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Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography

Our aim was to compare the inter-rater agreement about transvaginal ultrasonography (TVS) with magnetic resonance imaging (MRI) with regard to diagnosing adenomyosis and for assessing various predefined imaging features of adenomyosis, in the same set of women. The study cohort included 51 women, pr...

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Autores principales: Andersson, Johanna K., Mucelli, Raffaella Pozzi, Dueholm, Margit, Fridsten, Susanne, Grigoriadis, Aristeidis, Guerriero, Stefano, Leone, Francesco Paolo, Valentin, Lil, Van Den Bosch, Thierry, Voulgarakis, Nikolaos, Gemzell-Danielsson, Kristina, Epstein, Elisabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341351/
https://www.ncbi.nlm.nih.gov/pubmed/37443587
http://dx.doi.org/10.3390/diagnostics13132193
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author Andersson, Johanna K.
Mucelli, Raffaella Pozzi
Dueholm, Margit
Fridsten, Susanne
Grigoriadis, Aristeidis
Guerriero, Stefano
Leone, Francesco Paolo
Valentin, Lil
Van Den Bosch, Thierry
Voulgarakis, Nikolaos
Gemzell-Danielsson, Kristina
Epstein, Elisabeth
author_facet Andersson, Johanna K.
Mucelli, Raffaella Pozzi
Dueholm, Margit
Fridsten, Susanne
Grigoriadis, Aristeidis
Guerriero, Stefano
Leone, Francesco Paolo
Valentin, Lil
Van Den Bosch, Thierry
Voulgarakis, Nikolaos
Gemzell-Danielsson, Kristina
Epstein, Elisabeth
author_sort Andersson, Johanna K.
collection PubMed
description Our aim was to compare the inter-rater agreement about transvaginal ultrasonography (TVS) with magnetic resonance imaging (MRI) with regard to diagnosing adenomyosis and for assessing various predefined imaging features of adenomyosis, in the same set of women. The study cohort included 51 women, prospectively, consecutively recruited based on a clinical suspicion of adenomyosis. MRIs and TVS videoclips and 3D volumes were retrospectively assessed by four experienced radiologists and five experienced sonographers, respectively. Each rater subjectively evaluated the presence or absence of adenomyosis, as well as imaging features suggestive of adenomyosis. Fleiss kappa (κ) was used to reflect inter-rater agreement for categorical data, and the intraclass correlation coefficient (ICC) was used to reflect the reliability of quantitative data. Agreement between raters for diagnosing adenomyosis was higher for TVS than for MRI (κ = 0.42 vs. 0.28). MRI had a higher inter-rater agreement in assessing wall asymmetry, irregular junctional zone (JZ), and the presence of myometrial cysts, while TVU had a better agreement for assessing globular shape. MRI showed a moderate to good reliability for measuring the JZ (ICC = 0.57–0.82). For TVS, the JZ was unmeasurable in >50% of cases, and the remaining cases had low reliability (ICC = −0.31–0.08). We found that inter-rater agreement for diagnosing adenomyosis was higher for TVS than for MRI, despite the fact that MRI showed a higher inter-rater agreement in most specific features. Measurements of JZ in the coronal plane with 3D TVS were unreliable and thus unlikely to be useful for diagnosing adenomyosis.
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spelling pubmed-103413512023-07-14 Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography Andersson, Johanna K. Mucelli, Raffaella Pozzi Dueholm, Margit Fridsten, Susanne Grigoriadis, Aristeidis Guerriero, Stefano Leone, Francesco Paolo Valentin, Lil Van Den Bosch, Thierry Voulgarakis, Nikolaos Gemzell-Danielsson, Kristina Epstein, Elisabeth Diagnostics (Basel) Article Our aim was to compare the inter-rater agreement about transvaginal ultrasonography (TVS) with magnetic resonance imaging (MRI) with regard to diagnosing adenomyosis and for assessing various predefined imaging features of adenomyosis, in the same set of women. The study cohort included 51 women, prospectively, consecutively recruited based on a clinical suspicion of adenomyosis. MRIs and TVS videoclips and 3D volumes were retrospectively assessed by four experienced radiologists and five experienced sonographers, respectively. Each rater subjectively evaluated the presence or absence of adenomyosis, as well as imaging features suggestive of adenomyosis. Fleiss kappa (κ) was used to reflect inter-rater agreement for categorical data, and the intraclass correlation coefficient (ICC) was used to reflect the reliability of quantitative data. Agreement between raters for diagnosing adenomyosis was higher for TVS than for MRI (κ = 0.42 vs. 0.28). MRI had a higher inter-rater agreement in assessing wall asymmetry, irregular junctional zone (JZ), and the presence of myometrial cysts, while TVU had a better agreement for assessing globular shape. MRI showed a moderate to good reliability for measuring the JZ (ICC = 0.57–0.82). For TVS, the JZ was unmeasurable in >50% of cases, and the remaining cases had low reliability (ICC = −0.31–0.08). We found that inter-rater agreement for diagnosing adenomyosis was higher for TVS than for MRI, despite the fact that MRI showed a higher inter-rater agreement in most specific features. Measurements of JZ in the coronal plane with 3D TVS were unreliable and thus unlikely to be useful for diagnosing adenomyosis. MDPI 2023-06-28 /pmc/articles/PMC10341351/ /pubmed/37443587 http://dx.doi.org/10.3390/diagnostics13132193 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Andersson, Johanna K.
Mucelli, Raffaella Pozzi
Dueholm, Margit
Fridsten, Susanne
Grigoriadis, Aristeidis
Guerriero, Stefano
Leone, Francesco Paolo
Valentin, Lil
Van Den Bosch, Thierry
Voulgarakis, Nikolaos
Gemzell-Danielsson, Kristina
Epstein, Elisabeth
Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title_full Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title_fullStr Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title_full_unstemmed Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title_short Inter-Rater Agreement for Diagnosing Adenomyosis Using Magnetic Resonance Imaging and Transvaginal Ultrasonography
title_sort inter-rater agreement for diagnosing adenomyosis using magnetic resonance imaging and transvaginal ultrasonography
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341351/
https://www.ncbi.nlm.nih.gov/pubmed/37443587
http://dx.doi.org/10.3390/diagnostics13132193
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