The agreement between osteophytes detected by ultrasound and CR, MRI as well as BE in finger joints from patients with HOA
Modality | Osteophyte grade | Ultrasound osteophyte grade | Total | Validity of ultrasound | |||
---|---|---|---|---|---|---|---|
0 | 1 | 2 | 3 | ||||
MRI* n=851 | 0 | 86 | 24 | 4 | 1 | 215 | PEA 50.4% PCA 96.1% |
1 | 127 | 190 | 109 | 4 | 448 | Sensitivity 0.83† | |
2 | 1 | 17 | 22 | 97 | 171 | Specificity 0.75† | |
3 | 1 | 56 | 15 | 97 | 117 | ||
Total | 215 | 235 | 184 | 217 | 851 | ||
CR‡ n=3395 | 0 | 1544 | 559 | 218 | 55 | 2376 | PEA 57.3% PCA 88.3% |
1 | 37 | 169 | 208 | 115 | 529 | Sensitivity 0.96† | |
2 | 4 | 19 | 79 | 211 | 313 | Specificity 0.65† | |
3 | 0 | 4 | 18 | 155 | 177 | ||
Total | 1585 | 751 | 523 | 536 | 3395 | ||
BE‡ n=3763 | 0 | 1637 | 484 | 188 | 64 | 2373 | PEA 76.6% Sensitiv ity 0.90† |
1 | 144 | 338 | 393 | 515 | 1390 | Specificity 0.69† | |
Total | 1781 | 822 | 581 | 579 | 3763 |
↵* Interphalangeal joints of second to fifth finger in dominant hand.
↵† Sensitivity and specificity of ultrasound with the reference being the comparative modality.
↵‡ CMC1, MCP, (P)IP and DIP joints in both hands.
BE, bony enlargement; CR, conventional radiography; HOA, hand osteoarthritis PEA, percentage exact agreement; PCA, percentage close agreement.