological profile of juvenile rheumatoid arthritis at Chandigarh. Indian Pediatr 1999;36:449-54."},{"key":"ref-23","unstructured":"Sircar D, Ghosh B, Ghosh A, Haldar S. Juvenile idiopathic arthritis. Indian Pediatr 2006;43:429-33."},{"key":"ref-24","doi-asserted-by":"crossref","unstructured":"Magni-Manzoni S, Scir\u00e8 CA, Ravelli A, Klersy C, Rossi S, Muratore V, et al. Ultrasound-detected synovial abnormalities are frequent in clinically inactive juvenile idiopathic arthritis, but do not predict a flare of synovitis. Ann Rheum Dis 2013;72:223-8.","DOI":"10.1136\/annrheumdis-2011-201264"},{"key":"ref-25","doi-asserted-by":"crossref","unstructured":"Damasio MB, de Horatio LT, Boavida P, Lambot-Juhan K, Rosendahl K, Tom\u00e0 P, et al. Imaging in Juvenile Idiopathic Arthritis (JIA): An update with particular emphasis on MRI. Acta Radiol 2013;54:1015-23.","DOI":"10.1177\/0284185113493777"},{"key":"ref-26","doi-asserted-by":"crossref","unstructured":"M\u00fcller LS, Avenarius D, Damasio B, Eldevik OP, Malattia C, Lambot-Juhan K, et al. The paediatric wrist revisited: Redefining MR findings in healthy children. Ann Rheum Dis 2011;70:605-10.","DOI":"10.1136\/ard.2010.135244"}],"container-title":["Archives of Rheumatology"],"original-title":[],"link":[{"URL":"https:\/\/archivesofrheumatology.org\/index.php\/pub\/article\/download\/1298\/2288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/archivesofrheumatology.org\/index.php\/pub\/article\/download\/1298\/2289","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/archivesofrheumatology.org\/index.php\/pub\/article\/download\/1298\/2288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T09:04:25Z","timestamp":1761210265000},"score":1,"resource":{"primary":{"URL":"https:\/\/archivesofrheumatology.org\/index.php\/pub\/article\/view\/1298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,31]]},"references-count":26,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,12,31]]}},"URL":"https:\/\/doi.org\/10.46497\/archrheumatol.2022.9304","relation":{},"ISSN":["2618-6500"],"issn-type":[{"value":"2618-6500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,31]]}}}