15 Jahre histopathologischer Synovialitis-Score
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15 Jahre histopathologischer Synovialitis-Score : Rückblick und Weiterentwicklung eines diagnostischen Scores. / Krenn, V; Perino, G; Rüther, W; Krenn, V T; Huber, M; Hügle, T; Najm, A; Müller, S; Boettner, F; Pessler, F; Waldstein, W; Kriegsmann, J; Häupl, T; Wienert, S; Krukemeyer, M G; Sesselmann, S; Tikhilov, R; Morawietz, L.
In: Z RHEUMATOL, Vol. 76, No. 6, 08.2017, p. 539-546.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - 15 Jahre histopathologischer Synovialitis-Score
T2 - Rückblick und Weiterentwicklung eines diagnostischen Scores
AU - Krenn, V
AU - Perino, G
AU - Rüther, W
AU - Krenn, V T
AU - Huber, M
AU - Hügle, T
AU - Najm, A
AU - Müller, S
AU - Boettner, F
AU - Pessler, F
AU - Waldstein, W
AU - Kriegsmann, J
AU - Häupl, T
AU - Wienert, S
AU - Krukemeyer, M G
AU - Sesselmann, S
AU - Tikhilov, R
AU - Morawietz, L
PY - 2017/8
Y1 - 2017/8
N2 - The histopathological synovitis score evaluates in a graded approach, as is largely usual for diagnostic histopathological scores, the immunological and inflammatory changes caused by synovitis. A synovitis score of between 1 and ≤ 4 is classified as low-grade (osteoarthritis-related synovitis, post-traumatic synovitis, meniscopathy-related synovitis and synovitis in hemochromatosis). Synovitis scores of between ≥ 5 and 9 are classified as high-grade synovitis (rheumatoid arthritis, psoriatic arthritis, Lyme's arthritis, post-infection/reactive arthritis and peripheral arthritis in Bechterew disease); sensitivity is 61.7% and sensitivity 96.1%. According to receiver operating characteristic (ROC) analysis (AUC: 0.8-0.9), diagnostic value is good. National and international acceptance of the synovitis score has grown since the first publication in 2002 and a related follow-up publication in 2006. PubMed data analysis (as of 11.01.2017) yielded the following citation values according to "cited by PubMed Central articles" for two publications relating to the synovitis score: there were 29 cited-by-PubMed articles for DOI: 10.1078/0344-0338-5710261 , and 44 cited-in-PubMed articles for the second publication, DOI: 10.1111/j.1365-2559.2006.02508 . This makes a total of 73 PubMed citations over a period of 15 years, thereby evidencing the score's international acceptance. Immunohistochemical determination of a number of CD antigens relevant to inflammation has been proposed to further specify the synovitis score for the purposes of risk stratification of high-grade synovitis (e.g., risk of progression and sensitivity to biological agents).
AB - The histopathological synovitis score evaluates in a graded approach, as is largely usual for diagnostic histopathological scores, the immunological and inflammatory changes caused by synovitis. A synovitis score of between 1 and ≤ 4 is classified as low-grade (osteoarthritis-related synovitis, post-traumatic synovitis, meniscopathy-related synovitis and synovitis in hemochromatosis). Synovitis scores of between ≥ 5 and 9 are classified as high-grade synovitis (rheumatoid arthritis, psoriatic arthritis, Lyme's arthritis, post-infection/reactive arthritis and peripheral arthritis in Bechterew disease); sensitivity is 61.7% and sensitivity 96.1%. According to receiver operating characteristic (ROC) analysis (AUC: 0.8-0.9), diagnostic value is good. National and international acceptance of the synovitis score has grown since the first publication in 2002 and a related follow-up publication in 2006. PubMed data analysis (as of 11.01.2017) yielded the following citation values according to "cited by PubMed Central articles" for two publications relating to the synovitis score: there were 29 cited-by-PubMed articles for DOI: 10.1078/0344-0338-5710261 , and 44 cited-in-PubMed articles for the second publication, DOI: 10.1111/j.1365-2559.2006.02508 . This makes a total of 73 PubMed citations over a period of 15 years, thereby evidencing the score's international acceptance. Immunohistochemical determination of a number of CD antigens relevant to inflammation has been proposed to further specify the synovitis score for the purposes of risk stratification of high-grade synovitis (e.g., risk of progression and sensitivity to biological agents).
KW - English Abstract
KW - Journal Article
KW - Review
U2 - 10.1007/s00393-017-0308-2
DO - 10.1007/s00393-017-0308-2
M3 - SCORING: Review
C2 - 28470440
VL - 76
SP - 539
EP - 546
JO - Z RHEUMATOL
JF - Z RHEUMATOL
SN - 0340-1855
IS - 6
ER -