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Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study

SIMPLE SUMMARY: Colorectal cancer is the second most common cancer. The sigmoid takeoff is the landmark where the colon sigmoid curves toward the sacrum viewed from sagittal magnetic resonance imaging. We assessed the interobserver variability in the assessment of the anal verge and anorectal juncti...

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Autores principales: Pedersen, Malene Roland Vils, Otto, Peter Obel, Vagn-Hansen, Chris, Sørensen, Torben, Rafaelsen, Søren Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9179340/
https://www.ncbi.nlm.nih.gov/pubmed/35681783
http://dx.doi.org/10.3390/cancers14112802
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author Pedersen, Malene Roland Vils
Otto, Peter Obel
Vagn-Hansen, Chris
Sørensen, Torben
Rafaelsen, Søren Rafael
author_facet Pedersen, Malene Roland Vils
Otto, Peter Obel
Vagn-Hansen, Chris
Sørensen, Torben
Rafaelsen, Søren Rafael
author_sort Pedersen, Malene Roland Vils
collection PubMed
description SIMPLE SUMMARY: Colorectal cancer is the second most common cancer. The sigmoid takeoff is the landmark where the colon sigmoid curves toward the sacrum viewed from sagittal magnetic resonance imaging. We assessed the interobserver variability in the assessment of the anal verge and anorectal junction in patients diagnosed with rectal cancer using magnetic resonance imaging. Our data indicate that radiologists are excellent at pointing out if a colorectal tumour is above or beneath the takeoff landmark. ABSTRACT: Background: Colorectal cancer is the second most common cancer worldwide. The sigmoid takeoff is the landmark where the colon sigmoid curves toward the sacrum viewed from sagittal magnetic resonance imaging (MRI). The purpose of this study was to assess interobserver variability in the assessment of the anal verge and anorectal junction in patients diagnosed with rectal cancer on magnetic resonance imaging (MRI). Materials and Methods: The rectal MRI examinations were performed using a 1.5- or 3.0-tesla unit using an anterior coil and a standard scan protocol. Two senior radiologists assessed MRI scans from patients under investigation for rectal cancer. The two observers assessed the anal verge and takeoff in cm independently. Difference in agreement between the observers were evaluated using intraclass correlation (ICC) and graphically by Bland–Altman plots. Results: The study population (n = 122) included 68 (55.7%) female and 54 (44.3%) male subjects. The overall median age was 69.5 years (range 39–95 years). There was perfect agreement between the two observers when defining rectal tumor above or below the takeoff landmark. The reliability of measuring the distance from the anal verge to the sigmoid takeoff was 0.712. Conclusion: Overall, the study found a moderate reliability in assessing the location of the sigmoid takeoff, with a low difference in the distance measuring, as well as a good consensus concerning the determination of tumors in relation to the sigmoid takeoff. Routine implementation of this information within the report seems reasonable.
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spelling pubmed-91793402022-06-10 Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study Pedersen, Malene Roland Vils Otto, Peter Obel Vagn-Hansen, Chris Sørensen, Torben Rafaelsen, Søren Rafael Cancers (Basel) Article SIMPLE SUMMARY: Colorectal cancer is the second most common cancer. The sigmoid takeoff is the landmark where the colon sigmoid curves toward the sacrum viewed from sagittal magnetic resonance imaging. We assessed the interobserver variability in the assessment of the anal verge and anorectal junction in patients diagnosed with rectal cancer using magnetic resonance imaging. Our data indicate that radiologists are excellent at pointing out if a colorectal tumour is above or beneath the takeoff landmark. ABSTRACT: Background: Colorectal cancer is the second most common cancer worldwide. The sigmoid takeoff is the landmark where the colon sigmoid curves toward the sacrum viewed from sagittal magnetic resonance imaging (MRI). The purpose of this study was to assess interobserver variability in the assessment of the anal verge and anorectal junction in patients diagnosed with rectal cancer on magnetic resonance imaging (MRI). Materials and Methods: The rectal MRI examinations were performed using a 1.5- or 3.0-tesla unit using an anterior coil and a standard scan protocol. Two senior radiologists assessed MRI scans from patients under investigation for rectal cancer. The two observers assessed the anal verge and takeoff in cm independently. Difference in agreement between the observers were evaluated using intraclass correlation (ICC) and graphically by Bland–Altman plots. Results: The study population (n = 122) included 68 (55.7%) female and 54 (44.3%) male subjects. The overall median age was 69.5 years (range 39–95 years). There was perfect agreement between the two observers when defining rectal tumor above or below the takeoff landmark. The reliability of measuring the distance from the anal verge to the sigmoid takeoff was 0.712. Conclusion: Overall, the study found a moderate reliability in assessing the location of the sigmoid takeoff, with a low difference in the distance measuring, as well as a good consensus concerning the determination of tumors in relation to the sigmoid takeoff. Routine implementation of this information within the report seems reasonable. MDPI 2022-06-04 /pmc/articles/PMC9179340/ /pubmed/35681783 http://dx.doi.org/10.3390/cancers14112802 Text en © 2022 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
Pedersen, Malene Roland Vils
Otto, Peter Obel
Vagn-Hansen, Chris
Sørensen, Torben
Rafaelsen, Søren Rafael
Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title_full Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title_fullStr Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title_full_unstemmed Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title_short Interobserver Reliability and the Sigmoid Takeoff—An Interobserver Study
title_sort interobserver reliability and the sigmoid takeoff—an interobserver study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9179340/
https://www.ncbi.nlm.nih.gov/pubmed/35681783
http://dx.doi.org/10.3390/cancers14112802
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