Interobserver reliability in the interpretation of diagnostic lumbar MRI and nuclear imaging

The Spine Journal : Official Journal of the North American Spine Society
Daniel S MulconreyPatrick A Harty

Abstract

Assessment of patients with complaints of low back or leg pain varies with the subspecialty of the treating physician. The evaluation of the spine patient may include magnetic resonance imaging (MRI), bone scan, or single-photon emission computed tomography (SPECT) imaging. The interpretation of these tests and the examiner's biases will impact the outcome of patient treatment and the cost to the health-care system. To evaluate interobserver reliability of MRI and nuclear imaging studies and determine the predictability of nuclear medicine results based upon MRI findings. Retrospective radiographic review for patients with low back pain. MRI, planar bone scan imaging, and SPECT imaging techniques were evaluated. Seventeen patients (80 lumbar levels) who presented to an orthopedic spine specialist with a complaint of mechanical low back or leg pain were randomly selected. Inclusion criteria were age greater than 21 years and a workup that included MRI, bone scan, and SPECT scan images. Interobserver reliability was determined using kappa values (0.6 to <0.8=substantial; 0.8-1=perfect). Interobserver reliability was evaluated for all studies and compared with a "group consensus." A team of orthopedists and radiologists of varying...Continue Reading

References

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Citations

Dec 19, 2008·Radiology·Jeffrey G Jarvik, Richard A Deyo
Oct 29, 2008·Radiology·John A CarrinoRichard Herzog
Mar 20, 2014·The Spine Journal : Official Journal of the North American Spine Society·Michael C FuJonathan N Grauer
Sep 13, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Tue Secher JensenCharlotte Leboeuf-Yde
Dec 25, 2009·International Journal of Computer Assisted Radiology and Surgery·Raja' S AlomariGurmeet Dhillon
Jun 15, 2010·International Journal of Computer Assisted Radiology and Surgery·Raja' S AlomariGurmeet Dhillon
Feb 18, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Julio UrrutiaJuan Pablo Cruz
Aug 1, 2009·The Spine Journal : Official Journal of the North American Spine Society·Daoud MakkiTagreed Toma
Feb 25, 2014·The Spine Journal : Official Journal of the North American Spine Society·Abdelilah el BarzouhiUNKNOWN Leiden–The Hague Spine Intervention Prognostic Study Group
Jul 23, 2013·PloS One·Abdelilah El BarzouhiUNKNOWN Leiden–The Hague Spine Intervention Prognostic Study Group
Jun 22, 2019·Journal of Orthopaedic Surgery and Research·Satoshi KatoHiroyuki Tsuchiya
Feb 12, 2020·Chiropractic & Manual Therapies·Klaus DoktorJan Hartvigsen
May 15, 2020·Spine Surgery and Related Research·Garrett K HaradaHoward S An
Jul 25, 2009·American Journal of Physical Medicine & Rehabilitation·Kornelia KuligPatrick M Colletti
Mar 14, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nityanand MiskinJacob C Mandell

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