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Diagnostic value of a novel salivary gland ultrasound scoring system in IgG4-related sialadenitis

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WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Zhou Mingzhu[1] * ; Zhang Shanshan[2] * ; Xie Xiaoyan[3] ; Li Wei[4] ; Cui Li[5] ; Zhao Hanxue[6] ; Tang Sumei[7] ; Hu Xiangdong[8] ; Wu Shanshan[9] ; Peng Jiajing[5] ; Huang Huilian[6] ; Ren Wei[6] ; Zhang Ying[6] ; Xu Ning[6] ; Sun Pengfei[8] ; Liu Yiqun[2] ; Zhang Zuyan[3] ; Yu Guangyan[4,*3] ; Liu Yanying[1,7,*2] ; Su Yin[7,*1] ;
机构： [1]Department of Rheumatology and Immunology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. [2]Department of Ultrasound, Peking University People's Hospital, Beijing, China. [3]Department of Oral Radiology, Peking University School and Hospital of Stomatology, Beijing, China. [4]Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. [5]Department of Rheumatology and Immunology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [6]Department of Diagnostic Ultrasound, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [7]Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China. [8]Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing, China. [9]Department of Clinical Epidemiology and Evidence-based Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
出处：
DOI： 10.1093/rheumatology/keae121
ISSN：

关键词： IgG4-related disease sialadenitis ultrasonography scoring system salivary gland

摘要：
To develop a novel ultrasound scoring system for the major salivary glands in patients with immunoglobulin G4-related sialadenitis (IgG4-RS) and assess its diagnostic value in a multicenter cohort of Chinese patients.Twenty clinicians (rheumatologists, stomatologists, and radiologists) participated. The study was conducted in four steps: (1) defining the ultrasonography (US) elements, (2) developing a novel ultrasound scoring system for US of the salivary glands, (3) evaluation of inter- and intra-reader reliabilities using the new ultrasound scoring system, and (4) assessing the diagnostic value of this novel ultrasound scoring system in IgG4-RS patients in a Chinese multicenter cohort.A novel ultrasound scoring system for the salivary glands was developed, with total scores ranging from 0 to 34. The inter- and intra-reader reliabilities of the ultrasound scoring system were excellent (0.972 and 0.940, respectively). A total of 470 people were recruited in this study; 187 patients were diagnosed with IgG4-RS, and the remaining 283 people were diagnosed with non-IgG4-RS. Patients with IgG4-RS had significantly higher US scores than the non-IgG4-RS group (mean US score=16 vs. 4, P < 0.001). The calculated area under the curve (AUC) for the total US score was 0.852 (95% CI: 0.814-0.891). The total US scores≥9 showed a sensitivity of 75.4% and a specificity of 91.9%. Association analysis showed a positive correlation between total US scores and serum IgG4 levels and hypocomplementemia (r=0.221, r=0.349; P = 0.002) and a negative correlation between total US scores and serum C3 and C4 levels (r=-0.210, r=-0.303; P = 0.005, P < 0.001).A novel semiquantitative ultrasound scoring system for patients with IgG4-RS was developed, with good diagnostic performance. The inter- and intra-reader reliabilities were excellent. US scores were correlated with IgG4, C3, and C4 levels and hypocomplementemia.© The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

基金：
This work was supported by the Capital Funds for Health Improvement and Research (No. 2022-2-2026), Tongzhou District Science and Technology Committee (No.KJ2023CX004) and the Beijing Science and Technology Planning Project (No. Z191100006619111).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 2 区 风湿病学
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 风湿病学
JCR分区：
出版当年[2022]版：
Q1 RHEUMATOLOGY
最新[2023]版：
Q1 RHEUMATOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Rheumatology and Immunology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
共同第一作者：
通讯作者：
通讯机构： [1]Department of Rheumatology and Immunology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. [4]Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. [7]Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China. [*1]Department of Rheumatology and Immunology, Peking University People’s Hospital, 11, Xizhimen South Street, Beijing, 100044, China [*2]Department of Rheumatology and Immunology, Beijing Friendship Hospital, Capital Medical University, 95, Yong’an Road, Beijing, 100050, China. [*3]Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, 100081, China
推荐引用方式(GB/T 7714)：
Zhou Mingzhu,Zhang Shanshan,Xie Xiaoyan,et al.Diagnostic value of a novel salivary gland ultrasound scoring system in IgG4-related sialadenitis[J].Rheumatology (Oxford, England).2024,doi:10.1093/rheumatology/keae121.
APA：
Zhou Mingzhu,Zhang Shanshan,Xie Xiaoyan,Li Wei,Cui Li...&Su Yin.(2024).Diagnostic value of a novel salivary gland ultrasound scoring system in IgG4-related sialadenitis.Rheumatology (Oxford, England),,
MLA：
Zhou Mingzhu,et al."Diagnostic value of a novel salivary gland ultrasound scoring system in IgG4-related sialadenitis".Rheumatology (Oxford, England) .(2024)

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