Introduction of a Simplified Psoriatic Arthritis Magnetic Resonance Imaging Score (sPsAMRIS): A Potential Tool for Treatment Monitoring in Peripheral Psoriatic Arthritis.

OMERACT PsAMRIS magnetic resonance imaging psoriatic arthritis

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
15 Dec 2020
Historique:
received: 17 11 2020
revised: 12 12 2020
accepted: 14 12 2020
entrez: 18 12 2020
pubmed: 19 12 2020
medline: 19 12 2020
Statut: epublish

Résumé

To evaluate whether a simplified (s) version of the psoriatic arthritis magnetic resonance imaging score (PsAMRIS), sPsAMRIS, is a potential tool for therapy monitoring in psoriatic arthritis (PsA). Seventeen patients with active psoriatic arthritis (PsA) underwent magnetic resonance imaging (MRI) at 3 T of the clinically dominant hand at baseline and after 6 months. Scoring was performed by two musculoskeletal radiologists in terms of the PsAMRIS and sPsAMRIS, which is a simplified version with reduced item numbers based on prior evaluation of responsiveness to change by standardized response means (SRMs). Both scores were compared by calculation of overall and each sub-score's SRMs and relative efficacy (RE) after bootstrapping. PsAMRIS sub-scores of MCP joints 3 and 4, and proximal interphalangeal (PIP) joint 4 had the highest SRM (-0.07 each), indicating highest responsiveness to change, and were, therefore, included in sPsAMRIS. Compared to PsAMRIS, sPsAMRIS was characterized by higher SRMs (sPsAMRIS: -0.13 vs. PsAMRIS: -0.02) and higher RE (29.46). sPsAMRIS and PsAMRIS were highly correlated at baseline (r = 0.75, Due to its similar responsiveness to change compared to standard PsAMRIS, and time efficiency, sPsAMRIS might be a potential diagnostic tool to quantitatively assess and monitor therapy in PsA.

Sections du résumé

BACKGROUND BACKGROUND
To evaluate whether a simplified (s) version of the psoriatic arthritis magnetic resonance imaging score (PsAMRIS), sPsAMRIS, is a potential tool for therapy monitoring in psoriatic arthritis (PsA).
METHODS METHODS
Seventeen patients with active psoriatic arthritis (PsA) underwent magnetic resonance imaging (MRI) at 3 T of the clinically dominant hand at baseline and after 6 months. Scoring was performed by two musculoskeletal radiologists in terms of the PsAMRIS and sPsAMRIS, which is a simplified version with reduced item numbers based on prior evaluation of responsiveness to change by standardized response means (SRMs). Both scores were compared by calculation of overall and each sub-score's SRMs and relative efficacy (RE) after bootstrapping.
RESULTS RESULTS
PsAMRIS sub-scores of MCP joints 3 and 4, and proximal interphalangeal (PIP) joint 4 had the highest SRM (-0.07 each), indicating highest responsiveness to change, and were, therefore, included in sPsAMRIS. Compared to PsAMRIS, sPsAMRIS was characterized by higher SRMs (sPsAMRIS: -0.13 vs. PsAMRIS: -0.02) and higher RE (29.46). sPsAMRIS and PsAMRIS were highly correlated at baseline (r = 0.75,
CONCLUSION CONCLUSIONS
Due to its similar responsiveness to change compared to standard PsAMRIS, and time efficiency, sPsAMRIS might be a potential diagnostic tool to quantitatively assess and monitor therapy in PsA.

Identifiants

pubmed: 33333853
pii: diagnostics10121093
doi: 10.3390/diagnostics10121093
pmc: PMC7765290
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf
ID : none
Organisme : Deutsche Forschungsgemeinschaft
ID : NE 2136/3-1
Organisme : Pfizer Health Research Foundation
ID : Pfizer GIP Inflammation Germany Research Initiative
Organisme : Bundesministerium für Bildung und Forschung
ID : 01EC1009

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Auteurs

Daniel B Abrar (DB)

Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Dusseldorf, Germany.

Christoph Schleich (C)

Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Dusseldorf, Germany.

Ralph Brinks (R)

Department and Hiller-Research-Unit for Rheumatology, UKD, Heinrich-Heine University Düsseldorf, D-40225 Dusseldorf, Germany.

Christine Goertz (C)

Department and Hiller-Research-Unit for Rheumatology, UKD, Heinrich-Heine University Düsseldorf, D-40225 Dusseldorf, Germany.

Miriam Frenken (M)

Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Dusseldorf, Germany.

Matthias Schneider (M)

Department and Hiller-Research-Unit for Rheumatology, UKD, Heinrich-Heine University Düsseldorf, D-40225 Dusseldorf, Germany.

Sven Nebelung (S)

Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Dusseldorf, Germany.

Philipp Sewerin (P)

Department and Hiller-Research-Unit for Rheumatology, UKD, Heinrich-Heine University Düsseldorf, D-40225 Dusseldorf, Germany.

Classifications MeSH