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  1. Article ; Online: Ultrasound reveals a high prevalence of CPPD in consecutive patients with knee pain.

    Cipolletta, Edoardo / Francioso, Francesca / Smerilli, Gianluca / Di Battista, Jacopo / Filippucci, Emilio

    Clinical rheumatology

    2023  Volume 43, Issue 1, Page(s) 435–441

    Abstract: The objective of this study is to estimate the prevalence of US findings indicative of calcium pyrophosphate deposition (CPPD) in patients with knee pain. Consecutive patients with knee pain, equally distributed among males and females in seven different ...

    Abstract The objective of this study is to estimate the prevalence of US findings indicative of calcium pyrophosphate deposition (CPPD) in patients with knee pain. Consecutive patients with knee pain, equally distributed among males and females in seven different age-decades (21-90 years), were enrolled in a cross-sectional study. The presence of US OMERACT-defined CPPD (medial and lateral menisci and femoral hyaline cartilage) and osteophytes (medial and lateral compartments of the tibiofemoral joint) was scored as presence/absence in both knees. Four hundred twenty participants were enrolled (210 men/210 women). Fibrocartilage and hyaline cartilage CPPDs were detected by US in 94/420 (22.4%) and 41/420 (9.8%) participants, respectively. No significant sex differences were noted. The prevalence and the extent of CPPD increased with age. Fibrocartilage and hyaline cartilage CPPDs were identified in 0/60 participants in the third decade, and in 28/60 (46.7%) and 14/60 (23.3%) participants in the ninth decade, respectively (p for trend < 0.01). While fibrocartilage and hyaline cartilage CPPD is virtually absent in subjects younger than 40 and 50 years old, their prevalence steeply increases above from these age groups. Age (aIRR, 1.03; 95% CI, 1.02-1.05), osteophyte score (aIRR, 1.40; 95% CI, 1.22-1.60), and hyaline cartilage CPPD score (aIRR, 2.68; 95% CI, 2.06-3.49) were associated with fibrocartilage CPPD score, whereas age (aIRR, 1.02; 95% CI, 1.01-1.05) and fibrocartilage CPPD score (aIRR, 2.92; 95% CI, 2.29-3.72) were associated with hyaline cartilage CPPD score in multivariable negative binomial regression analyses. In conclusion, we report the US prevalence of CPPD in patients with knee pain. Fibrocartilage CPPD occurs at a younger age and is more prevalent than hyaline cartilage CPPD. Key points • Fibrocartilage CPPD occurs at a younger age and is more prevalent than hyaline cartilage CPPD. • Fibrocartilage and hyaline cartilage CPPDs are virtually absent in subjects younger than 40 and 50 years old. • In subjects older than 80 years, fibrocartilage and hyaline cartilage CPPD prevalence rises up to 46.7% and 23.3%, respectively.
    MeSH term(s) Humans ; Female ; Male ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Calcium Pyrophosphate ; Chondrocalcinosis/epidemiology ; Prevalence ; Cross-Sectional Studies ; Knee Joint/diagnostic imaging ; Calcinosis ; Pain/epidemiology
    Chemical Substances Calcium Pyrophosphate (X69NU20D19)
    Language English
    Publishing date 2023-11-17
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-023-06805-3
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  2. Article: 'Double target' ultrasound monitoring of biologic therapy in psoriatic arthritis.

    Smerilli, Gianluca / Cipolletta, Edoardo / Di Matteo, Andrea / Di Carlo, Marco / Moscioni, Erica / Francioso, Francesca / Zompa, Davide / Lommano, Maria Giovanna / Grassi, Walter / Filippucci, Emilio

    Clinical and experimental rheumatology

    2024  Volume 42, Issue 3, Page(s) 626–632

    Abstract: Objectives: We aimed to 1) evaluate by power Doppler (PD) ultrasound (US) the response to therapy of the most inflamed joint and enthesis (target sites) in psoriatic arthritis (PsA) patients starting a biologic disease-modifying anti-rheumatic drug ( ... ...

    Abstract Objectives: We aimed to 1) evaluate by power Doppler (PD) ultrasound (US) the response to therapy of the most inflamed joint and enthesis (target sites) in psoriatic arthritis (PsA) patients starting a biologic disease-modifying anti-rheumatic drug (bDMARD); and 2) to investigate the correlation between the US response and clinical data.
    Methods: Consecutive PsA patients with US synovitis and US 'active' enthesitis, starting a bDMARD, were included. The joint with the highest OMERACT-EULAR-US composite score and the enthesis with the highest PD grade (targets) were identified at baseline. The US examination and clinical assessment were performed at 0, 3 and 6 months. The response of OMERACT-EULAR-US synovitis composite score was defined as reaching a grade = 0 at follow-up examination; synovial and entheseal PD responses were defined as a PD=0 and/or a reduction of ≥2 PD grades at follow-up examination.
    Results: Thirty patients were included. Synovitis composite score, synovial PD and entheseal PD showed significant responses at 3 and 6 months compared to baseline (p<0.01). Synovial PD responses were higher than entheseal PD responses at 3 months (71.4% vs 40.0%, p=0.01) and 6 months (77.8% vs. 46.7%, p=0.02). US synovitis responses were correlated with DAPSA (p<0.01) and MDA responses (p=0.01 for composite score, p=0.02 for PD).
    Conclusions: US was found sensitive for monitoring treatment response in PsA patients starting a biologic drug. Entheseal PD was less responsive than synovial PD, suggesting that enthesitis may represent a 'difficult-to-treat' domain in PsA.
    MeSH term(s) Humans ; Arthritis, Psoriatic/diagnostic imaging ; Arthritis, Psoriatic/drug therapy ; Ultrasonography ; Synovitis/diagnostic imaging ; Synovitis/drug therapy ; Antirheumatic Agents/therapeutic use ; Enthesopathy/diagnostic imaging ; Enthesopathy/drug therapy ; Enthesopathy/etiology ; Biological Therapy ; Ultrasonography, Doppler
    Chemical Substances Antirheumatic Agents
    Language English
    Publishing date 2024-01-08
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605886-3
    ISSN 1593-098X ; 0392-856X
    ISSN (online) 1593-098X
    ISSN 0392-856X
    DOI 10.55563/clinexprheumatol/mdjddz
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  3. Article: Densità di popolazione e SARS-CoV-2: uno studio epidemiologico di urban health.

    Giannico, O V / Baldacci, S / Fragnelli, G R / Desiante, F / Battista, T / Calamai, C / Caputi, G / Cipriani, R / Faino, A / Francioso, F / Giorgino, A / Mastronuzzi, L / Russo, C / Sponselli, G M / Terlizzi, E M / Menna, A D / Rizzi, R / Bisceglia, L / Conversano, M

    Igiene e sanita pubblica

    2022  Volume 78, Issue 1, Page(s) 23–35

    Abstract: Despite SARS-CoV-2 transmission being a complex phenomenon, greater population density seems to be a risk factor. The aim of this study was to analyze through an epidemiologic urban health approach the relationship between population density and SARS-CoV- ...

    Abstract Despite SARS-CoV-2 transmission being a complex phenomenon, greater population density seems to be a risk factor. The aim of this study was to analyze through an epidemiologic urban health approach the relationship between population density and SARS-CoV-2 incidence using data which are comparable with regard to testing strategies. All 10,300 SARS-CoV-2 confirmed cases between October and December 2020 were included. We conducted separate analysis by gender standardizing and stratifying by age and month. In the Province Capital (p.d.=765 inhabitants/km2), standardized SARS-CoV-2 incidence rate was higher than the expected, both in men (SIR=1.17, 95%CI=1.12;1.22, p<0.0001) and women (SIR=1.20, 95%CI=1.15;1.25, p<0.0001). In municipalities with p.d. >200 inhabitants/km2, standardized SARS-CoV-2 incidence rate was similar to the expected (p>0.05). In municipalities with p.d. <200 inhabitants/km2, standardized SARS-CoV-2 incidence rate was lower than the expected, both in men (SIR=0.85, 95%CI=0.81;0.90, p<0.0001) and women (SIR=0.84, 95%CI=0.80;0.88, p<0.0001). Stratified analysis by months with likelihood ratio test showed heterogeneity of the p.d. effect in men and women (p<0.05). SARS-CoV-2 incidence rate seemed to be higher in most densely populated areas, both in men and women. Our results confirmed the great importance of restrictive measures as well as the importance of limiting the epidemic wave in the initial stages and could help guide pandemic management strategies according to urban context and population density.
    MeSH term(s) COVID-19/epidemiology ; Female ; Humans ; Male ; SARS-CoV-2 ; Urban Health
    Language English
    Publishing date 2022-02-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3031485-9
    ISSN 0019-1639
    ISSN 0019-1639
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  4. Article: Doppler Signal and Bone Erosions at the Enthesis Are Independently Associated With Ultrasound Joint Erosive Damage in Psoriatic Arthritis.

    Smerilli, Gianluca / Cipolletta, Edoardo / Destro Castaniti, Giulia Maria / Di Matteo, Andrea / Di Carlo, Marco / Moscioni, Erica / Francioso, Francesca / Mirza, Riccardo Mashadi / Grassi, Walter / Filippucci, Emilio

    The Journal of rheumatology

    2022  Volume 50, Issue 1, Page(s) 70–75

    Abstract: Objective: To explore the association of the Outcome Measures in Rheumatology ultrasound (US) entheseal abnormalities with the presence of US joint bone erosions in psoriatic arthritis (PsA).: Methods: Consecutive patients with PsA were included in ... ...

    Abstract Objective: To explore the association of the Outcome Measures in Rheumatology ultrasound (US) entheseal abnormalities with the presence of US joint bone erosions in psoriatic arthritis (PsA).
    Methods: Consecutive patients with PsA were included in this cross-sectional study. Demographic and clinical variables were collected. A bilateral US assessment was carried out at the following entheses: plantar fascia, and the quadriceps, patellar (proximal and distal), and Achilles tendons. The following US entheseal abnormalities were registered: hypoechogenicity, thickening, Doppler signal < 2 mm from the bony cortex, calcification/enthesophyte, and bone erosion. The presence of US joint bone erosions was investigated at the second and fifth metacarpophalangeal joints, ulnar head, and fifth metatarsophalangeal (MTP) joint, bilaterally, as well as at the level of the most inflamed joint on physical examination. Multiple linear regression analysis was performed to identify clinical and/or US variables associated with US-detected joint bone erosions.
    Results: A total of 104 patients with PsA were enrolled. At least 1 joint bone erosion was found in 47 of 104 patients (45.2%). Bone erosions were most frequently detected at the fifth MTP joint level (42/208 joints [20.2 %] in 32/104 patients [30.8%]). In the multivariate model, only a power Doppler (PD) signal at the enthesis (
    Conclusion: PD signal and bone erosions at the enthesis represent sonographic biomarkers of a more severe subset of PsA in terms of US-detected joint erosive damage.
    MeSH term(s) Humans ; Arthritis, Psoriatic/diagnostic imaging ; Arthritis, Psoriatic/complications ; Cross-Sectional Studies ; Ultrasonography, Doppler ; Ultrasonography ; Synovitis/complications
    Language English
    Publishing date 2022-02-01
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 194928-7
    ISSN 1499-2752 ; 0315-162X
    ISSN (online) 1499-2752
    ISSN 0315-162X
    DOI 10.3899/jrheum.210974
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  5. Article ; Online: A prospective study on Helicobacter pylori rapid urease test false negativity: is it time for its use in restricted situations?

    Losurdo, Giuseppe / Francioso, Federica / Pricci, Maria / Girardi, Bruna / Russo, Francesco / Riezzo, Giuseppe / D'Attoma, Benedetta / Bleve, Maria A / Iannone, Andrea / Celiberto, Francesca / Ierardi, Enzo / DI Leo, Alfredo

    Minerva gastroenterology

    2022  Volume 69, Issue 3, Page(s) 382–387

    Abstract: Background: Rapid urease test (RUT) is a diagnostic tool for Helicobacter pylori (H. pylori) diagnosis, based on the ability of the bacterium to produce urease. Despite it is considered simple, fast, and cheap, some conditions may cause false negativity. ...

    Abstract Background: Rapid urease test (RUT) is a diagnostic tool for Helicobacter pylori (H. pylori) diagnosis, based on the ability of the bacterium to produce urease. Despite it is considered simple, fast, and cheap, some conditions may cause false negativity. Therefore, the aim of this study was to compare RUT with currently recommended tests for H. pylori diagnosis.
    Methods: We enrolled consecutive patients who underwent upper endoscopy with histology, RUT, and urea breath test (UBT). Delta over baseline (DOB) >4% was considered positive for UBT. Diagnosis of infection was achieved when at least two tests were positive. The rate of false positivity of RUT was computed, and DOB value in RUT+ versus RUT- was compared by Mann-Whitney Test.
    Results: One hundred and sixteen consecutive patients with H. pylori infection were recruited. The male/female ratio was 35/81 and the mean age 45.2±13.1. Twenty-five patients (21.5%) were RUT-, despite being positive at both histology and UBT. On the other hand, in only two patients UBT and histology had discordant results. A full concordance of the three tests was observed in 89 patients (76.7%). DOB, additionally, was significantly higher in RUT+ patients (39.2±24.2%) than RUT- ones (26.3±18.5%; P=0.005).
    Conclusions: RUT shows false negativity rate higher than 20%. Moreover, the RUT-negative patients showed a lower DOB at UBT, which is an indirect indicator of intragastric bacterial load. Therefore, it is presumable that H. pylori low amount may be a concurrent cause of false negativity. This study suggests that RUT-based H. pylori detection should be restricted to some specific conditions.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Middle Aged ; Helicobacter pylori ; Urease ; Prospective Studies ; Urea ; Blood Urea Nitrogen ; Helicobacter Infections/diagnosis ; Helicobacter Infections/microbiology ; Helicobacter Infections/pathology
    Chemical Substances Urease (EC 3.5.1.5) ; Urea (8W8T17847W)
    Language English
    Publishing date 2022-06-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062713-8
    ISSN 2724-5365
    ISSN (online) 2724-5365
    DOI 10.23736/S2724-5985.22.03207-7
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  6. Article ; Online: Correspondence on 'SARS-CoV-2 vaccine hesitancy among patients with rheumatic and musculoskeletal diseases: a message for rheumatologists'.

    Smerilli, Gianluca / Cipolletta, Edoardo / Moscioni, Erica / Francioso, Francesca / Risa, Anna Maria / Maccarrone, Vincenzo / Zompa, Davide / Di Matteo, Andrea / Di Carlo, Marco / De Angelis, Rossella / Salaffi, Fausto / Filippucci, Emilio / Grassi, Walter

    Annals of the rheumatic diseases

    2021  Volume 80, Issue 10, Page(s) e168

    MeSH term(s) COVID-19 ; COVID-19 Vaccines ; Humans ; Musculoskeletal Diseases/prevention & control ; Rheumatic Diseases ; Rheumatologists ; SARS-CoV-2
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-05-07
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/annrheumdis-2021-220586
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  7. Article ; Online: Power Doppler signal at the enthesis and bone erosions are the most discriminative OMERACT ultrasound lesions for SpA: results from the DEUS (Defining Enthesitis on Ultrasound in Spondyloarthritis) multicentre study.

    Di Matteo, Andrea / Smerilli, Gianluca / Di Donato, Stefano / Liu, An Ran / Becciolini, Andrea / Camarda, Federica / Cazenave, Tomas / Cipolletta, Edoardo / Corradini, Davide / de Agustín, Juan José / Destro Castaniti, Giulia Maria / Di Donato, Eleonora / Di Geso, Luca / Duran, Emine / Farisogullari, Bayram / Fornaro, Marco / Francioso, Francesca / Giorgis, Pamela / Granel, Amelia /
    Hernández-Díaz, Cristina / Horvath, Rudolf / Hurnakova, Jana / Jesus, Diogo / Karadag, Omer / Li, Ling / Marin, Josefina / Martire, María Victoria / Michelena, Xabier / Moscioni, Erica / Muntean, Laura / Piga, Matteo / Rosemffet, Marcos / Rovisco, João / Sahin, Didem / Salaffi, Fausto / Saraiva, Liliana / Scioscia, Crescenzio / Tamas, Maria-Magdalena / Tanimura, Shun / Venetsanopoulou, Aliki / Ventura-Rios, Lucio / Villota, Orlando / Villota-Eraso, Catalina / Voulgari, Paraskevi V / Vukatana, Gentiana / Zacariaz Hereter, Johana / Marzo-Ortega, Helena / Grassi, Walter / Filippucci, Emilio

    Annals of the rheumatic diseases

    2024  

    Abstract: Objectives: To assess, in spondyloarthritis (SpA), the discriminative value of the Outcome Measures in Rheumatology (OMERACT) ultrasound lesions of enthesitis and their associations with clinical features in this population.: Methods: In this ... ...

    Abstract Objectives: To assess, in spondyloarthritis (SpA), the discriminative value of the Outcome Measures in Rheumatology (OMERACT) ultrasound lesions of enthesitis and their associations with clinical features in this population.
    Methods: In this multicentre study involving 20 rheumatology centres, clinical and ultrasound examinations of the lower limb large entheses were performed in 413 patients with SpA (axial SpA and psoriatic arthritis) and 282 disease controls (osteoarthritis and fibromyalgia). 'Active enthesitis' was defined as (1) power Doppler (PD) at the enthesis grade ≥1 plus entheseal thickening and/or hypoechoic areas, or (2) PD grade >1 (independent of the presence of entheseal thickening and/or hypoechoic areas).
    Results: In the univariate analysis, all OMERACT lesions except enthesophytes/calcifications showed a significant association with SpA. PD (OR=8.77, 95% CI 4.40 to 19.20, p<0.001) and bone erosions (OR=4.75, 95% CI 2.43 to 10.10, p<0.001) retained this association in the multivariate analysis. Among the lower limb entheses, only the Achilles tendon was significantly associated with SpA (OR=1.93, 95% CI 1.30 to 2.88, p<0.001) in the multivariate analyses. Active enthesitis showed a significant association with SpA (OR=9.20, 95% CI 4.21 to 23.20, p<0.001), and unlike the individual OMERACT ultrasound lesions it was consistently associated with most clinical measures of SpA disease activity and severity in the regression analyses.
    Conclusions: This large multicentre study assessed the value of different ultrasound findings of enthesitis in SpA, identifying the most discriminative ultrasound lesions and entheseal sites for SpA. Ultrasound could differentiate between SpA-related enthesitis and other forms of entheseal pathology (ie, mechanical enthesitis), thus improving the assessment of entheseal involvement in SpA.
    Language English
    Publishing date 2024-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/ard-2023-225443
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  8. Article ; Online: Systemic syndromes of rheumatological interest with onset after COVID-19 vaccine administration: a report of 30 cases.

    Ursini, Francesco / Ruscitti, Piero / Raimondo, Vincenzo / De Angelis, Rossella / Cacciapaglia, Fabio / Pigatto, Erika / Olivo, Domenico / Di Cola, Ilenia / Galluccio, Felice / Francioso, Francesca / Foti, Rosario / Tavoni, Antonio Gaetano / D'Angelo, Salvatore / Campochiaro, Corrado / Motta, Francesca / De Santis, Maria / Bilia, Silvia / Bruno, Caterina / De Luca, Giacomo /
    Visentini, Marcella / Ciaffi, Jacopo / Mancarella, Luana / Brusi, Veronica / D'Onghia, Martina / Cuomo, Giovanna / Fusaro, Enrico / Cipriani, Paola / Dagna, Lorenzo / Guiducci, Serena / Meliconi, Riccardo / Iannone, Florenzo / Iagnocco, Annamaria / Giacomelli, Roberto / Ferri, Clodoveo

    Clinical rheumatology

    2022  Volume 41, Issue 7, Page(s) 2261–2267

    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Humans ; Immunotherapy ; Rheumatic Diseases ; Syndrome
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-01-29
    Publishing country Germany
    Document type Case Reports ; Letter
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-022-06078-2
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  9. Article ; Online: Inflammatory rheumatic diseases with onset after SARS-CoV-2 infection or COVID-19 vaccination: a report of 267 cases from the COVID-19 and ASD group.

    Ursini, Francesco / Ruscitti, Piero / Addimanda, Olga / Foti, Rosario / Raimondo, Vincenzo / Murdaca, Giuseppe / Caira, Virginia / Pigatto, Erika / Cuomo, Giovanna / Lo Gullo, Alberto / Cavazzana, Ilaria / Campochiaro, Corrado / Naclerio, Caterina / De Angelis, Rossella / Ciaffi, Jacopo / Mancarella, Luana / Brusi, Veronica / Marchetti, Elena / Motta, Francesca /
    Visentini, Marcella / Lorusso, Sebastiano / De Santis, Maria / De Luca, Giacomo / Massaro, Laura / Olivo, Domenico / Pellegrini, Roberta / Francioso, Francesca / Luppino, Jessica / Di Cola, Ilenia / Foti, Roberta / Varcasia, Giuseppe / Caso, Francesco / Reta, Massimo / Dagna, Lorenzo / Selmi, Carlo / Iagnocco, Annamaria / Giacomelli, Roberto / Iannone, Florenzo / Ferri, Clodoveo

    RMD open

    2023  Volume 9, Issue 2

    Abstract: Objectives: To better define the spectrum of new-onset post-COVID-19 and post-COVID-19 vaccine inflammatory rheumatic diseases (IRD) from a large multicentric observational study.: Methods: Consecutive cases of IRD encountered during a 12-month ... ...

    Abstract Objectives: To better define the spectrum of new-onset post-COVID-19 and post-COVID-19 vaccine inflammatory rheumatic diseases (IRD) from a large multicentric observational study.
    Methods: Consecutive cases of IRD encountered during a 12-month period and satisfying one of the following inclusion criteria: (a) onset of the rheumatic manifestations within 4 weeks from SARS-CoV-2 infection or (b) onset of the rheumatic manifestations within 4 weeks from the administration of one of the COVID-19 vaccines ws recruited.
    Results: The final analysis cohort comprised 267 patients, of which 122 (45.2%) in the post-COVID-19 and 145 (54.8%) in the postvaccine cohort. Distribution of IRD categories differed between the two cohorts: the post-COVID-19 cohort had a higher percentage of patients classified as having inflammatory joint diseases (IJD, 52.5% vs 37.2%, p=0.013) while the post-vaccine cohort had a higher prevalence of patients classified as polymyalgia rheumatica (PMR, 33.1% vs 21.3%, p=0.032). No differences were detected in the percentage of patients diagnosed with connective tissue diseases (CTD 19.7% vs 20.7%, p=0.837) or vasculitis (6.6% vs 9.0%, p=0.467). Despite the short follow-up period, IJD and PMR patients' response to first-line therapy was favourable, with both groups achieving a drop in baseline disease activity scores of ~30% and ~70% respectively.
    Conclusion: Our article reports the largest cohort published to date of new-onset IRD following SARS-CoV-2 infection or COVID-19 vaccines. Although causality cannot be ascertained, the spectrum of possible clinical manifestations is broad and includes IJD, PMR, CTD and vasculitis.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; SARS-CoV-2 ; Vaccination ; Polymyalgia Rheumatica ; Giant Cell Arteritis ; Autism Spectrum Disorder
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-06-15
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2812592-7
    ISSN 2056-5933 ; 2056-5933
    ISSN (online) 2056-5933
    ISSN 2056-5933
    DOI 10.1136/rmdopen-2023-003022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study.

    Di Matteo, Andrea / Moscioni, Erica / Lommano, Maria Giovanna / Cipolletta, Edoardo / Smerilli, Gianluca / Farah, Sonia / Airoldi, Carla / Aydin, Sibel Zehra / Becciolini, Andrea / Bonfiglioli, Karina / Carotti, Marina / Carrara, Greta / Cazenave, Tomas / Corradini, Davide / Cosatti, Micaela Ana / de Agustin, Juan Josè / Destro Castaniti, Giulia Maria / Di Carlo, Marco / Di Donato, Eleonora /
    Di Geso, Luca / Elliott, Ashley / Fodor, Daniela / Francioso, Francesca / Gabba, Alessandra / Hernández-Díaz, Cristina / Horvath, Rudolf / Hurnakova, Jana / Jesus, Diogo / Marin, Josefina / Martire, Maria Victoria / Mashadi Mirza, Riccardo / Massarotti, Marco / Musca, Alice Andreea / Nair, Jagdish / Okano, Tadashi / Papalopoulos, Ioannis / Rosa, Javier / Rosemffet, Marcos / Rovisco, João / Rozza, Davide / Salaffi, Fausto / Scioscia, Crescenzio / Scirè, Carlo Alberto / Tamas, Maria-Magdalena / Tanimura, Shun / Ventura-Rios, Lucio / Villota-Eraso, Catalina / Villota, Orlando / Voulgari, Paraskevi V / Vreju, Florentin Ananu / Vukatana, Gentiana / Hereter, Johana Zacariaz / Zanetti, Anna / Grassi, Walter / Filippucci, Emilio

    Frontiers in medicine

    2023  Volume 9, Page(s) 1090468

    Abstract: Objectives: To investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases.: Methods: Forty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of ...

    Abstract Objectives: To investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases.
    Methods: Forty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of quadriceps muscle in 80 static images and 20 clips from 64 patients with different rheumatic diseases and 8 healthy subjects. Two visual scales were evaluated, a visual semi-quantitative scale (0-3) and a continuous quantitative measurement ("VAS echogenicity," 0-100). The same assessment was repeated to calculate intra-observer reliability. US muscle echogenicity was also calculated by an independent research assistant using a software for the analysis of scientific images (ImageJ). Inter and intra reliabilities were assessed by means of prevalence-adjusted bias-adjusted Kappa (PABAK), intraclass correlation coefficient (ICC) and correlations through Kendall's Tau and Pearson's Rho coefficients.
    Results: The semi-quantitative scale showed a moderate inter-reliability [PABAK = 0.58 (0.57-0.59)] and a substantial intra-reliability [PABAK = 0.71 (0.68-0.73)]. The lowest inter and intra-reliability results were obtained for the intermediate grades (i.e., grade 1 and 2) of the semi-quantitative scale. "VAS echogenicity" showed a high reliability both in the inter-observer [ICC = 0.80 (0.75-0.85)] and intra-observer [ICC = 0.88 (0.88-0.89)] evaluations. A substantial association was found between the participants assessment of the semi-quantitative scale and "VAS echogenicity" [ICC = 0.52 (0.50-0.54)]. The correlation between these two visual scales and ImageJ analysis was high (tau = 0.76 and rho = 0.89, respectively).
    Conclusion: The results of this large, multicenter study highlighted the overall good inter and intra-reliability of the US assessment of muscle echogenicity in patients with different rheumatic diseases.
    Language English
    Publishing date 2023-01-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2022.1090468
    Database MEDical Literature Analysis and Retrieval System OnLINE

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