Interrater Agreement of Bosniak Classification Version 2019 and Version 2005 for Cystic Renal Masses at CT and MRI.
Interrater Agreement of Bosniak Classification Version 2019 and Version 2005 for Cystic Renal Masses at CT and MRI.
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CT 和 MRI 囊性肾肿块波斯尼亚克分类 2019 版和 2005 版的评分者间协议。
DOI：
10.1148/radiol.2021210853
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发表时间：
2022
期刊：
影响因子：
19.7
通讯作者：
Davenport,MatthewS
中科院分区：
文献类型：
--
作者：
Shampain,KimberlyL;Shankar,PrasadR;Troost,JonathanP;Galantowicz,MaartenL;Pampati,RudraA;Schoenheit,TaylorR;Shlensky,DavidA;Barkmeier,Daniel;Curci,NicoleE;Kaza,RaviK;Khalatbari,Shokoufeh;Davenport,MatthewS
波斯尼亚分类系统的囊性肾肿块是更新于年 与2005年版本相比，2019年的部分内容是为了提高一致性。目的比较和研究波斯尼亚语版本2019的评分者间一致性 和Bosniak版本2005在CT和MRI。材料和方法在这项回顾性单中心研究中，一个盲八读者 进行了评估，其中195个肾脏肿块前瞻性 考虑Bosniak IIF-IV（CT为95例，MRI为100例，从2006年至2010年）。 2019年，版本2005）使用波斯尼亚语版本2019和 2005.放射科医生（四名教员，四名住院医生）， 对初始临床阅读和组织病理学结果设盲 评估了所有特征成分，并报告了总体波什尼亚克族类别 每个系统都独立。与Gwet评估了一致性 一致系数一元和多元线性回归模型 是为了确定最终波什尼亚克族的分散预测因素而开发的 结果共纳入185例患者（平均年龄63岁± 13 [标准差]; 118名男性）。总体评价者间一致性相似 波斯尼亚语版本2019和2005（Gwet协议 系数：0.51 [95% CI：0.45，0.57] vs 0.46 [95% CI：0.42，0.51]）。 专家组（0.54 vs 0.49）和新手组（0.50 vs 0.47）的情况都是如此， CT（0.56 vs 0.51）和MRI（0.52 vs 0.43）。百分之九的质量 使用Bosniak 2005版标准前瞻性地认为是囊性的， 使用2019版标准时被视为固体。总的来说， 当放射科医生使用 波斯尼亚2019版标准与2005版标准的比较。的 波什尼亚克语版本2019年班级分配中分散度的唯一预测因素 隔膜或壁质量分散（即，光滑与不规则 增厚vs结节; 72% [MRI]和60% [CT]总体模型方差 解释;多变量P <0.001）。结论2019年Bosniak版本和2019年Bosniak版本之间的总体评价者间一致性相似， 2005版;隔膜或壁质量的差异很常见， 强烈预测波什尼亚克族分类分配的变化。© RSNA，2021另见Eberhardt在本期的社论。
BackgroundThe Bosniak classification system for cystic renal masses was updated in 2019 in part to improve agreement compared with the 2005 version.PurposeTo compare and investigate interrater agreement of Bosniak version 2019 and Bosniak version 2005 at CT and MRI.Materials and MethodsIn this retrospective single-center study, a blinded eight-reader assessment was performed in which 195 renal masses prospectively considered Bosniak IIF–IV (95 at CT, 100 at MRI, from 2006 to 2019 with version 2005) were re-evaluated with Bosniak versions 2019 and 2005. Radiologists (four faculty members, four residents) who were blinded to the initial clinical reading and histopathologic findings assessed all feature components and reported the overall Bosniak class for each system independently. Agreement was assessed with Gwet agreement coefficients. Uni- and multivariable linear regression models were developed to identify predictors of dispersion in the final Bosniak class assignment that could inform system refinement.ResultsA total of 185 patients were included (mean age, 63 years ± 13 [standard deviation]; 118 men). Overall interrater agreement was similar between Bosniak version 2019 and version 2005 (Gwet agreement coefficient: 0.51 [95% CI: 0.45, 0.57] vs 0.46 [95% CI: 0.42, 0.51]). This was true for experts (0.54 vs 0.49) and novices (0.50 vs 0.47) and at CT (0.56 vs 0.51) and MRI (0.52 vs 0.43). Nine percent of masses prospectively considered cystic using Bosniak version 2005 criteria were considered solid using version 2019 criteria. In general, masses were more commonly classified in lower categories when radiologists used Bosniak version 2019 criteria compared with version 2005 criteria. The sole predictor of dispersion in Bosniak version 2019 class assignment was dispersion in septa or wall quality (ie, smooth vs irregular thickening vs nodule; 72% [MRI] and 60% [CT] overall model variance explained; multivariableP< .001).ConclusionOverall interrater agreement was similar between Bosniak version 2019 and version 2005; disagreements in septa or wall quality were common and strongly predictive of variation in Bosniak class assignment.© RSNA, 2021See also the editorial by Eberhardt in this issue.
波斯尼亚克分类变得更好。
影响因子：
19.7
作者：
Choyke,PeterL
通讯作者：
Choyke,PeterL
DOI：
10.1016/j.urolonc.2012.08.018
发表时间：
2014-01-01
影响因子：
2.7
作者：
El-Mokadem, Ismail;Budak, Mathew;Nabi, Ghulam
通讯作者：
Nabi, Ghulam
目前治疗肾囊肿的放射学方法。
影响因子：
19.7
作者：
M. Bosniak
通讯作者：
M. Bosniak