Development of a Scoring Tool for Chronic Nonbacterial Osteomyelitis Magnetic Resonance Imaging and Evaluation of its Interrater Reliability

Yongdong Zhao; T Shawn Sato; Sabrina M Nielsen; Meinrad Beer; Mingqian Huang; Ramesh S Iyer; Michael McGuire; Anh-Vu Ngo; Jeffrey P Otjen; Jyoti Panwar; Jennifer Stimec; Mahesh Thapa; Paolo Toma; Angela Taneja; Nancy E Gove; Polly J Ferguson

doi:10.3899/jrheum.190186

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Development of a Scoring Tool for Chronic Nonbacterial Osteomyelitis Magnetic Resonance Imaging and Evaluation of its Interrater Reliability

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Development of a Scoring Tool for Chronic Nonbacterial Osteomyelitis Magnetic Resonance Imaging and Evaluation of its Interrater Reliability

Yongdong Zhao, T Shawn Sato, Sabrina M Nielsen, Meinrad Beer, Mingqian Huang, Ramesh S Iyer, Michael McGuire, Anh-Vu Ngo, Jeffrey P Otjen, Jyoti Panwar, …

Journal of rheumatology, Vol.47(5), pp.739-747

05/01/2020

DOI: 10.3899/jrheum.190186

PMID: 31575701

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Abstract

Serial magnetic resonance imaging (MRI) examinations are often needed in chronic nonbacterial osteomyelitis (CNO) to determine the objective response to treatment. Our objectives in this study were (1) to develop a consensus-based MRI scoring tool for clinical and research use in CNO; and (2) to evaluate interrater reliability and agreement using whole-body (WB)-MRI from children with CNO. Eleven pediatric radiologists discussed definitions and grading of signal intensity, size of signal abnormality within bone marrow, and associated features on MRI through monthly conference calls and a consensus meeting, using a nominal group technique in July 2017. WB-MRI scans from children with CNO were deidentified for training reading and an interrater reliability study. The reading by each radiologist was conducted in a randomized order. Interrater reliability for abnormal signal and severity were assessed using free-marginal κ statistics. Radiologists reached a consensus on grading CNO-specific MRI findings and on describing bone units based on anatomy. A total of 45 sets of WB-MRI scans, including 4 sets of non-CNO MRI examinations, were selected for the final reading. The mean κ of each category of bones was > 0.7 with majority > 0.9 demonstrating substantial/almost perfect interrater reliability of readings among radiologists. The agreement on signal intensity and the size of signal abnormality within the most commonly affected bones (femur and tibia) were lower than those of other bones. The chronic nonbacterial osteomyelitis magnetic resonance imaging scoring (CROMRIS) tool is a comprehensive standardized scoring tool for MRI in children with CNO. Our interrater study demonstrated good interrater reliability and agreement of readings.

Magnetic Resonance Imaging

INTERRATER RELIABILITY

CHRONIC NONBACTERIAL OSTEOMYELITIS

SCORING TOOL

Details

Title: Subtitle: Development of a Scoring Tool for Chronic Nonbacterial Osteomyelitis Magnetic Resonance Imaging and Evaluation of its Interrater Reliability
Creators: Yongdong Zhao - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine. yongdong.zhao@seattlechildrens.org
T Shawn Sato - University of Iowa, Radiology
Sabrina M Nielsen - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Meinrad Beer - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Mingqian Huang - Stony Brook University Hospital
Ramesh S Iyer - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Michael McGuire - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Anh-Vu Ngo - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Jeffrey P Otjen - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Jyoti Panwar - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Jennifer Stimec - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Mahesh Thapa - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Paolo Toma - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Angela Taneja - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Nancy E Gove - Y. Zhao, MD, PhD, Seattle Children's Hospital, Department of Pediatrics, University of Washington, and Center for Clinical and Translational Research, Seattle Children's Research Institute; T.S. Sato, MD, Department of Radiology, University of Iowa Carver College of Medicine; S.M. Nielsen, MSc, Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, and The Rheumatology Research Unit, Department of Rheumatology, Odense University Hospital and University of Southern Denmark; M. Beer, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Ulm; M. Huang, MD, Department of Radiology, Stony Brook University Hospital; R.S. Iyer, MD, MBA, Department of Radiology, Seattle Children's Hospital, University of Washington; M. McGuire, MD, Department of Radiology, Hackensack University Medical Center; A.V. Ngo, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J.P. Otjen, MD, Department of Radiology, Seattle Children's Hospital, University of Washington; J. Panwar, MD, FRCR, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, and Department of Radiology, Christian Medical College and Hospital;J. Stimec, MD, Department of Medical Imaging, Hospital for Sick Children, University of Toronto; M. Thapa, MD, MEd, Department of Radiology, Seattle Children's Hospital, University of Washington; P. Toma, MD, Department of Imaging, Bambino Gesù Children's Hospital; A. Taneja, MD, Pediatric Rheumatology, Children's Healthcare of Atlanta, Emory University; N.E. Gove, PhD, Center for Clinical and Translational Research, Seattle Children's Research Institute; P.J. Ferguson, MD, Department of Pediatrics, University of Iowa Carver College of Medicine
Polly J Ferguson - University of Iowa, Stead Family Department of Pediatrics
Resource Type: Journal article
Publication Details: Journal of rheumatology, Vol.47(5), pp.739-747
DOI: 10.3899/jrheum.190186
PMID: 31575701
NLM abbreviation: J Rheumatol
ISSN: 0315-162X
eISSN: 1499-2752
Language: English
Date published: 05/01/2020
Academic Unit: Radiology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Rheumatology, Allergy, and Immunology
Record Identifier: 9984070839702771

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