Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score
Abstract
:1. Introduction
2. Materials and Methods
2.1. Conjoint Analysis Survey
2.2. JAMRIS-SIJ Vignette Ranking Exercise
2.3. Statistical Analysis
3. Result
3.1. Summary of Survey Items
3.2. Conjoint Analysis Survey-Derived Relative JAMRIS-SIJ Weights
3.3. Concordance of Conjoint Analysis Survey-Derived JAMRIS-SIJ Weights among Experts
3.4. Homogeneity of Vignette Rankings (by Conjoint Analysis Survey (CAS) Score and by Explicit Expert Rank)
3.5. Correlation of JAMRIS-SIJ Vignette Ranking by MRI +/− Grade versus CAS Generated JAMRIS-SIJ Weights
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Appendix B
References
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Inflammation Domain | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Grades | |||||||||||
0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ICC (2,1) | ICC (2,k) | |
Osteitis | 0 | 3.9 | 7.7 | 11.2 | 14.4 | 17.2 | 19.8 | 23.3 | 24.7 | 0.66 | 0.97 |
BME | 0 | 3.2 | 6.4 | 9.5 | 12.6 | 15.6 | 18.5 | 21.4 | 24.3 | 0.59 | 0.96 |
IEC | 0 | 5.3 | 10 | 13.7 | 16.9 | -- | -- | -- | -- | 0.52 | 0.95 |
JSE | 0 | 4.5 | 8.2 | 10.9 | 13.1 | -- | -- | -- | -- | 0.34 | 0.90 |
JSF | 0 | 2.8 | 5.1 | 7.1 | 9.1 | -- | -- | -- | -- | 0.17 | 0.78 |
Capsulitis | 0 | 3.9 | 7.3 | -- | -- | -- | -- | -- | -- | 0.41 | 0.92 |
Enthesitis | 0 | 4.6 | -- | -- | -- | -- | -- | -- | -- | 0.76 | 0.98 |
All Items | -- | -- | -- | -- | -- | -- | -- | -- | -- | 0.60 | 0.96 |
Damage Domain | |||||||||||
Grades | |||||||||||
0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ICC (2,1) | ICC (2,k) | |
Ankylosis | 0 | 10 | 20.2 | 30.7 | 41.3 | 0.79 | 0.98 | ||||
Erosion | 0 | 3.7 | 7.2 | 10.6 | 13.9 | 16.9 | 19.8 | 22.5 | 25.1 | 0.60 | 0.96 |
Backfill | 0 | 3.9 | 7.5 | 10.8 | 13.9 | 0.59 | 0.96 | ||||
Sclerosis | 0 | 1.8 | 3.6 | 55.2 | 6.6 | 7.8 | 8.9 | 9.8 | 10.7 | 0.23 | 0.83 |
FML | 0 | 1.6 | 3.1 | 4.5 | 5.7 | 6.6 | 7.5 | 8.3 | 9.1 | 0.33 | 0.90 |
All Items | 0.73 | 0.98 |
Spearman Correlation Coefficient of CAS-Weighted JAMRIS-SIJ vs. Graded ± Image Vignette Ranking | |||||
---|---|---|---|---|---|
Vignette Type | Expert Cohort | Inflammation Domain | Damage Domain | ||
Median | IQR | Median | IQR | ||
Grade only | All experts (n = 17) | 0.84 | 0.80–0.94 | 0.93 | 0.90–0.96 |
Rheumatologists (n = 6) | 0.89 | 0.82–0.97 | 0.92 | 0.88–0.95 | |
Radiologists (n = 11) | 0.82 | 0.73–0.93 | 0.94 | 0.91–0.97 | |
Grade + Image | Radiologists (n = 10) Rheumatologist (n = 2) | 0.74 | 0.55–0.85 | 0.93 | 0.81–0.95 |
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Otobo, T.M.; Tolend, M.; Meyers, A.B.; Sudol-Szopinska, I.; Joshi, S.; Stimec, J.; Herregods, N.; Jaremko, J.L.; Tse, S.M.L.; Haroon, N.; et al. Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score. J. Clin. Med. 2023, 12, 2729. https://doi.org/10.3390/jcm12072729
Otobo TM, Tolend M, Meyers AB, Sudol-Szopinska I, Joshi S, Stimec J, Herregods N, Jaremko JL, Tse SML, Haroon N, et al. Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score. Journal of Clinical Medicine. 2023; 12(7):2729. https://doi.org/10.3390/jcm12072729
Chicago/Turabian StyleOtobo, Tarimobo M., Mirkamal Tolend, Arthur B. Meyers, Iwona Sudol-Szopinska, Sayali Joshi, Jennifer Stimec, Nele Herregods, Jacob L. Jaremko, Shirley M. L. Tse, Nigil Haroon, and et al. 2023. "Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score" Journal of Clinical Medicine 12, no. 7: 2729. https://doi.org/10.3390/jcm12072729
APA StyleOtobo, T. M., Tolend, M., Meyers, A. B., Sudol-Szopinska, I., Joshi, S., Stimec, J., Herregods, N., Jaremko, J. L., Tse, S. M. L., Haroon, N., Moineddin, R., Tzaribachev, N., Appenzeller, S., Znajdek, M., Perez, M., Ligha, A. E., Jans, L., Inarejos Clemente, E. J., Weiss, P., ... Doria, A. S. (2023). Determination of Relative Weightings for Sacroiliac Joint Pathologies in the OMERACT Juvenile Arthritis Magnetic Resonance Imaging Sacroiliac Joint Score. Journal of Clinical Medicine, 12(7), 2729. https://doi.org/10.3390/jcm12072729