(en) OBJECTIVE: To perform region-based development of whole-body MRI through validation of knee region scoring systems in spondyloarthritis (SpA). METHODS: Assessment of knee inflammatory pathologies using 2 systems, OMERACT MRI Whole-body score for Inflammation in Peripheral joints and Entheses (MRI-WIPE) and Knee Inflammation MRI Scoring System (KIMRISS), in 4 iterative multi-reader exercises. RESULTS: In the final exercise, reliability was mostly good for readers with highest agreement in previous exercise. Median pairwise single-measure ICCs for osteitis and synovitis/effusion status/change were 0.71/0.48 (WIPE-osteitis), 0.48/0.77 (WIPE-synovitis/effusion), 0.59/0.91 (KIMRISS-osteitis) and 0.92/0.97 (KIMRISS-synovitis/effusion). SRMs were 0.74 (WIPE-synovitis/effusion) and 0.78 (KIMRISS-synovitis/effusion). CONCLUSION: MRI-WIPE and KIMRISS may both be useful in SpA whole-body evaluation studies.
Wetterslev, M., Maksymowych, W. P., Lambert, R. G., Eshed, I., Pedersen, S. J., Stoenoiu, M., Krabbe, S., Bird, P., Foltz, V., Mathew, A. J., Gandjbakhch, F., Paschke, J., Carron, P., De Marco, G., Marzo-Ortega, H., Poulsen, A. E., Jaremko, J. L., Conaghan, P. G., & Østergaard, M. (2021). Joint and entheseal inflammation in the knee region in spondyloarthritis - reliability and responsiveness of two OMERACT whole-body MRI scores. Seminars in Arthritis and Rheumatism, 51(4), 933-939. https://doi.org/10.1016/j.semarthrit.2021.05.013 (Original work published 2021)