A.A. SHAFIGULLINA¹, A.I. SHARIPOVA¹, A.S. VOLKOVA¹, V.A. KURSINA¹, D.M. EFIMOVA¹, E.R. KIRILLOVA^{1, 2}

 ¹Kazan State Medical University, Kazan

²Republic Clinical Hospital, Kazan

 Contact details:

Shafigullina A.A. — resident doctor of the Department of Hospital Therapy

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 237-34-83, e-mail: aigulya_sha@mail.ru

Ultrasound (US) of joints is a fast, accessible, cost-effective, informative method of examination. US-assisted examination of joint allows a clinician to assess the joint condition at the patient’s bedside as part of an objective examination.

The purpose — to evaluate the reproducibility of ultrasound-assisted joint examination in rheumatology in comparison with expert class ultrasound.

Material and methods. We compared the capabilities of expert-class ultrasound with ultrasound-assisted examination by 5 parameters (presence of effusion into the joint cavity, synovial vascularization, erosions, osteophytes and extensor muscle tenosynovitis) during ultrasound examination of wrist joints in 22 patients with rheumatoid arthritis. Statistical analysis included Cohen’s kappa counting and construction of ROC curves by logistic regression method.

Results. Ultrasound-assisted examination is comparable to expert-class ultrasound in evaluating the inflammatory pattern. At the same time, ultrasound-assisted examination showed moderate comparability in evaluating degenerative changes and low comparability in evaluating destructive changes.

Key words: ultrasound-assisted examination, ultrasound of joint, rheumatoid arthritis.

REFERENCES

1. Mit’kov V.V., Mit’kova M.D., Balakhonova T.V., Vetsheva N.N., Shvyrev S.L. Ultrasound examination of vessels: standardization of terminology. Ul’trazvukovaya i funktsional’naya diagnostika, 2019, no. 3, pp. 12–22 (in Russ.). DOI: 10.24835/1607-0771-2019-3-12-22
2. Khitrov N.A. Ultrasound examination of joints. Sovremennaya revmatologiya, 2008, no. 4 (in Russ.), available at: https://cyberleninka.ru/article/n/ultrazvukovoe-issledovanie-sustavov (accessed on: 03.05.2023).
3. Mareev Yu.V., Dzhioeva O.N., Zorya O.T., Pisaryuk A.S., Verbilo S.L., Skaletsky K. Et al. Focus ultrasound for cardiology practice. Russian consensus document. Kardiologiia, 2021, vol. 61 (11), pp. 4–23.
4. Drapkina O.M., Dzhioeva O.N., Balakhonova T.V., Safarova A.F., Ershova A.I., Zorya O.T. et al. Ultrasound-assisted examination in the practice of a general practitioner. Methodical recommendations. Kardiovaskulyarnaya terapiya i profilaktika, 2022, no. 22 (1), p. 3523 (in Russ.). DOI: 10. 15829/1728-8800-2023-3523
5. Kovalev A.A., Kuznetsov B.K., Yadchenko A.A., Ignatenko V.A. Assessment of the quality of a binary classifier in scientific research. Problemy zdorov’ya i ekologii, 2020, no. 4 (66) (in Russ.), available at: https://cyberleninka.ru/article/n/otsenka-kachestva-binarnogo-klassifikatora-v-nauchnyh-issledovaniyah (accessed on: 03.05.2023).