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Rheumatology and Therapy
Published in: Rheumatology and Therapy 2/2024

Open Access 19-02-2024 | Original Research

Reliability Exercise of Ultrasound Salivary Glands in Sjögren’s Disease: An International Web Training Initiative

Authors: Baptiste Quéré, Alain Saraux, Guillermo Carvajal-Alegria, Dewi Guellec, Gaël Mouterde, Christophe Lamotte, Daniel Hammenfors, Malin Jonsson, Sung-Eun Choi, Min Hong-Ki, Alja Stel, Benjamin A. Fisher, Mark Maybury, Benedikt Hofauer, Francesco Ferro, Vera Milic, Dana Direnzo, Valérie Devauchelle-Pensec, Sandrine Jousse-Joulin

Published in: Rheumatology and Therapy | Issue 2/2024

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Abstract

Introduction

Major salivary gland ultrasonography (SGUS) demonstrated its good metric properties as an outcome measure for diagnosing primary Sjögren’s disease (SD). The objective was to assess SGUS reliability among sonographers with different levels of experience, using web training.

Methods

Sonographers from expert centers participated in the reliability exercise. Before exercises, training was done by videoconferencing. Reliability of the two most experienced sonographers (MES) was assessed and then compared to other sonographers. Intra-reader and inter-reader reliability of SGUS items were assessed by computing Cohen’s κ coefficients.

Results

All sets were read twice by all 14 sonographers within a 4-month interval. Intra-reader reliability of MES was almost perfect for homogeneity, substantial for Outcome Measures in Rheumatology (OMERACT) scoring system (OMERACTss). Among LES (less experienced sonographers), reliability was moderate to almost perfect for homogeneity, fair to moderate for OMERACTss, and fair to almost perfect for binary OMERACTss. Inter-reader reliability between MES was almost perfect for homogeneity, substantial for diagnosis, moderate for OMERACTss, and substantial for binary OMERACTss. Compared to MES, reliabilities of LES were moderate to almost perfect for both homogeneity and diagnosis, only fair to moderate for OMERACTss, but increased in binary OMERACTss.

Conclusions

Videoconferencing training sessions in an international reliability exercise could be an excellent tool to train experienced and less-experienced sonographers. SGUS homogeneity items is useful to distinguish normal from abnormal salivary glands parenchyma independently of diagnosis. Structural damage evaluations by OMERACT scoring system is a new comprehensive score to diagnose patients with SD and could be easily used by sonographers in a binary method.
Appendix
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Metadata
Title
Reliability Exercise of Ultrasound Salivary Glands in Sjögren’s Disease: An International Web Training Initiative
Authors
Baptiste Quéré
Alain Saraux
Guillermo Carvajal-Alegria
Dewi Guellec
Gaël Mouterde
Christophe Lamotte
Daniel Hammenfors
Malin Jonsson
Sung-Eun Choi
Min Hong-Ki
Alja Stel
Benjamin A. Fisher
Mark Maybury
Benedikt Hofauer
Francesco Ferro
Vera Milic
Dana Direnzo
Valérie Devauchelle-Pensec
Sandrine Jousse-Joulin
Publication date
19-02-2024
Publisher
Springer Healthcare
Published in
Rheumatology and Therapy / Issue 2/2024
Print ISSN: 2198-6576
Electronic ISSN: 2198-6584
DOI
https://doi.org/10.1007/s40744-024-00645-6

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