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10.1016/j.acra.2020.08.038

http://scihub22266oqcxt.onion/10.1016/j.acra.2020.08.038
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suck abstract from ncbi


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pmid32948442      Acad+Radiol 2020 ; 27 (11): 1499-1506
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  • Interobserver and Intraobserver Variability in the CT Assessment of COVID-19 Based on RSNA Consensus Classification Categories #MMPMID32948442
  • Hadied MO; Patel PY; Cormier P; Poyiadji N; Salman M; Klochko C; Nadig J; Song T; Peterson E; Reeser N
  • Acad Radiol 2020[Nov]; 27 (11): 1499-1506 PMID32948442show ga
  • PURPOSE: To assess the interobserver and intraobserver agreement of fellowship trained chest radiologists, nonchest fellowship-trained radiologists, and fifth-year radiology residents for COVID-19-related imaging findings based on the consensus statement released by the Radiological Society of North America (RSNA). METHODS: A survey of 70 chest CTs of polymerase chain reaction (PCR)-confirmed COVID-19 positive and COVID-19 negative patients was distributed to three groups of participating radiologists: five fellowship-trained chest radiologists, five nonchest fellowship-trained radiologists, and five fifth-year radiology residents. The survey asked participants to broadly classify the findings of each chest CT into one of the four RSNA COVID-19 imaging categories, then select which imaging features led to their categorization. A 1-week washout period followed by a second survey comprised of randomly selected exams from the initial survey was given to the participating radiologists. RESULTS: There was moderate overall interobserver agreement in each group (kappa coefficient range 0.45-0.52 +/- 0.02). There was substantial overall intraobserver agreement across the chest and nonchest groups (kappa coefficient range 0.61-0.67 +/- 0.06) and moderate overall intraobserver agreement within the resident group (kappa coefficient 0.58 +/- 0.06). For the image features that led to categorization, there were varied levels of agreement in the interobserver and intraobserver components that ranged from fair to perfect kappa values. When assessing agreement with PCR-confirmed COVID status as the key, we observed moderate overall agreement within each group. CONCLUSION: Our results support the reliability of the RSNA consensus classification system for COVID-19-related image findings.
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |*Tomography, X-Ray Computed[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Consensus[MESH]
  • |Humans[MESH]
  • |North America[MESH]
  • |Observer Variation[MESH]
  • |Reproducibility of Results[MESH]


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