Inter-reader agreement of interpretation of radiological course of bile duct changes between serial follow-up magnetic resonance imaging/3D magnetic resonance cholangiopancreatography of patients with primary sclerosing cholangitis

被引：12

作者：

Grigoriadis, Aristeidis ^{[1
,2
]}

Morsbach, Fabian ^{[1
,3
]}

Voulgarakis, Nikolaos ^{[2
]}

Said, Karouk ^{[4
,5
]}

Bergquist, Annika ^{[4
,5
]}

Kartalis, Nikolaos ^{[1
,2
]}

机构：

[1] Dept Clin Sci Intervent & Technol CLINTEC, Div Radiol, C1-46, S-14186 Stockholm, Sweden

[2] Karolinska Univ Hosp, Dept Abdominal Radiol, Stockholm, Sweden

[3] Univ Hosp Zurich, Inst Diagnost & Intervent Radiol, Zurich, Switzerland

[4] Karolinska Univ Hosp, Dept Upper GI Dis, Div Hepatol, Stockholm, Sweden

[5] Karolinska Inst, Dept Med Huddinge, Unit Gastroenterol & Rheumatol, Stockholm, Sweden

来源：

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY | 2020年 / 55卷 / 02期

关键词：

Magnetic resonance imaging; cholangitis; sclerosing; bile ducts; data visualization; cholangiopancreatography; reproducibility of results; DOMINANT STRICTURES;

D O I：

10.1080/00365521.2020.1720281

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objectives: Interpretation of MRI/MRCP in primary sclerosing cholangitis (PSC) at a single time point has low inter-reader agreement. Agreement of interpretation of the dynamic course of duct changes in follow-up MRI/MRCP is of clinical importance but remains unknown. Our aims are therefore to assess the inter-reader agreement of interpretation of the course of duct changes in PSC and investigate if elimination of 3 D MRCP affects inter-reader agreement. Materials and Methods: We studied 40 consecutive PSC-patients who underwent two liver MRI/MRCPs at two time points. Two readers independently evaluated the course of duct changes between the two time points in two imaging sets, one with and one without 3 D MRCP. The intraclass correlation coefficient (ICC) was calculated for evaluation of inter-reader and intra-reader agreement between the two time points and two imaging sets accordingly. Results: Inter-reader agreement of the interpretation of the course of duct changes between the two time points was poor (ICC up to 0.224). Elimination of 3 D MRCP neither improved inter-reader agreement which was again poor (ICC up to 0.26) nor did it change considerably the way readers interpret the course of ducts changes (ICC for intra-reader agreement between 0.809 and 0.978). Conclusions: Inter-reader agreement of the interpretation of radiological course of duct changes is poor in serial follow-up MRI/MRCP of PSC-patients. Elimination of 3 D MRCP does not increase inter-reader agreement but maintains an excellent intra-reader agreement for the interpretation of the dynamic course of bile duct changes.

引用

页码：228 / 235

页数：8

共 21 条

[11] Dominant Strictures in Primary Sclerosing Cholangitis: A Multicenter Survey of Clinical Definitions and Practices [J].

Hilscher, Moira B. ;

Tabibian, James H. ;

Carey, Elizabeth J. ;

Gostout, Christopher J. ;

Lindor, Keith D. .

HEPATOLOGY COMMUNICATIONS, 2018, 2 (07) :836-844

[12] Primary sclerosing cholangitis [J].

Hirschfield, Gideon M. ;

Karlsen, Tom H. ;

Lindor, Keith D. ;

Adams, David H. .

LANCET, 2013, 382 (9904) :1587-1599

[13] ESGAR consensus statement on liver MR imaging and clinical use of liver-specific contrast agents [J].

Neri, E. ;

Bali, M. A. ;

Ba-Ssalamah, A. ;

Boraschi, P. ;

Brancatelli, G. ;

Caseiro Alves, F. ;

Grazioli, L. ;

Helmberger, T. ;

Lee, J. M. ;

Manfredi, R. ;

Marti-Bonmati, L. ;

Matos, C. ;

Merkle, E. M. ;

De Beeck, B. Op ;

Schima, W. ;

Skehan, S. ;

Vilgrain, V. ;

Zech, C. ;

Bartolozzi, C. .

EUROPEAN RADIOLOGY, 2016, 26 (04) :921-931

[14] Cancer Surveillance in Patients With Primary Sclerosing Cholangitis [J].

Razumilava, Nataliya ;

Gores, Gregory J. ;

Lindor, Keith D. .

HEPATOLOGY, 2011, 54 (05) :1842-1852

[15] Radiologic Course of Primary Sclerosing Cholangitis: Assessment by Three-Dimensional Magnetic Resonance Cholangiography and Predictive Features of Progression [J].

Ruiz, Ana ;

Lemoinne, Sara ;

Carrat, Fabrice ;

Corpechot, Christophe ;

Chazouilleres, Olivier ;

Arrive, Lionel .

HEPATOLOGY, 2014, 59 (01) :242-250

[16] Recommendations on the Use of Magnetic Resonance Imaging in PSC-A Position Statement From the International PSC Study Group [J].

Schramm, Christoph ;

Eaton, John ;

Ringe, Kristina I. ;

Venkatesh, Sudhakar ;

Yamamura, Jin .

HEPATOLOGY, 2017, 66 (05) :1675-1688

[17] INTRACLASS CORRELATIONS - USES IN ASSESSING RATER RELIABILITY [J].

SHROUT, PE ;

FLEISS, JL .

PSYCHOLOGICAL BULLETIN, 1979, 86 (02) :420-428

[18] Development of dominant bile duct stenoses in patients with primary sclerosing cholangitis treated with ursodeoxycholic acid:: outcome after endoscopic treatment [J].

Stiehl, A ;

Rudolph, G ;

Klöters-Plachky, P ;

Sauer, P ;

Walker, S .

JOURNAL OF HEPATOLOGY, 2002, 36 (02) :151-156

[19] Primary sclerosing cholangitis increases the risk for pancreatitis after endoscopic retrograde cholangiopancreatography [J].

von Seth, Erik ;

Arnelo, Urban ;

Enochsson, Lars ;

Bergquist, Annika .

LIVER INTERNATIONAL, 2015, 35 (01) :254-262

[20] Patient Age, Sex, and Inflammatory Bowel Disease Phenotype Associate With Course of Primary Sclerosing Cholangitis [J].

Weismueller, Tobias J. ;

Trivedi, Palak J. ;

Bergquist, Annika ;

Imam, Mohamad ;

Lenzen, Henrike ;

Ponsioen, Cyriel Y. ;

Holm, Kristian ;

Gotthardt, Daniel ;

Faerkkilae, Martti A. ;

Marschall, Hanns-Ulrich ;

Thorburn, Douglas ;

Weersma, Rinse K. ;

Fevery, Johan ;

Mueller, Tobias ;

Chazouilleres, Olivier ;

Schulze, Kornelius ;

Lazaridis, Konstantinos N. ;

Almer, Sven ;

Pereira, Stephen P. ;

Levy, Cynthia ;

Mason, Andrew ;

Naess, Sigrid ;

Bowlus, Christopher L. ;

Floreani, Annarosa ;

Halilbasic, Emina ;

Yimam, Kidist K. ;

Milkiewicz, Piotr ;

Beuers, Ulrich ;

Huynh, Dep K. ;

Pares, Albert ;

Manser, Christine N. ;

Dalekos, George N. ;

Eksteen, Bertus ;

Invernizzi, Pietro ;

Berg, Christoph P. ;

Kirchner, Gabi I. ;

Sarrazin, Christoph ;

Zimmer, Vincent ;

Fabris, Luca ;

Braun, Felix ;

Marzioni, Marco ;

Juran, Brian D. ;

Said, Karouk ;

Rupp, Christian ;

Jokelainen, Kalle ;

de Valle, Maria Benito ;

Saffioti, Francesca ;

Cheung, Angela ;

Trauner, Michael ;

Schramm, Christoph .

GASTROENTEROLOGY, 2017, 152 (08) :1975-+

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