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 Wakefield, Richard J A1 D'Agostino, Maria-Antonietta A1 Iagnocco, Annamaria A1 Filippucci, Emilio A1 Backhaus, Marina A1 Scheel, Alexander K A1 Joshua, Fredrick A1 Naredo, Esperanza A1 Schmidt, Wolfgang A A1 Grassi, Walter A1 Moller, Ingrid A1 Pineda, Carlos A1 Klauser, Andrea A1 Szkudlarek, Marcin A1 Terslev, Lene A1 Balint, Peter A1 Bruyn, George A W A1 Swen, Wijnand A A A1 Jousse-Joulin, Sandrine A1 Kane, David A1 Koski, Juhani M A1 O'Connor, Philip A1 Milutinovic, Sanja A1 Conaghan, Philip G A1 , 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.