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Table 5 Intra-observer agreements for spinal MRI changes

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

MRI changes

Observers

Observed agreement (%)

Expected agreement (%)

Pairwise weighted Kappa (95% CI)

Number of levels1

Type of signal change

AA

98.32

89.88

.84 (.78–.88)

2208

BB

97.96

87.00

.84 (.80–.88)

2208

  Signal change in the corner 2

AA

89.22

54.61

.76 (.63–.90)

102

BB

87.31

54.81

.72 (.60–.84)

134

  Location of signal change 2

AA

99.02

42.43

.98 (.94–1.00)

102

BB

96.27

43.54

.93 (.87–.99)

134

  Size of signal change 2

AA

99.02

87.80

.92 (.85–.97)

102

BB

98.18

91.18

.79 (.64–.91)

134

Total size of BMO in the DVU

AA

99.51

98.89

.56 (.23–.78)

1104

BB

99.76

99.16

.71(.48–.88)

1104

Total size of FMD in the DVU

AA

99.43

98.64

.58 (.39–.74)

1104

BB

99.81

99.12

.78 (.67–.87)

1104

Total size of mixed lesions in the DVU

AA

99.83

99.43

.71 (0.00–.95)

1104

BB

99.61

98.52

.73 (.50–.88)

1104

Erosions

AA

-

-

-

-

BB

99.91

99.61

.77 (.47–.91)

2208

Syndesmophytes or vertebral fusion

AA

99.95

99.19

.94 (.67–1.00)

1104

BB

99.93

99.57

.83 (.40–.98)

1104

BMO at the apophyseal joint

AA

99.82

98.38

.88 (.73–1.00)

1104

BB

-

-

-

-

Disc degeneration

AA

99.58

94.43

.92 (.89–.95)

1104

BB

99.55

95.35

.90 (.87–.93)

1104

Disc contour

AA

99.26

94.28

.87 (.82–.91)

1104

BB

99.25

93.36

.89 (.84–.93)

1104

Herniation in the vertebral endplate

AA

99.82

96.09

.95 (.89–1.00)

1104

BB

98.91

95.92

.73 (.59–.88)

1104

Scheurmann’s changes

AA

99.55

98.12

.76 (.56–.96)

1104

 

BB

99.55

98.65

.67 (.39–.94)

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 kept in the analysis.