Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique
Abstract Background Recently preliminary ultrasonography (US) definitions, in B mode, for normal components of pediatric joints have been developed by the OMERACT US group. The aim of the current study was to include Doppler findings in the evaluation and definition of normal joint features that can...
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-04-01
|
| Series: | Pediatric Rheumatology Online Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12969-018-0240-2 |
| _version_ | 1819265509379538944 |
|---|---|
| author | P. Collado D. Windschall J. Vojinovic S. Magni-Manzoni P. Balint G. A. W. Bruyn C. Hernandez-Diaz J. C. Nieto V. Ravagnani N. Tzaribachev A. Iagnocco M. A. D’Agostino E. Naredo on behalf of the OMERACT ultrasound subtask force on pediatric |
| author_facet | P. Collado D. Windschall J. Vojinovic S. Magni-Manzoni P. Balint G. A. W. Bruyn C. Hernandez-Diaz J. C. Nieto V. Ravagnani N. Tzaribachev A. Iagnocco M. A. D’Agostino E. Naredo on behalf of the OMERACT ultrasound subtask force on pediatric |
| author_sort | P. Collado |
| collection | DOAJ |
| description | Abstract Background Recently preliminary ultrasonography (US) definitions, in B mode, for normal components of pediatric joints have been developed by the OMERACT US group. The aim of the current study was to include Doppler findings in the evaluation and definition of normal joint features that can be visualized in healthy children at different age groups. Methods A multistep approach was used. Firstly, new additional definitions of joint components were proposed during an expert meeting. In the second step, these definitions, along with the preliminary B-mode-US definitions, were tested for feasibility in an exercise in healthy children at different age groups. In the last step, a larger panel of US experts were invited to join a web-based consensus process in order to approve the developed definitions using the Delphi methodology. A Likert scale of 1–5 was used to assess agreement. Results Physiological vascularity and fat pad tissue were identified and tested as two additional joint components in healthy children. Since physiological vascularity changes over the time in the growing skeleton, the final definition of Doppler findings comprised separate statements instead of a single full definition. A total of seven statements was developed and included in a written Delphi questionnaire to define and validate the new components. The final definitions for fat pad and physiological vascularity agreed by the group of experts reached 92.9% and 100% agreement respectively in a web survey. Conclusion The inclusion of these two additional joints components which are linked to detection of Doppler signal in pediatric healthy joints will improve the identification of abnormalities in children with joint pathologies. |
| first_indexed | 2024-12-23T20:46:31Z |
| format | Article |
| id | doaj.art-438b754aeaaf4f54898babcbcf85b5cc |
| institution | Directory Open Access Journal |
| issn | 1546-0096 |
| language | English |
| last_indexed | 2024-12-23T20:46:31Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Pediatric Rheumatology Online Journal |
| spelling | doaj.art-438b754aeaaf4f54898babcbcf85b5cc2022-12-21T17:31:47ZengBMCPediatric Rheumatology Online Journal1546-00962018-04-011611710.1186/s12969-018-0240-2Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER techniqueP. Collado0D. Windschall1J. Vojinovic2S. Magni-Manzoni3P. Balint4G. A. W. Bruyn5C. Hernandez-Diaz6J. C. Nieto7V. Ravagnani8N. Tzaribachev9A. Iagnocco10M. A. D’Agostino11E. Naredo12on behalf of the OMERACT ultrasound subtask force on pediatricHospital Universitario Severo Ochoa.Department of Pediatrics, Asklepios Hospital WeissenfelsDepartment of Pediatrics, Clinical Center, Faculty of Medicine, University of NisRheumatology Division, IRCCS Ospedale Pediatrico Bambino Gesù3rd Department of Rheumatology, National Institute of Rheumatology and PhysiotherapyDepartment of Rheumatology, MC GroepInstituto Nacional de RehabilitaciónDepartment of Rheumatology, Hospital Universitario Gregorio MarañonDepartment of Internal Medicine, ASST Mantova, C. Poma HospitalPediatric Rheumatology Research InstituteRheumatology Unit, Sapienza Università di RomaRheumatology Department, Hôspital Ambroise Paré, Boulogne Billancourt; INSERM U1173, Laboratoire d’Excellence INFLAMEX, UFR Simone Veil, Versailles-Saint-Quentin UniversityDepartment of Rheumatology, Hospital Universitario Fundación Jimenez Díaz and Autonoma UniversityAbstract Background Recently preliminary ultrasonography (US) definitions, in B mode, for normal components of pediatric joints have been developed by the OMERACT US group. The aim of the current study was to include Doppler findings in the evaluation and definition of normal joint features that can be visualized in healthy children at different age groups. Methods A multistep approach was used. Firstly, new additional definitions of joint components were proposed during an expert meeting. In the second step, these definitions, along with the preliminary B-mode-US definitions, were tested for feasibility in an exercise in healthy children at different age groups. In the last step, a larger panel of US experts were invited to join a web-based consensus process in order to approve the developed definitions using the Delphi methodology. A Likert scale of 1–5 was used to assess agreement. Results Physiological vascularity and fat pad tissue were identified and tested as two additional joint components in healthy children. Since physiological vascularity changes over the time in the growing skeleton, the final definition of Doppler findings comprised separate statements instead of a single full definition. A total of seven statements was developed and included in a written Delphi questionnaire to define and validate the new components. The final definitions for fat pad and physiological vascularity agreed by the group of experts reached 92.9% and 100% agreement respectively in a web survey. Conclusion The inclusion of these two additional joints components which are linked to detection of Doppler signal in pediatric healthy joints will improve the identification of abnormalities in children with joint pathologies.http://link.springer.com/article/10.1186/s12969-018-0240-2UltrasonographyPower-DopplerPediatric rheumatologyJoint anatomy |
| spellingShingle | P. Collado D. Windschall J. Vojinovic S. Magni-Manzoni P. Balint G. A. W. Bruyn C. Hernandez-Diaz J. C. Nieto V. Ravagnani N. Tzaribachev A. Iagnocco M. A. D’Agostino E. Naredo on behalf of the OMERACT ultrasound subtask force on pediatric Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique Pediatric Rheumatology Online Journal Ultrasonography Power-Doppler Pediatric rheumatology Joint anatomy |
| title | Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique |
| title_full | Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique |
| title_fullStr | Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique |
| title_full_unstemmed | Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique |
| title_short | Amendment of the OMERACT ultrasound definitions of joints’ features in healthy children when using the DOPPLER technique |
| title_sort | amendment of the omeract ultrasound definitions of joints features in healthy children when using the doppler technique |
| topic | Ultrasonography Power-Doppler Pediatric rheumatology Joint anatomy |
| url | http://link.springer.com/article/10.1186/s12969-018-0240-2 |
| work_keys_str_mv | AT pcollado amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT dwindschall amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT jvojinovic amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT smagnimanzoni amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT pbalint amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT gawbruyn amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT chernandezdiaz amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT jcnieto amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT vravagnani amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT ntzaribachev amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT aiagnocco amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT madagostino amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT enaredo amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique AT onbehalfoftheomeractultrasoundsubtaskforceonpediatric amendmentoftheomeractultrasounddefinitionsofjointsfeaturesinhealthychildrenwhenusingthedopplertechnique |