{"title":"风湿病预后指标可靠性评估（OMERACT）青少年特发性关节炎骶髂关节磁共振成像评分系统（JAMRIS SIJ）。","authors":"Dilek Sağlam, Hasan Emin Kaya, Başak Erdemli Gürsel, Kübra Zora, Bartu Barlas, Gökhan Gökalp, İlker Ercan, Sara Şebnem Kılıç, Zeynep Yazıcı","doi":"10.1093/bjr/tqaf189","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Outcome measures in Rheumatology (OMERACT) Juvenile Idiopathic Arthritis MRI Score in the sacroiliac joint (JAMRIS-SIJ) have been developed by the Rheumatoid Arthritis Study Group for the need for a standardized evaluation of SIJ in children. This study aims to evaluate the interrater reliability (IRR) of JAMRIS SIJ.</p><p><strong>Methods: </strong>Patients younger than 18 years with a diagnosis of enthesitis-related arthritis and who had a sacroiliac MRI scan between October 2014 and December 2023 were enrolled in the study. Demographic data of the patients were recorded from clinical charts. Five raters examined the MRI scans and JAMRIS SIJ scores were recorded. IRR was assessed with intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>The study comprised 40 MRI examinations of 31 patients. Fifteen of 31 patients were female. The median age at referral for scanning was 14.4 years. The ICC was 0.870 (0.780-0.935) (P < .001) and 0.654(0.473-0.791) (P < .001); for the inflammation and structural damage domains, respectively. Bone marrow edema had the highest IRR (ICC = 0.910 [0.863-0.946]; P < .001) from all components evaluated in JAMRIS-SIJ, and fat lesion had the highest IRR (ICC = 0.764 [0.648-0.855]; P < .001) from structural damage components.</p><p><strong>Conclusions: </strong>Our results indicate that JAMRIS SIJ is reliable in evaluating most inflammation and structural damage components. JAMRIS SIJ may be used as a quantitative guide for the therapeutic management of patients with JIA.</p><p><strong>Advances in knowledge: </strong>JAMRIS-SIJ is a reliable tool for evaluating inflammatory and structural damage components of sacroiliitis.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":"1713-1717"},"PeriodicalIF":3.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of the reliability of outcome measures in rheumatology juvenile idiopathic arthritis MRI scoring system for sacroiliac joint.\",\"authors\":\"Dilek Sağlam, Hasan Emin Kaya, Başak Erdemli Gürsel, Kübra Zora, Bartu Barlas, Gökhan Gökalp, İlker Ercan, Sara Şebnem Kılıç, Zeynep Yazıcı\",\"doi\":\"10.1093/bjr/tqaf189\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Outcome measures in Rheumatology (OMERACT) Juvenile Idiopathic Arthritis MRI Score in the sacroiliac joint (JAMRIS-SIJ) have been developed by the Rheumatoid Arthritis Study Group for the need for a standardized evaluation of SIJ in children. This study aims to evaluate the interrater reliability (IRR) of JAMRIS SIJ.</p><p><strong>Methods: </strong>Patients younger than 18 years with a diagnosis of enthesitis-related arthritis and who had a sacroiliac MRI scan between October 2014 and December 2023 were enrolled in the study. Demographic data of the patients were recorded from clinical charts. Five raters examined the MRI scans and JAMRIS SIJ scores were recorded. IRR was assessed with intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>The study comprised 40 MRI examinations of 31 patients. Fifteen of 31 patients were female. The median age at referral for scanning was 14.4 years. The ICC was 0.870 (0.780-0.935) (P < .001) and 0.654(0.473-0.791) (P < .001); for the inflammation and structural damage domains, respectively. Bone marrow edema had the highest IRR (ICC = 0.910 [0.863-0.946]; P < .001) from all components evaluated in JAMRIS-SIJ, and fat lesion had the highest IRR (ICC = 0.764 [0.648-0.855]; P < .001) from structural damage components.</p><p><strong>Conclusions: </strong>Our results indicate that JAMRIS SIJ is reliable in evaluating most inflammation and structural damage components. JAMRIS SIJ may be used as a quantitative guide for the therapeutic management of patients with JIA.</p><p><strong>Advances in knowledge: </strong>JAMRIS-SIJ is a reliable tool for evaluating inflammatory and structural damage components of sacroiliitis.</p>\",\"PeriodicalId\":9306,\"journal\":{\"name\":\"British Journal of Radiology\",\"volume\":\" \",\"pages\":\"1713-1717\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/bjr/tqaf189\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/bjr/tqaf189","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
Assessment of the reliability of outcome measures in rheumatology juvenile idiopathic arthritis MRI scoring system for sacroiliac joint.
Objectives: Outcome measures in Rheumatology (OMERACT) Juvenile Idiopathic Arthritis MRI Score in the sacroiliac joint (JAMRIS-SIJ) have been developed by the Rheumatoid Arthritis Study Group for the need for a standardized evaluation of SIJ in children. This study aims to evaluate the interrater reliability (IRR) of JAMRIS SIJ.
Methods: Patients younger than 18 years with a diagnosis of enthesitis-related arthritis and who had a sacroiliac MRI scan between October 2014 and December 2023 were enrolled in the study. Demographic data of the patients were recorded from clinical charts. Five raters examined the MRI scans and JAMRIS SIJ scores were recorded. IRR was assessed with intraclass correlation coefficient (ICC).
Results: The study comprised 40 MRI examinations of 31 patients. Fifteen of 31 patients were female. The median age at referral for scanning was 14.4 years. The ICC was 0.870 (0.780-0.935) (P < .001) and 0.654(0.473-0.791) (P < .001); for the inflammation and structural damage domains, respectively. Bone marrow edema had the highest IRR (ICC = 0.910 [0.863-0.946]; P < .001) from all components evaluated in JAMRIS-SIJ, and fat lesion had the highest IRR (ICC = 0.764 [0.648-0.855]; P < .001) from structural damage components.
Conclusions: Our results indicate that JAMRIS SIJ is reliable in evaluating most inflammation and structural damage components. JAMRIS SIJ may be used as a quantitative guide for the therapeutic management of patients with JIA.
Advances in knowledge: JAMRIS-SIJ is a reliable tool for evaluating inflammatory and structural damage components of sacroiliitis.
期刊介绍：
BJR is the international research journal of the British Institute of Radiology and is the oldest scientific journal in the field of radiology and related sciences.
Dating back to 1896, BJR’s history is radiology’s history, and the journal has featured some landmark papers such as the first description of Computed Tomography "Computerized transverse axial tomography" by Godfrey Hounsfield in 1973. A valuable historical resource, the complete BJR archive has been digitized from 1896.
Quick Facts:
- 2015 Impact Factor – 1.840
- Receipt to first decision – average of 6 weeks
- Acceptance to online publication – average of 3 weeks
- ISSN: 0007-1285
- eISSN: 1748-880X
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