Table 3

Prevalence of observed lesions, observed agreement and intraobserver reliability when scoring synovitis in MCP joints in patients with RA: standardised scan acquisition versus free scan acquisition

Standardised scanFree scan
Prevalence %
(min–max)
Observed agreement (min–max)Kappa
(min–max) + 95% CI
Prevalence %
(min–max)
Observed agreement
(min–max)
Kappa
(min–max) + 95% CI
Binary (y/n)Semiquantitative (0–3)Binary (y/n)Semiquantitative (0–3)
SHGrade 0: 0–800.40–10.0–1 (−0.21–0.3
to 0.6–1)
0.34–1 (0.32–0.45 
to 0.9–1)
Grade 0: 0–550.50–0.950.0–1 (−0.01–0.03 
to 0.6–1)
0.440.94 (0.21–0.44 
to 0.87–0.97)
Grade 1: 5–45Grade 1: 5–55
Grade 2: 0–50Grade 2: 5–65
Grade 3: 0–15Grade 3: 0–5
PDGrade 0: 55–950.65–10.22–1 (0.21–0.3 
to 0.8–1)
0.26–1 (0.25–0.29 
to 0.8–1)
Grade 0: 55–900.65–10.38–1 (0.36–0.3 
to 0.81–1)
0.29–1 (−0.21–0.3 
to 0.6–1)
Grade 1: 0–30Grade 1: 0–25
Grade 2: 0–10Grade 2: 0–15
Grade 3: 0–5Grade 3: 0–20
Combined score* (SH+PD)Grade 0: 0–800.40–10.39–1 (0.34–0.43 
to 0.7–1)
0.32–1 (0.29–0.34 
to 0.8–1)
Grade 0: 0–600.50–0.950.0–1 (−0.11–0.3 
to 0.92–1)
0.40–0.93 (0.40–0.52 
to 0.76–0.95)
Grade 1: 10–45Grade 1: 5–43
Grade 2: 0–50Grade 2: 0–70
Grade 3: 0–15Grade 3: 0–20
  • *EULAR-OMERACT combined score.

  • EULAR-OMERACT, European League Against Rheumatisms–Outcomes Measures in Rheumatology; MCP, metacarpophalangeal; PD, power Doppler; RA, rheumatoid arthritis; SH, synovial hypertrophy.