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- Title
Intra- and interobserver agreement of rectal cancer staging with MRI.
- Authors
Kilickap, Gulsum; Dolek, Betul Akdal; Ercan, Karabekir
- Abstract
Background: Reliable preoperative staging of rectal cancers is crucial for treatment decision making. Purpose: To assess the intra- and inter-observer agreement of rectal cancer staging, including the sub-categories, with magnetic resonance imaging (MRI). Material and Methods: The study includes 85 patients (35.3% women; mean age = 62.2 ± 11.2 years) who underwent MRI for rectal cancer staging between August 2020 and April 2021. All the stored images were evaluated independently by two radiologists with 10–15 years of experience. For intra-observer agreement, the evaluations were done two months apart. Analyses were made using kappa, prevalence and bias-adjusted kappa (PABAK), and intraclass correlation coefficient (ICC), where appropriate. Results: There was a substantial inter-observer agreement for tumor localization (kappa = 0.665, PABAK = 0.682), mesorectal fascia invasion (kappa = 0.663, PABAK = 0.822), internal and external sphincter involvement (kappa 0.804 and 0.751, PABAK 0.859 and 0.929, respectively), and moderate to substantial agreement for M-staging (kappa = 0.451, PABAK = 0.742) and extramural vascular invasion (kappa = 0.569, PABAK = 0.741). There was also a good inter-observer agreement for T staging and N staging (ICC = 0.862, 95% confidence interval [CI] = 0.788–0.911; and ICC = 0.841, 95% CI = 0.595–0.922, respectively). As expected, intra-observer agreement was better than inter-observer agreement. Conclusion: Intra- and inter-observer agreement for MRI staging of rectal cancers using the structured reporting template is good.
- Subjects
RECTAL cancer; TUMOR classification; MAGNETIC resonance imaging; INTRACLASS correlation
- Publication
Acta Radiologica, 2023, Vol 64, Issue 5, p1747
- ISSN
0284-1851
- Publication type
Article
- DOI
10.1177/02841851221140678