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Title:
Visual assessment of medial temporal lobe atrophy on magnetic resonance imaging: Interobserver reliability | Journal of Neurology
Description:
We conducted an interobserver study to assess agreement on visual rating of medial temporal lobe atrophy on coronal T1-weighted MRI. A total of 100 studies of elderly individuals, using two different MRI techniques (spin echo and inversion recovery sequences), were analysed by four raters (three neurologists and one neuroradiologist) using a five-point rating scale. Complete agreement was found in 37% of the total sample. Interobserver agreement as expressed by kappa values was 0.44 (95% CIl0.34β0.54) and 0.51 (95% Cl=0.41β0.61) for the two techniques. After dichotomizing medial temporal lobe atrophy into present or absent, a post hoc analysis revealed higher complete agreeement (70%), with kappa values of 0.59 (95% Cl=0.51β0.67) and 0.62 (95% Cl=0.48β0.075), for the two techniques (all four raters). From this study we conclude that visual rating of medial temporal lobe atrophy on MRI in the coronal plane yields fair to good agreement among observers. We recommend this type of visual rating for use in clinical settings when a quick judgement on the presence of medial temporal lobe atrophy is needed.
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atrophy, google, scholar, disease, alzheimers, article, temporal, lobe, neurology, medial, magnetic, visual, resonance, imaging, agreement, rating, access, scheltens, barkhof, mri, privacy, cookies, content, journal, interobserver, launer, hippocampal, neurol, department, amsterdam, netherlands, publish, research, search, reliability, weinstein, scale, clinical, open, data, information, log, assessment, study, techniques, raters, discover, leon, george, early,
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magnetic resonance imaging magnetic resonance scans month download article/chapter coronal t1-weighted mri related subjects temporal lobe atrophy medial temporal lobes mr-based hippocampal volumetry leon mj de privacy choices/manage cookies full article pdf point rating scale quantitative mr neuroimaging o'brien pc hippocampal formation atrophy european economic area inversion recovery sequences academic medical centre conditions privacy policy interobserver agreement education independent correlates community dwelling elderly academisch ziekenhuis vu disease access complete agreement visual assessment accepting optional cookies check access standardized mri evaluation instant access journal finder publish article scheltens article journal basic research interobserver reliability varying standards article log usage analysis interobserver study hippocampal atrophy visual rating article cite parahippocampal atrophy assess agreement good agreement assessing agreement nelson mj de sand privacy policy personal data
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- Launer LJ, Dinkgreve M, Jonker C, Hooyer C, Lindeboom J (1993) Are age and education independent correlates of the Mini-Mental state exam performance of community dwelling elderly?
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headline:Visual assessment of medial temporal lobe atrophy on magnetic resonance imaging: Interobserver reliability
description:We conducted an interobserver study to assess agreement on visual rating of medial temporal lobe atrophy on coronal T1-weighted MRI. A total of 100 studies of elderly individuals, using two different MRI techniques (spin echo and inversion recovery sequences), were analysed by four raters (three neurologists and one neuroradiologist) using a five-point rating scale. Complete agreement was found in 37% of the total sample. Interobserver agreement as expressed by kappa values was 0.44 (95% CIl0.34β0.54) and 0.51 (95% Cl=0.41β0.61) for the two techniques. After dichotomizing medial temporal lobe atrophy into present or absent, a post hoc analysis revealed higher complete agreeement (70%), with kappa values of 0.59 (95% Cl=0.51β0.67) and 0.62 (95% Cl=0.48β0.075), for the two techniques (all four raters). From this study we conclude that visual rating of medial temporal lobe atrophy on MRI in the coronal plane yields fair to good agreement among observers. We recommend this type of visual rating for use in clinical settings when a quick judgement on the presence of medial temporal lobe atrophy is needed.
datePublished:
dateModified:
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pageEnd:560
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Magnetic resonance imaging
Interobserver agreement
Medial temporal lobe atrophy
Alzheimer's disease
Neurology
Neurosciences
Neuroradiology
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headline:Visual assessment of medial temporal lobe atrophy on magnetic resonance imaging: Interobserver reliability
description:We conducted an interobserver study to assess agreement on visual rating of medial temporal lobe atrophy on coronal T1-weighted MRI. A total of 100 studies of elderly individuals, using two different MRI techniques (spin echo and inversion recovery sequences), were analysed by four raters (three neurologists and one neuroradiologist) using a five-point rating scale. Complete agreement was found in 37% of the total sample. Interobserver agreement as expressed by kappa values was 0.44 (95% CIl0.34β0.54) and 0.51 (95% Cl=0.41β0.61) for the two techniques. After dichotomizing medial temporal lobe atrophy into present or absent, a post hoc analysis revealed higher complete agreeement (70%), with kappa values of 0.59 (95% Cl=0.51β0.67) and 0.62 (95% Cl=0.48β0.075), for the two techniques (all four raters). From this study we conclude that visual rating of medial temporal lobe atrophy on MRI in the coronal plane yields fair to good agreement among observers. We recommend this type of visual rating for use in clinical settings when a quick judgement on the presence of medial temporal lobe atrophy is needed.
datePublished:
dateModified:
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pageEnd:560
sameAs:https://doi.org/10.1007/BF00868807
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Magnetic resonance imaging
Interobserver agreement
Medial temporal lobe atrophy
Alzheimer's disease
Neurology
Neurosciences
Neuroradiology
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