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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Diagn+Interv+Radiol
2014 ; 20
(4
): 353-9
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Reliability of semiquantitative assessment of osteophytes and subchondral cysts
on tomosynthesis images by radiologists with different levels of expertise
#MMPMID24834489
Hayashi D
; Xu L
; Gusenburg J
; Roemer FW
; Hunter DJ
; Li L
; Guermazi A
Diagn Interv Radiol
2014[Jul]; 20
(4
): 353-9
PMID24834489
show ga
PURPOSE: We aimed to assess reliability of the evaluation of osteophytes and
subchondral cysts on tomosynthesis images when read by radiologists with
different levels of expertise. MATERIALS AND METHODS: Forty subjects aged >40
years had both knees evaluated using tomosynthesis. Images were read by an
"experienced" reader (musculoskeletal radiologist with prior experience) and an
"inexperienced" reader (radiology resident with no prior experience). Readers
graded osteophytes from 0 to 3 and noted the presence/absence of subchondral
cysts in four locations of the tibiofemoral joint. Twenty knees were randomly
selected and re-read. Inter- and intrareader reliabilities were calculated using
overall exact percent agreement and weighted ? statistics. Diagnostic performance
of the two readers was compared against magnetic resonance imaging readings by an
expert reader (professor of musculoskeletal radiology). RESULTS: The experienced
reader showed substantial intrareader reliability for graded reading of
osteophytes (90%, ?=0.93), osteophyte detection (95%, ?=0.86) and cyst detection
(95%, ?=0.83). The inexperienced reader showed perfect intrareader reliability
for cyst detection (100%, ?=1.00) but intrareader reliability for graded reading
(75%, ?=0.79) and detection (80%, ?=0.61) of osteophytes was lower than the
experienced reader. Inter-reader reliability was 61% (?=0.72) for graded
osteophyte reading, 91% (?=0.82) for osteophyte detection, and 88% (?=0.66) for
cyst detection. Diagnostic performance of the experienced reader was higher than
the inexperienced reader regarding osteophyte detection (sensitivity range
0.74-0.95 vs. 0.54-0.75 for all locations) but diagnostic performance was similar
for subchondral cysts. CONCLUSION: Tomosynthesis offers excellent intrareader
reliability regardless of the reader experience, but experience is important for
detection of osteophytes.