Ultrasound imaging in patients with hip pain and suspected hip osteoarthritis: an inter-rater and intra-rater reliability study

被引:5
作者
Clausen, Stine [1 ,2 ]
Kjaer, Soren [3 ]
Fredberg, Ulrich [3 ,4 ]
Terslev, Lene [5 ,6 ,7 ]
Hartvigsen, Jan [1 ,8 ]
Arnbak, Bodil [1 ,2 ]
机构
[1] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Fac Hlth Sci, Odense, Denmark
[2] Lillebaelt Hosp Vejle, Dept Radiol, Vejle, Denmark
[3] Silkeborg Reg Hosp, Univ Res Clin Innovat Patient Pathways, Ctr Diagnost, Silkeborg, Denmark
[4] Odense Univ Hosp, Rheumatol Res Unit, Odense, Denmark
[5] Rigshosp Glostrup, Copenhagen Ctr Arthrit Res, Glostrup, Denmark
[6] Rigshosp Glostrup, Ctr Rheumatol & Spine Dis, Glostrup, Denmark
[7] Univ Copenhagen, Dept Clin Med, Fac Hlth & Med Sci, Copenhagen, Denmark
[8] Nord Inst Chiropract & Clin Biomech, Odense, Denmark
来源
BMJ OPEN | 2020年 / 10卷 / 11期
关键词
ultrasound; hip; diagnostic radiology; rheumatology; AGREEMENT; FEATURES; JOINT;
D O I
10.1136/bmjopen-2020-038643
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives The objectives of this study were to asses (1) inter-rater and intrarater reliability of ultrasound imaging in patients with hip osteoarthritis, and (2) agreement between ultrasound and X-ray findings of hip osteoarthritis using validated Outcome Measures in Rheumatology ultrasound definitions for pathology. Design An inter-rater and intrarater reliability study. Setting A single-centre study conducted at a regional hospital. Participants 50 patients >39 years of age referred for radiography due to hip pain and suspected hip osteoarthritis were included. Exclusion criteria were previous hip surgery in the painful hip, suspected fracture or malignant changes in the hip. Intervention Bilateral ultrasound examinations (n=92) were performed continuously by two experienced operators blinded to clinical information and other imaging findings. After 4-6 weeks, one operator reassessed the images. X-rays were assessed by a third imaging specialist. Primary and secondary outcome measures Inter-rater and intrarater reliability and agreement between ultrasound imaging and X-ray were assessed using Cohen's ordinal kappa statistics for binary categorical variables and weighted kappa for ordered categorical variables. Results Kappa values (kappa) for inter-rater reliability were 0.9 and 0.8 for hip effusion/synovitis and osteoarthritis grading, respectively. For acetabular and femoral osteophytes, femoral cartilage changes and labrum changes kappa ranged from 0.4 to 0.7. Intrarater reliability had kappa equal or higher compared with inter-rater reliability. Agreement between ultrasound and X-ray findings ranged from kappa=0.2 to kappa=0.5. Conclusion This study demonstrated substantial to almost perfect reliability on the most common ultrasound findings related to hip osteoarthritis and osteoarthritis grading. Agreement on the grade of osteoarthritis between ultrasound and X-ray was moderate. Overall, these results support ultrasound imaging as a reliable tool in the assessment of hip osteoarthritis.
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页数:8
相关论文
共 28 条
[1]   Population prevalence of ultrasound features of osteoarthritis in the hand, knee and hip at age 63 years: the Newcastle thousand families birth cohort [J].
Abraham, Ajay M. ;
Pearce, Mark S. ;
Mann, Kay D. ;
Francis, Roger M. ;
Birrell, Fraser .
BMC MUSCULOSKELETAL DISORDERS, 2014, 15
[2]   Atlas of individual radiographic features in osteoarthritis, revised [J].
Altman, R. D. ;
Gold, G. E. .
OSTEOARTHRITIS AND CARTILAGE, 2007, 15 :A1-A56
[3]  
Bianchi S, 2007, MED RADIOL DIAGN IMA, P1, DOI 10.1007/978-3-540-28163-4
[4]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[5]   OMERACT Definitions for Ultrasonographic Pathologies and Elementary Lesions of Rheumatic Disorders 15 Years On [J].
Bruyn, George A. ;
Iagnocco, Annamaria ;
Naredo, Esperanza ;
Balint, Peter V. ;
Gutierrez, Marwin ;
Hammer, Hilde B. ;
Collado, Paz ;
Filippou, Georgios ;
Schmidt, Wolfgang A. ;
Jousse-Joulin, Sandrine ;
Mandl, Peter ;
Conaghan, Philip G. ;
Wakefield, Richard J. ;
Keen, Helen I. ;
Terslev, Lene ;
D'Agostino, Maria Antonietta ;
Aydin, Sibel ;
Backhaus, Marina ;
Bachta, Artur ;
Chary-Valckenaere, Isabelle ;
Chrysidis, Stavros ;
Damjanov, Nemanja ;
Dasgupta, Bhaskar ;
Filippucci, Emilio ;
Gandjbachkh, Frederique ;
Filer, Andrew ;
Finzel, Stephanie ;
Hanova, Petra ;
Hocevar, Alojzija ;
Diaz, Cristina Hernandez ;
Ikeda, Kei ;
Inanc, Nevsun ;
Kaeley, Gurjit ;
Kortekaas, Marion ;
Lee, Gavin ;
Loeuille, Damien ;
Manzoni, Silvia Magni ;
Malattia, Clara ;
Micu, Mihaela ;
Moller, Ingrid ;
Pineda, Carlos ;
Ravagnani, Viviana ;
Richards, Bethan ;
Roth, Johannes ;
Schafer, Valentin ;
delle Sedie, Andrea ;
Skzudlarek, Marcin ;
Tzaribachev, Nicolas ;
Sahbudin, Ilfita ;
Stoenoiu, Maria .
JOURNAL OF RHEUMATOLOGY, 2019, 46 (10) :1388-1393
[6]  
de Vet C.B.T., 2011, MEASUREMENT MED PRAC, V1
[7]   Osteoarthritis [J].
Glyn-Jones, S. ;
Palmer, A. J. R. ;
Agricola, R. ;
Price, A. J. ;
Vincent, T. L. ;
Weinans, H. ;
Carr, A. J. .
LANCET, 2015, 386 (9991) :376-387
[8]   Standard and Advanced Imaging of Hip Osteoarthritis. What the Radiologist Should Know [J].
Huang, Brady K. ;
Tan, Weiken ;
Scherer, Kurt F. ;
Rennie, Winston ;
Chung, Christine B. ;
Bancroft, Laura W. .
SEMINARS IN MUSCULOSKELETAL RADIOLOGY, 2019, 23 (03) :289-303
[9]   Definition of osteoarthritis on MRI: results of a Delphi exercise [J].
Hunter, D. J. ;
Arden, N. ;
Conaghan, P. G. ;
Eckstein, F. ;
Gold, G. ;
Grainger, A. ;
Guermazi, A. ;
Harvey, W. ;
Jones, G. ;
Le Graverand, M. P. Hellio ;
Laredo, J. D. ;
Lo, G. ;
Losina, E. ;
Mosher, T. J. ;
Roemer, F. ;
Zhang, W. .
OSTEOARTHRITIS AND CARTILAGE, 2011, 19 (08) :963-969
[10]  
Iagnocco A, 2017, CLIN EXP RHEUMATOL, V35, P527