Value of sinus radiographs in the diagnosis of maxillary sinus disease: interobserver agreement on sinus radiographs by otolaryngologists and radiologists
Autor: | W. Ten Hove, B. Hartog, P. F. G. M. Van Waes, G. J. Hordijk, P. P. G. van Benthem |
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Rok vydání: | 1996 |
Předmět: |
Adult
Observer Variation Mucosal swelling medicine.medical_specialty Maxillary sinus business.industry Radiography Fluid level Maxillary Sinus Maxillary Sinusitis Sensitivity and Specificity Otolaryngology medicine.anatomical_structure Otorhinolaryngology medicine Humans Radiology business Observer variation Kappa Sinus (anatomy) |
Zdroj: | Clinical otolaryngology and allied sciences. 21(6) |
ISSN: | 0307-7772 |
Popis: | Variability between observers and specificity of sinus radiographic findings are subject to discussion. The aim of this study was to assess interobserver variability, between four physicians, two otolaryngologists and two radiologists, in the evaluation of 100 maxillary sinus radiographs. Equal agreement was found within the specialties when rating radiographs as normal or abnormal (80%). Kappa values for interobserver agreement were 0.45 for otolaryngologists and 0.58 for radiologists, both representing fair to good agreement. Otolaryngologists reported more abnormalities (67 vs, 57). Agreement on specific findings (complete opacity, fluid level and mucosal swelling) was fair to good (kappa values between 0.38 and 0.83). Agreement between the four physicians was lower on all outcomes. It is concluded that interobserver variability is within acceptable limits and justifies the continued use of conventional sinus radiographs for confirmation of maxillary sinus disease. |
Databáze: | OpenAIRE |
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