Multirater agreement for grading the femoral and tibial cartilage surface lesions at CT arthrography and analysis of causes of disagreement.

Détails

ID Serval
serval:BIB_A813CDC5C8BC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Multirater agreement for grading the femoral and tibial cartilage surface lesions at CT arthrography and analysis of causes of disagreement.
Périodique
European journal of radiology
Auteur⸱e⸱s
Omoumi P., Michoux N., Larbi A., Lacoste L., Lecouvet F.E., Perlepe V., Vande Berg B.C.
ISSN
1872-7727 (Electronic)
ISSN-L
0720-048X
Statut éditorial
Publié
Date de publication
03/2017
Peer-reviewed
Oui
Volume
88
Pages
95-101
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To assess the multirater agreement of the modified Outerbridge system for the grading of predefined areas of femorotibial cartilage at CT arthrography with multiple readers, with varying experience.
Five readers with varying experience (two junior radiologists, three musculoskeletal radiologists including two experts in cartilage imaging) separately analyzed 962 cartilage sectors from pre-divided knee CT arthrograms with femorotibial osteoarthritis (Kellgren/Lawrence=3). Each cartilage area was graded twice by each reader, at a three-month interval, according to the modified 5-grade Outerbridge system. Interobserver and intraobserver agreement were assessed. After the second reading, 121 areas exhibiting the highest interobserver disagreement were reviewed in consensus to determine the sources of disagreement.
The global interobserver agreement was fair (k=0.35), and increased with the grade (from k=0.14 to k=0.76 from grade 0-4). The intraobserver agreement varied with the readers' experience from moderate (k=0.59) to almost perfect (k=0.92). The majority of cases of disagreement (44%) was due to difficulties in assessing the normal variations of cartilage thickness, including diffuse cartilage thinning (23%) and normal variants of cartilage thickness (22%). 32% of cases of disagreement were due to retrospectively avoidable interpretation errors.
The multirater agreement of the modified Outerbridge system is only fair when readers of different level of experience are taken into account, and interobserver agreement increases with readers' experience. However, interobserver agreement is substantial for grade 4 lesions. We report normal variations of cartilage thickness that may improve observer agreement in reporting cartilage lesions.

Mots-clé
Aged, Aged, 80 and over, Arthrography/methods, Cartilage, Articular/diagnostic imaging, Cartilage, Articular/pathology, Clinical Competence/statistics & numerical data, Contrast Media, Female, Femur/diagnostic imaging, Femur/pathology, Humans, Iothalamate Meglumine, Iothalamic Acid, Knee Joint/diagnostic imaging, Knee Joint/pathology, Male, Middle Aged, Multidetector Computed Tomography/methods, Observer Variation, Osteoarthritis/diagnostic imaging, Radiographic Image Enhancement, Reproducibility of Results, Retrospective Studies, Severity of Illness Index, Tibia/diagnostic imaging, Tibia/pathology
Pubmed
Création de la notice
16/02/2017 17:49
Dernière modification de la notice
20/08/2019 16:12
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