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Table 4 Inter-observer agreements for spinal MRI changes

From: Spondyloarthritis-related and degenerative MRI changes in the axial skeleton - an inter- and intra-observer agreement study

 

Observers

Observed agreement (%)

Expected agreement (%)

Pairwise weighted Kappa (95% CI)

Number of levels1

Type of signal change

AB

95.70

88.65

.62 (.56–.68)

2208

AC

96.38

91.13

.59 (.51–.66)

2208

BC

95.70

89.73

.58 (.51–.65)

2208

Combined

  

.60 (.55–.65)

2208

  Signal change in the corner 2

AB

83.51

56.32

.62 (.46–.79)

97

AC

80.00

61.22

.48 (.28–.69)

70

BC

72.15

64.01

.23 (.00–.46)

79

Combined3

  

.53 (.42–.64)

114

  Location of signal change 2

AB

92.78

42.56

.87 (.78–.95)

97

AC

97.14

45.31

.95 (.86–1.00)

70

BC

94.94

46.37

.91 (.79–.98)

79

Combined

  

.90 (.83–.96)

66

  Size of signal change 2

AB

91.49

75.74

.65 (.45–.80)

97

AC

93.57

74.92

.74 (.54–.89)

70

BC

97.61

90.05

.76 (.64–.86)

79

Combined3

  

.66 (.58–.75)

114

Total size of BMO in the DVU

AB

99.41

98.71

.54 (.32–.74)

1104

AC

99.23

99.07

.16 (.06–.33)

1104

BC

99.62

99.40

.43 (.24–.63)

1104

Combined3

  

.38 (.34–.41)

1104

Total size of FMD in the DVU

AB

99.09

98.12

.52 (.36–.66)

1104

AC

99.25

98.27

.57 (.41–.72)

1104

BC

99.12

98.31

.47 (.32–.63)

1104

Combined3

  

.52 (.49–.56)

1104

Total size of mixed lesions in the DVU

AB

99.39

98.99

.39 (.12–.65)

1104

AC

99.50

99.42

.13 (.00–.36)

1104

BC

99.59

99.19

.49 (.22–.74)

1104

Combined3

  

.36 (.32–.40)

1104

Erosions

AB

-

-

-

-

AC

-

-

-

-

BC

99.83

99.72

.40 (.17–.56)

2208

Combined3

   

-

Syndesmophytes or vertebral fusion

AB

99.71

99.17

.65 (0.00–.91)

1104

AC

-

-

-

-

BC

-

-

-

-

Combined3

  

-

-

BMO at the apophyseal joint

AB

-

-

-

-

AC

99.55

98.83

.61 (.30–.93)

1104

BC

-

-

-

-

Combined3

  

-

-

Disc degeneration

AB

98.61

94.73

.74 (.67–.79)

1104

AC

98.91

94.98

.78 (.72– .84)

1104

BC

98.97

95.61

.77 (.70–.82)

1104

Combined3

  

.76 (.74–.78)

1104

Disc contour

AB

98.55

95.17

.70 (.63–.76)

1104

AC

98.44

94.29

.73 (.65–.79)

1104

BC

97.36

91.96

.67 (.60–.74)

1104

Combined3

  

.70 (.68–.73)

1104

Herniation in the vertebral endplate

AB

98.73

96.27

.66 (.49–.83)

1104

AC

98.10

97.40

.27 (.06–.48)

1104

BC

98.28

97.75

.23 (.01–.46)

1104

Combined3

  

.43 (.40–.47)

1104

Scheurmann’s changes

AB

98.46

98.47

-.01 (-.01–0.00)

1104

AC

98.92

97.58

.14 (-.05–.32)

1104

BC

98.55

98.20

.20 (-.04–.43)

1104

 

Combined3

  

.12 (.08–.15)

1104

  1. BMO; Bone marrow oedema, DVU; Discovertebral unit, FMD; Fatty marrow deposition, - Too few positive ratings for one of the observers to be included in the analysis 1Discovertebral units or vertebral endplates. 2Only observations where both readers agreed on the presence of a signal change were included in the analyses. 3Intraclass correlation coefficient.