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Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study
OBJECTIVE: To determine reliability among four experienced and calibrated readers in cross-sectional and longitudinal semi-quantitative MRI assessments of knee osteoarthritis (OA) in the Multicenter Osteoarthritis (MOST) study. DESIGN: From all MOST participants with at least one knee with readable...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718190/ https://www.ncbi.nlm.nih.gov/pubmed/36474762 http://dx.doi.org/10.1016/j.ocarto.2021.100214 |
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author | Crema, Michel D. Roemer, Frank W. Nevitt, Michael C. Felson, David T. Marra, Monica D. Lynch, John A. Tolstykh, Irina Lewis, Cora E. Torner, James Guermazi, Ali |
author_facet | Crema, Michel D. Roemer, Frank W. Nevitt, Michael C. Felson, David T. Marra, Monica D. Lynch, John A. Tolstykh, Irina Lewis, Cora E. Torner, James Guermazi, Ali |
author_sort | Crema, Michel D. |
collection | PubMed |
description | OBJECTIVE: To determine reliability among four experienced and calibrated readers in cross-sectional and longitudinal semi-quantitative MRI assessments of knee osteoarthritis (OA) in the Multicenter Osteoarthritis (MOST) study. DESIGN: From all MOST participants with at least one knee with readable 60-month and 84-month paired knee MRIs (1.0 T extremity systems), we selected 10 subjects having a spectrum of baseline disease severity of cartilage, bone marrow lesions, and meniscal damage and a spectrum of longitudinal changes in severity at 24 months follow-up. MRIs were independently assessed using the WORMS grading system by four musculoskeletal radiologists with the chronological sequence known to the readers. Kappa statistics were used to determine agreement between each pair of readers and Kendall's coefficient of concordance to determine average agreement across readers. RESULTS: For most features, cross-sectional reliability was substantial to almost perfect. Regarding longitudinal reliability (detection of longitudinal change), inter-reader reliability as weighted kappa values ranged from 0.62 to 0.78 for cartilage damage, 0.75–0.88 for bone marrow lesions, 0.75–0.92 for meniscal tears, 0.67–0.95 for meniscal extrusion, 0.51–0.77 for bone attrition, 0.43–0.76 for osteophytes, 0.31–0.70 for Hoffa-synovitis, and 0.47–0.85 for effusion-synovitis. Kendall's coefficient ranged from 0.65 to 0.98. CONCLUSION: High levels of cross-sectional reliability and moderate to high longitudinal reliability was achieved using four experienced readers in semiquantitative MRI-assessment of most knee OA features. |
format | Online Article Text |
id | pubmed-9718190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97181902022-12-05 Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study Crema, Michel D. Roemer, Frank W. Nevitt, Michael C. Felson, David T. Marra, Monica D. Lynch, John A. Tolstykh, Irina Lewis, Cora E. Torner, James Guermazi, Ali Osteoarthr Cartil Open Brief Report OBJECTIVE: To determine reliability among four experienced and calibrated readers in cross-sectional and longitudinal semi-quantitative MRI assessments of knee osteoarthritis (OA) in the Multicenter Osteoarthritis (MOST) study. DESIGN: From all MOST participants with at least one knee with readable 60-month and 84-month paired knee MRIs (1.0 T extremity systems), we selected 10 subjects having a spectrum of baseline disease severity of cartilage, bone marrow lesions, and meniscal damage and a spectrum of longitudinal changes in severity at 24 months follow-up. MRIs were independently assessed using the WORMS grading system by four musculoskeletal radiologists with the chronological sequence known to the readers. Kappa statistics were used to determine agreement between each pair of readers and Kendall's coefficient of concordance to determine average agreement across readers. RESULTS: For most features, cross-sectional reliability was substantial to almost perfect. Regarding longitudinal reliability (detection of longitudinal change), inter-reader reliability as weighted kappa values ranged from 0.62 to 0.78 for cartilage damage, 0.75–0.88 for bone marrow lesions, 0.75–0.92 for meniscal tears, 0.67–0.95 for meniscal extrusion, 0.51–0.77 for bone attrition, 0.43–0.76 for osteophytes, 0.31–0.70 for Hoffa-synovitis, and 0.47–0.85 for effusion-synovitis. Kendall's coefficient ranged from 0.65 to 0.98. CONCLUSION: High levels of cross-sectional reliability and moderate to high longitudinal reliability was achieved using four experienced readers in semiquantitative MRI-assessment of most knee OA features. Elsevier 2021-09-20 /pmc/articles/PMC9718190/ /pubmed/36474762 http://dx.doi.org/10.1016/j.ocarto.2021.100214 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Brief Report Crema, Michel D. Roemer, Frank W. Nevitt, Michael C. Felson, David T. Marra, Monica D. Lynch, John A. Tolstykh, Irina Lewis, Cora E. Torner, James Guermazi, Ali Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title | Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title_full | Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title_fullStr | Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title_full_unstemmed | Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title_short | Cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0T extremity MRI: Multi-reader data from the MOST study |
title_sort | cross-sectional and longitudinal reliability of semiquantitative osteoarthritis assessment at 1.0t extremity mri: multi-reader data from the most study |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718190/ https://www.ncbi.nlm.nih.gov/pubmed/36474762 http://dx.doi.org/10.1016/j.ocarto.2021.100214 |
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