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A reliability study using computer-based analysis of finger joint space narrowing in rheumatoid arthritis patients
Title: | A reliability study using computer-based analysis of finger joint space narrowing in rheumatoid arthritis patients |
Authors: | Hatano, Katsuya Browse this author | Kamishima, Tamotsu Browse this author →KAKEN DB | Sutherland, Kenneth Browse this author →KAKEN DB | Kato, Masaru Browse this author →KAKEN DB | Nakagawa, Ikuma Browse this author | Ichikawa, Shota Browse this author | Kawauchi, Keisuke Browse this author | Saitou, Shota Browse this author | Mukai, Masaya Browse this author |
Keywords: | Rheumatoid arthritis | Joint space narrowing | Computer-based analysis | Reliability | Radiography |
Issue Date: | Feb-2017 |
Publisher: | Springer |
Journal Title: | Rheumatology international |
Volume: | 37 |
Issue: | 2 |
Start Page: | 189 |
End Page: | 195 |
Publisher DOI: | 10.1007/s00296-016-3588-y |
PMID: | 27796519 |
Abstract: | The joint space difference index (JSDI) is a newly developed radiographic index which can quantitatively assess joint space narrowing progression of rheumatoid arthritis (RA) patients by using an image subtraction method on a computer. The aim of this study was to investigate the reliability of this method by non-experts utilizing RA image evaluation. Four non-experts assessed JSDI for radiographic images of 510 metacarpophalangeal joints from 51 RA patients twice with an interval of more than 2 weeks. Two rheumatologists and one radiologist as well as the four non-experts examined the joints by using the Sharp-van der Heijde Scoring (SHS) method. The radiologist and four non-experts repeated the scoring with an interval of more than 2 weeks. We calculated intra-/inter-observer reliability using the intra-class correlation coefficients (ICC) for JSDI and SHS scoring, respectively. The intra-/inter-observer reliabilities for the computer-based method were almost perfect (inter-observer ICC, 0.966-0.983; intra-observer ICC, 0.954-0.996). Contrary to this, intra-/inter-observer reliability for SHS by experts was moderate to almost perfect (inter-observer ICC, 0.556-0.849; intra-observer ICC, 0.589-0.839). The results suggest that our computer-based method has high reliability to detect finger joint space narrowing progression in RA patients. |
Rights: | This is a post-peer-review, pre-copyedit version of an article published in Rheumatology international. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00296-016-3588-y |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/68387 |
Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 神島 保
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