Research ArticleArticle
OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study
Jacob L. Jaremko, Robert G.W. Lambert, Susanne J. Pedersen, Ulrich Weber, Duncan Lindsay, Zeid Al-Ani, Kieran Steer, Marcus Pianta, Stephanie Wichuk and Walter P. Maksymowych
The Journal of Rheumatology February 2019, jrheum.181043; DOI: https://doi.org/10.3899/jrheum.181043
Jacob L. Jaremko
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Robert G.W. Lambert
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Susanne J. Pedersen
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Ulrich Weber
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Duncan Lindsay
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Zeid Al-Ani
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Kieran Steer
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Marcus Pianta
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Stephanie Wichuk
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Walter P. Maksymowych
From the Department of Radiology and Diagnostic Imaging, University of Alberta; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases, Gråsten; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; St. Vincent’s Hospital, Melbourne, Australia. Supported by the Capital Health Chair in Diagnostic Imaging. Dr. Jaremko and Dr. Lambert are supported by Medical Imaging Consultants, Edmonton, Canada. J.L. Jaremko, MD, PhD, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; R.G. Lambert, MB, FRCPC, Department of Radiology and Diagnostic Imaging, University of Alberta; S.J. Pedersen, MD, Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases; U. Weber, MD, Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, and Hospital of Southern Jutland, University Hospital of the Region of Southern Denmark, and Department of Regional Health Research, University of Southern Denmark; D. Lindsay, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; Z. Al-Ani, MD, Department of Radiology and Diagnostic Imaging, University of Alberta; K. Steer, BSc, Department of Radiology and Diagnostic Imaging, University of Alberta; M. Pianta, MD, St. Vincent’s Hospital; S. Wichuk, BSc, Department of Medicine, University of Alberta; W.P. Maksymowych, MB ChB, FRCP(C), FACP, Department of Medicine, University of Alberta. Address correspondence to Dr. J.L. Jaremko, Radiologist and Associate Professor, Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, 2A2.41 WMC, 8440–112 Street NW, Edmonton, Alberta T6G 2B7, Canada. E-mail: jjaremko{at}ualberta.ca. Accepted for publication December 5, 2018.
Abstract
Objective To assess reliability, feasibility, and responsiveness of Hip Inflammation Magnetic resonance imaging Scoring System (HIMRISS) for bone marrow lesions (BML) in hip osteoarthritis (OA).
Methods HIMRISS was scored by 8 readers in 360 hips of 90 patients imaged pre/post-hip steroid injection. Pre-scoring, new readers trained online to achieve intraclass correlation coefficient (ICC) > 0.80 versus experts.
Results HIMRISS reliability was excellent for BML status (ICC 0.83–0.92). Despite small changes post-injection, reliability of BML change scores was high in femur (0.76–0.81) and moderate in acetabulum (0.42–0.56).
Conclusion HIMRISS should be a priority for further assessment of hip BML in OA, and evaluated for use in other arthropathies.
In this issue
The Journal of Rheumatology
Vol. 53, Issue 9
1 Sep 2026
OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study
Jacob L. Jaremko, Robert G.W. Lambert, Susanne J. Pedersen, Ulrich Weber, Duncan Lindsay, Zeid Al-Ani, Kieran Steer, Marcus Pianta, Stephanie Wichuk, Walter P. Maksymowych
The Journal of Rheumatology Feb 2019, jrheum.181043; DOI: 10.3899/jrheum.181043
OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study
Jacob L. Jaremko, Robert G.W. Lambert, Susanne J. Pedersen, Ulrich Weber, Duncan Lindsay, Zeid Al-Ani, Kieran Steer, Marcus Pianta, Stephanie Wichuk, Walter P. Maksymowych
The Journal of Rheumatology Feb 2019, jrheum.181043; DOI: 10.3899/jrheum.181043
