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Table 3 Intra-observer concordance in wrist and MCP joints

From: Reliability of ultrasonography to detect inflammatory lesions and structural damage in juvenile idiopathic arthritis

Elementary lesions by US

Overall agreement (%)

Presence/absence

Kappa Cohen

95% CI

P value

Synovitis

 Wrist

95

.87

.71–1.0

.001

 MCP 2

84

.61

.34–89

.001

 MCP 3

95

.84

.63–1.0

.001

Abnormal power Doppler signal

 Wrist

95

.87

.71–1.0

.001

 MCP 2

100

1.0

1.0–1.0

.001

 MCP 3

100

1.0

1.0–1.0

.001

Tenosinovitis flexor tendon

 Grayscale

95

.88

.74–1.0

.001

 Power Doppler

100

1.0

1.0–1.0

.001

Cartilage Damage

 MCP 2

94

.82

.59–1.0

.001

 MCP 3

97

.94

.84–1.0

.001

Bone erosion

100

1.0

1.0–1.0

.001

Synovitis grading

Agreement (%)

Weighted kappa

95% CI

P value

Synovitis in all joints by US grayscale

 Grade 0

100

1.0

1.0–1.0

.001

 Grade 1

73

.61

.43–.83

.004

 Grade 2

83

.71

.51–87

.003

 Grade 3

87

.84

.63–.91

.001

Abnormal power Doppler signal

 Grade 0

100

1.0

1.0–10

.001

 Grade 1

95

.88

.71–1.0

.001

 Grade 2

87

.83

.69–.96

.001

 Grade 3

100

1.0

1.0–1.0

.001