RT Journal Article SR Electronic T1 The OMERACT Ultrasound Group: status of current activities and research directions. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 848 OP 851 VO 34 IS 4 A1 Richard J Wakefield A1 Maria-Antonietta D'Agostino A1 Annamaria Iagnocco A1 Emilio Filippucci A1 Marina Backhaus A1 Alexander K Scheel A1 Fredrick Joshua A1 Esperanza Naredo A1 Wolfgang A Schmidt A1 Walter Grassi A1 Ingrid Moller A1 Carlos Pineda A1 Andrea Klauser A1 Marcin Szkudlarek A1 Lene Terslev A1 Peter Balint A1 George A W Bruyn A1 Wijnand A A Swen A1 Sandrine Jousse-Joulin A1 David Kane A1 Juhani M Koski A1 Philip O'Connor A1 Sanja Milutinovic A1 Philip G Conaghan A1 OMERACT Ultrasound Group YR 2007 UL http://www.jrheum.org/content/34/4/848.abstract AB Ultrasound (US) is a relatively new imaging modality in rheumatology that offers great potential as a diagnostic and management tool. In 2004, an OMERACT Ultrasound Special Interest Group was formed to address the metric qualities of US as a potential outcome measure. A preliminary systematic review highlighted the deficiencies in the literature, particularly with regard to the reliability of interpreting and acquiring images; as a consequence, a number of exercises were proposed to address these issues. This report describes a series of iterative studies that have resulted in improved intra- and inter-reader reliability for detecting and scoring synovitis from both static and real-time images of the hand joints of patients with rheumatoid arthritis. The reliability of acquiring images was also enhanced using standardized positions. Future studies will assess the value of US in clinical trials.