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Article ; Online: Developing standards for MRI evaluation of joints in children with juvenile idiopathic arthritis utilizing the temporomandibular joint as a model.

Navallas, Maria / Tolend, Mirkamal / Otobo, Tarimobo M / Panwar, Jyoti / Clemente, Emilio J Inarejos / Hemke, Robert / van Rossum, Marion A / Doria, Andrea S

Japanese journal of radiology

2023 Volume 42, Issue 1, Page(s) 56–68

Abstract: The treatment of a patient with juvenile idiopathic arthritis (JIA) is best monitored with standardized and validated tools to measure joint changes over time. Treatment approaches are best indicated if the clinicians are aware of the structural status ... ...

Abstract	The treatment of a patient with juvenile idiopathic arthritis (JIA) is best monitored with standardized and validated tools to measure joint changes over time. Treatment approaches are best indicated if the clinicians are aware of the structural status of the joint at a given time, especially in anatomically deep joints for which clinical assessment is limited. Magnetic resonance imaging (MRI) is of utmost importance for assessment of deep joints and extra-articular soft tissue of the entire body for which ultrasound may be suboptimal. Because the distinction between pathologic and physiologic joint changes on MRI is key for proper diagnosis and treatment of patients with arthropathies, a comprehensive standardized approach is needed to effectively measure outcomes of growing joints of children with JIA. Such an approach is essential for both clinical assessment and to conduct clinical trials in patients with JIA treated in different centers around the world. To meet this need, several international imaging collaborative research groups have been developing MRI scales over the past years, including the MRI in JIA (JAMRI) special interest group within the Outcome Measures in Rheumatology (OMERACT) research network. This manuscript reviews the efforts of the OMERACT JAMRI working group to generate and validate pediatric MRI scoring systems for different joints in children with JIA that can have ubiquitous utilization anywhere in the world. In particular, it describes the different steps of development and validation of an MRI scale using the TMJ as a model.
MeSH term(s)	Humans ; Child ; Arthritis, Juvenile/diagnostic imaging ; Arthritis, Juvenile/drug therapy ; Arthritis, Juvenile/pathology ; Temporomandibular Joint/pathology ; Magnetic Resonance Imaging/methods
Language	English
Publishing date	2023-08-26
Publishing country	Japan
Document type	Journal Article
ZDB-ID	2488907-6
ISSN	1867-108X ; 1867-1071
ISSN (online)	1867-108X
ISSN	1867-1071
DOI	10.1007/s11604-023-01479-y
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Article ; Online: Navigating the path of progress: The OMERACT 2023 emerging leaders program.

Campbell, T Mark / Finzel, Stephanie / Siddle, Heidi / Christensen, Robin / Nielsen, Sabrina Mai / Najm, Aurelie / Otobo, Tarimobo M / Sahbudin, Ilfita / Sinnathurai, Premarani / Stok, Kathryn S / Touma, Zahi / April, Karine Toupin / Grosskleg, Shawna / Tugwell, Peter / Richards, Bethan

Seminars in arthritis and rheumatism

2024 Volume 66, Page(s) 152414

Abstract: Objectives: The Outcome Measures in Rheumatology Clinical Trials (OMERACT) Emerging Leaders Program (ELP) aims to cultivate a cohort of skilled leaders within the OMERACT community empowering them with expertise and knowledge to help shape and steer the ...

Abstract	Objectives: The Outcome Measures in Rheumatology Clinical Trials (OMERACT) Emerging Leaders Program (ELP) aims to cultivate a cohort of skilled leaders within the OMERACT community empowering them with expertise and knowledge to help shape and steer the organization into the future. This publication highlights the significance of the ELP in driving leadership excellence, its impact on OMERACT's evolution, and the outcomes and learnings from the OMERACT 2023 ELP. Methods: Insights from the 2018 ELP report informed 2023 program improvements. Engagement was measured by attendance and WhatsApp interactions. Positive program aspects, areas for improvement and ideas for enhancing future ELPs were captured via anonymous survey and participant focus groups. Results: Engagement with the ELP was high with 9 participants, 96 % attendance at all workshops, 154 WhatsApp interactions. All program components were highly rated, with the highest being the 'Psychological Safety' and 'Methodology/Process/Politics' workshops. Future enhancements included creating further networking, connection and support activities, practical leadership and methodological skill development opportunities, and a new stream focussing on organisational advancement. Conclusions: The 2023 OMERACT ELP was well received and successfully addressed areas previously identified as requiring improvement. New educational enhancements were valued, and the importance of fostering psychological safety at all levels was highlighted. The ELP fortifies OMERACT by nurturing a diverse array of skilled leaders who embody OMERACTs core values. Continuing to refine and evolve the ELP over time will help OMERACT sustain its global influence in patient-centered outcome research.
MeSH term(s)	Humans ; Leadership ; Rheumatology ; Outcome Assessment, Health Care ; Clinical Trials as Topic
Language	English
Publishing date	2024-02-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2024.152414
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Article ; Online: Systematic calibration reduces sources of variability for the preliminary OMERACT juvenile idiopathic arthritis MRI- sacroiliac joint score (OMERACT JAMRIS-SIJ).

Maksymowych, Walter P / Herregods, Nele / Varma, Nisha / Meyers, Arthur B / Stimec, Jennifer / Doria, Andrea S / Tzaribachev, Nikolay / Otobo, Tarimobo M / van Rossum, Marion A / Paschke, Joel / Wichuk, Stephanie / Lambert, Robert G

Seminars in arthritis and rheumatism

2023 Volume 64, Page(s) 152299

Abstract: Objective: To determine whether systematic calibration enhances scoring proficiency of the OMERACT juvenile idiopathic arthritis MRI-Sacroiliac Joint score (JAMRIS-SIJ) and whether contrast-enhancement enhances its performance.: Methods: MRI SIJ ... ...

Abstract	Objective: To determine whether systematic calibration enhances scoring proficiency of the OMERACT juvenile idiopathic arthritis MRI-Sacroiliac Joint score (JAMRIS-SIJ) and whether contrast-enhancement enhances its performance. Methods: MRI SIJ scans of 50 cases with juvenile spondyloarthritis were scored by 7 raters after calibration with 3 different knowledge transfer tools. Results: Calibrated readers achieved greater reliability for scoring certain inflammatory and structural lesions. Sensitivity and reliability for scoring inflammatory lesions was greater on fluid-sensitive compared to contrast-enhanced sequences. Conclusion: Systematic calibration should be implemented prior to the use of JAMRIS-SIJ for clinical trials. It is unlikely that contrast-enhanced MRI will improve the performance of this method.
MeSH term(s)	Humans ; Sacroiliac Joint/diagnostic imaging ; Arthritis, Juvenile/diagnostic imaging ; Reproducibility of Results ; Calibration ; Magnetic Resonance Imaging/methods
Language	English
Publishing date	2023-11-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2023.152299
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Article: Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score.

Otobo, Tarimobo M / Tolend, Mirkamal / Meyers, Arthur B / Sudol-Szopinska, Iwona / Joshi, Sayali / Stimec, Jennifer / Herregods, Nele / Jaremko, Jacob L / Tse, Shirley M L / Haroon, Nigil / Moineddin, Rahim / Tzaribachev, Nikolay / Appenzeller, Simone / Znajdek, Michal / Perez, Manuela / Ligha, Aloysius E / Jans, Lennart / Inarejos Clemente, Emilio J / Weiss, Pamela /

Papakonstantinou, Olympia / Kirkhus, Eva / van Rossum, Marion A J / Rumsey, Dax G / Carrino, John / Akikusa, Jonathan D / Conaghan, Philip G / Doria, Andrea S

Journal of clinical medicine

2023 Volume 12, Issue 7

Abstract: This study aims to determine the relative weights (point value) of items of the juvenile idiopathic arthritis magnetic resonance imaging-sacroiliac joint scoring system (JAMRIS-SIJ). An adaptive multicriteria decision analysis was performed using the ... ...

Abstract	This study aims to determine the relative weights (point value) of items of the juvenile idiopathic arthritis magnetic resonance imaging-sacroiliac joint scoring system (JAMRIS-SIJ). An adaptive multicriteria decision analysis was performed using the 1000Minds web application to determine the relative weights of the items in the JAMRIS-SIJ inflammation and damage domains. Experts in imaging and rheumatology independently completed a conjoint analysis survey (CAS) to determine the point value of the measurement items of the JAMRIS-SIJ. Each CAS survey question asked the expert to compare two hypothetical patient profiles, which were otherwise similar but different at two items at a time, and to select which item showed a more severe stage of inflammation or osteochondral damage. In addition, experts ranked 14 JAMRIS-SIJ grade only or image + grade patient vignettes while blinded to the CAS-derived weights. The validity of the weighted JAMRIS-SIJ was tested by comparing the expert CAS-weighted score and the image + grade ranking method. Seventeen experts completed the CAS (11 radiologists and 6 rheumatologists). Considering the point value for inflammation domain items, osteitis (24.7%) and bone marrow edema (24.3%) had higher group-averaged percentage weights compared to inflammation in erosion cavity (16.9%), joint space enhancement (13.1%), joint space fluid (9.1%), capsulitis (7.3%), and enthesitis (4.6%). Similarly, concerning the damage domain, ankylosis (41.3%) and erosion (25.1%) showed higher group-averaged weights compared to backfill (13.9%), sclerosis (10.7%), and fat metaplasia lesion (9.1%). The Spearman correlation coefficients of the CAS-weighted vignette order and unweighted JAMRIS-SIJ grade only order vignettes for all experts were 0.79 for inflammation and 0.80 for damage. The correlations of image vignettes among imaging experts to CAS were 0.75 for inflammation and 0.90 for damage. The multicriteria decision analysis identified differences in relative weights among the JAMRIS-SIJ measurement items. The determination of the relative weights provided expert-driven score scaling and face validity for the JAMRIS-SIJ, enabling the future evaluation of its longitudinal construct validity.
Language	English
Publishing date	2023-04-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12072729
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Article ; Online: Diagnostic Accuracy of MRI-Based Sacroiliitis Scoring Systems: A Systematic Review.

Swami, Vimarsha G / Jaremko, Jacob L / Rumsey, Dax G / Stimec, Jennifer / Tse, Shirley M L / Otobo, Tarimobo M / Adams-Webber, Thomasin / Doria, Andrea S

AJR. American journal of roentgenology

2019 Volume 212, Issue 5, Page(s) 1112–1125

Abstract: OBJECTIVE. ...

Abstract	OBJECTIVE.
Language	English
Publishing date	2019-03-12
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.17.19429
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Article: Reliability of the Preliminary OMERACT Juvenile Idiopathic Arthritis MRI Score (OMERACT JAMRIS-SIJ).

Otobo, Tarimobo M / Herregods, Nele / Jaremko, Jacob L / Sudol-Szopinska, Iwona / Maksymowych, Walter P / Meyers, Arthur B / Weiss, Pamela / Tse, Shirley / Paschke, Joel / Moineddin, Rahim / Haroon, Nigil / Tzaribachev, Nikolay / Appenzeller, Simone / Papakonstantinou, Olympia / Kirkhus, Eva / van Rossum, Marion A J / Carrino, John / Conaghan, Philip G / Tolend, Mirkamal /

Stimec, Jennifer / Jans, Lennart / Lambert, Robert G / Rumsey, Dax / Doria, Andrea S

Journal of clinical medicine

2021 Volume 10, Issue 19

Abstract: This study reports the reliability of the juvenile idiopathic arthritis magnetic resonance imaging scoring system (JAMRIS-SIJ). The study comprised of eight raters-two rheumatologists and six radiologists-and 30 coronal T1 and Short-Tau Inversion ... ...

Abstract	This study reports the reliability of the juvenile idiopathic arthritis magnetic resonance imaging scoring system (JAMRIS-SIJ). The study comprised of eight raters-two rheumatologists and six radiologists-and 30 coronal T1 and Short-Tau Inversion Recovery (STIR) MRI scans of patients with enthesitis-related juvenile spondylarthritis. The median age of patients was 15 years with a mean disease duration of 5 years and 22 (73.3%) of the sample were boys. The inter-rater agreement of scores for each of the JAMRIS-SIJ items was calculated using a two-way random effect, absolute agreement, and single rater intraclass correlation coefficient (ICC 2.1). The ICC was interpreted together with kurtosis, since the ICC is also affected by the distribution of scores in the sample. The eight-rater, single measure inter-rater ICC (and kurtosis) values for JAMRIS-SIJ inflammation and damage components were the following: bone marrow edema (BME), 0.76 (1.2); joint space inflammation, 0.60 (1.8); capsulitis, 0.58 (9.2); enthesitis, 0.20 (0.1); ankylosis, 0.89 (35); sclerosis, 0.53 (4.6); erosion, 0.50 (6.5); fat lesion, 0.40 (21); backfill, 0.38 (38). The inter-rater reliability for BME and ankylosis scores was good and met the a priori set ICC threshold, whereas for the other items it was variable and below the selected threshold. Future directives should focus on refinement of the scores, definitions, and methods of interpretation prior to validation of the JAMRIS-SIJ through the assessment of its measurement properties.
Language	English
Publishing date	2021-09-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10194564
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Article ; Online: Personal autonomy and self-determination are crucial for professionalism in healthcare.

Organ, Jason M / Smith, Heather F / Trainor, Paul A / Allen, Kari / Balta, Joy Y / Beresheim, Amy C / Brewer-Deluce, Danielle / Brown, Kirsten M / Burrows, Anne M / Byers, Kelsey T / Byram, Jessica N / Cale, Andrew S / Carroll, Melissa A / Champney, Thomas / Cornwall, Jon / Dayal, Manisha R / DeLeon, Valerie B / Dunnwald, Martine / Ferrigno, Christopher /

Finn, Gabrielle M / Fox, Glenn M / Geller, Pamela L / Guttmann, Geoffrey D / Harper, Noah / Harrell, Kelly M / Hartstone-Rose, Adam / Hildebrandt, Sabine / Hortsch, Michael / Jackson, Jon / Johnson, Laura E / Lohman Bonfiglio, Chelsea M / McCumber, Travis L / Menegaz, Rachel A / Mussell, Jason C / O'Loughlin, Valerie D / Otobo, Tarimobo M / Oyedele, Olusegun / Pascoe, Michael A / Person, Dianne / Reidenberg, Joy S / Robinson, Rhiannon E / Rogers, Kem A / Ros, Marian A / Ross, Callum F / Sanders, Kat A / Schmitt, Brandi / Schoenwolf, Gary C / Smith, Theodore C / Smith, Timothy D / Sumner, D Rick / Taylor, Andrea B / Taylor, Meredith J / Teaford, Mark F / Topp, Kimberly S / Willmore, Katherine E / Wisco, Jonathan J / Yang, Jian / Zumwalt, Ann C

Anatomical sciences education

2023 Volume 16, Issue 4, Page(s) 571–573

MeSH term(s)	Humans ; Personal Autonomy ; Professionalism ; Anatomy/education ; Physicians ; Attitude of Health Personnel
Language	English
Publishing date	2023-05-09
Publishing country	United States
Document type	Editorial
ZDB-ID	2483491-9
ISSN	1935-9780 ; 1935-9772
ISSN (online)	1935-9780
ISSN	1935-9772
DOI	10.1002/ase.2278
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Article: Preliminary Definitions for Sacroiliac Joint Pathologies in the OMERACT Juvenile Idiopathic Arthritis Magnetic Resonance Imaging Score (OMERACT JAMRIS-SIJ).

Otobo, Tarimobo M / Conaghan, Philip G / Maksymowych, Walter P / van der Heijde, Desiree / Weiss, Pamela / Sudol-Szopinska, Iwona / Herregods, Nele / Jaremko, Jacob L / Meyers, Arthur B / Rumsey, Dax / Inarejos, Emilio C / Kirkhus, Eva / Stimec, Jennifer / Panwar, Jyoti / Thorpe, Kevin / Jans, Lennart / van Rossum, M A / Tolend, Mirkamal / Perez, Manuela /

Tzaribachev, Nikolay / Sandhya, Pulukool / Tse, Shirley / Simone, Appenzeller / Swami, Vimarsha G / Touma, Zahi / Lambert, Robert / Doria, Andrea S

The Journal of rheumatology

2019 Volume 46, Issue 9, Page(s) 1192–1197

Abstract: Objective: To develop definitions for the assessment of magnetic resonance imaging (MRI) pathologies of the sacroiliac joints (SIJ) in juvenile idiopathic arthritis.: Methods: An Outcome Measures in Rheumatology (OMERACT) consensus-driven methodology ...

Abstract	Objective: To develop definitions for the assessment of magnetic resonance imaging (MRI) pathologies of the sacroiliac joints (SIJ) in juvenile idiopathic arthritis. Methods: An Outcome Measures in Rheumatology (OMERACT) consensus-driven methodology consisting of iterative surveys and focus group meetings within an international group of rheumatologists and radiologists. Results: Two domains, inflammation and structural, were identified. Definitions for bone marrow edema, joint space inflammation, capsulitis, and enthesitis were derived for joint inflammation; sclerosis, erosion, fatty lesion, and ankylosis were defined for assessing structural joint changes. Conclusion: Preliminary consensus-driven definitions for inflammation and structural elements have been derived, underpinning the ongoing development of the OMERACT Juvenile Arthritis MRI SIJ scoring system (OMERACT JAMRIS-SIJ).
MeSH term(s)	Arthritis, Juvenile/diagnostic imaging ; Humans ; Inflammation/diagnostic imaging ; Magnetic Resonance Imaging ; Sacroiliac Joint/diagnostic imaging ; Sacroiliitis/diagnostic imaging ; Severity of Illness Index
Language	English
Publishing date	2019-02-15
Publishing country	Canada
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.181115
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Article ; Online: Endorsement of the domains of knee and hip osteoarthritis (OA) flare: A report from the OMERACT 2020 inaugural virtual consensus vote from the flares in OA working group.

King, Lauren K / Epstein, Jonathan / Cross, Marita / Buzzi, Marie / Buttel, Thomas / Cembalo, Sam Michel / Spitz, Elisabeth / Adams, Cameron L / Adebajo, Adewale / Bennell, Kim / Blanco, Boris / Courage, Uhunmwangho / Décary, Simon / Gill, Michael / Gill, Tiffany K / Hajji, Raouf / Hinman, Rana S / Jones, Allyson / Li, Linda C /

Mather, Kate / Mani, Ramakrishnan / Nasef, Samah Ismail / Oo, Win Min / Østerås, Nina / Otobo, Tarimobo M / Ramiro, Sofia / Sharma, Saurab / April, Karine Toupin / Touma, Zahi / Whittaker, Jackie L / Wluka, Anita E / Grosskleg, Shawna / Hunter, David J / Shea, Beverly / Hawker, Gillian A / Callahan, Leigh F / March, Lyn / Guillemin, Francis

Seminars in arthritis and rheumatism

2021 Volume 51, Issue 3, Page(s) 618–622

Abstract: Objective: Towards developing an instrument to measure knee and hip osteoarthritis (KHOA) flare, the Outcome Measures in Rheumatology (OMERACT) Flares in OA Working Group first sought to identify and define relevant domains of flare in KHOA.: Methods!# ...

Abstract	Objective: Towards developing an instrument to measure knee and hip osteoarthritis (KHOA) flare, the Outcome Measures in Rheumatology (OMERACT) Flares in OA Working Group first sought to identify and define relevant domains of flare in KHOA. Methods: Guided by OMERACT Filter 2.1, candidate domains were identified from data generated in interviews, in English or French, with persons with KHOA and health professionals (HPs) who treat OA. The first and second rounds of an online Delphi process with patients and HPs, including researchers, selected relevant domains. The third round provided agreement on the selected domains and their definitions. At the virtual OMERACT 2020 workshop, the proposed domains and their definitions were discussed in facilitated breakout groups with patients and HPs. Participants then voted, with consensus set at ≥70%. Results: Qualitative interviews characterizing OA flare were completed with 29 persons with KHOA and 16 HPs. Content was analyzed and grouped into nine clusters. These candidate domains were included in two Delphi rounds, completed by 91 patients and 165 HPs then 50 patients and 116 HPs, per round, respectively. This resulted in selecting five relevant domains. A final Delphi round, completed by 38 patients and 89 HPs, provided agreement on these domains and their definitions. The OMERACT virtual vote included 27 patients and 106 HPs. The domains and their definitions were endorsed with ≥98% agreement. Domains include: Pain, Swelling, Stiffness, Psychological aspects, and Impact of symptoms, all defined "during flare". Conclusion: Using OMERACT methodology, we have developed five domains of KHOA flare that were highly endorsed by patients and HPs.
MeSH term(s)	Consensus ; Humans ; Knee Joint ; Osteoarthritis, Hip ; Osteoarthritis, Knee ; Rheumatology
Language	English
Publishing date	2021-03-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2021.03.010
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