Статья

A head-to-head comparison of the intra- and interobserver agreement of COVID-RADS and CO-RADS grading systems in a population with high estimated prevalence of COVID-19.

N. Sushentsev, V. Bura, M. Kotnik, G. Shiryaev, I. Caglic, J. Weir-McCall, T. Barrett,
2020

Objective: To evaluate the inter- and intraobserver agreement of COVID-RADS and CO-RADS reporting systems among differently experienced radiologists in a population with high estimated prevalence of COVID-19. Methods and materials: Chest CT scans of patients with clinically-epidemiologically diagnosed COVID-19 were retrieved from an open-source MosMedData data set, randomised, and independently assigned COVID-RADS and CO-RADS grades by an abdominal radiology fellow, thoracic imaging fellow and a consultant cardiothoracic radiologist. The inter- and intraobserver agreement of the two systems were assessed using the Fleiss' and Cohen's κ coefficients, respectively. Results: A total of 200 studies were included in the analysis. Both systems demonstrated moderate interobserver agreement, with κ values of 0.51 [95% confidence interval (CI): 0.46-0.56] and 0.55 (95% CI: 0.50-0.59) for COVID-RADS and CO-RADS, respectively. When COVID-RADS and CO-RADS grades were dichotomised at cut-off values of 2B and 4 to evaluate the agreement between grades representing different levels of clinical suspicion for COVID-19, the interobserver agreement became substantial with κ values of 0.74 (95% CI: 0.66-0.82) for COVID-RADS and 0.73 (95% CI: 0.65-0.81) for CO-RADS. The median intraobserver agreement was considerably higher for CO-RADS reaching 0.81 (95% CI: 0.43-0.76) compared with 0.60 (95% CI: 0.43-0.76) of COVID-RADS. Conclusions: COVID-RADS and CO-RADS showed comparable interobserver agreement, which was moderate when grades were compared head-to-head and substantial when grades were dichotomised to better reflect the underlying levels of suspicion for COVID-19. The median intraobserver agreement of CO-RADS was, however, considerably higher compared with COVID-RADS. Advances in knowledge: This paper provides a comprehensive review of the newly introduced COVID-19 chest CT reporting systems, which will help radiologists of all sub-specialties and experience levels make an informed decision on which system to use in their own practice.

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  • 1. Version of Record от 2020-11-01

Метаданные

Об авторах
  • N. Sushentsev
    Department of Radiology, Addenbrooke’s Hospital and University of Cambridge, Cambridge, United Kingdom
  • V. Bura
    Department of Radiology, County Clinical Emergency Hospital, Cluj-Napoca, Romania
  • M. Kotnik
    Royal Papworth Hospital NHS Foundation Trust, Cambridge, United Kingdom
  • G. Shiryaev
    COVID-19 Center, National Medical Research Center of Cardiology, Moscow, Russian Federation, Russia
  • I. Caglic
    Department of Radiology, Addenbrooke’s Hospital and University of Cambridge, Cambridge, United Kingdom
  • J. Weir-McCall
    Department of Radiology, Addenbrooke’s Hospital and University of Cambridge, Cambridge, United Kingdom, Royal Papworth Hospital NHS Foundation Trust, Cambridge, United Kingdom
  • T. Barrett
    Department of Radiology, Addenbrooke’s Hospital and University of Cambridge, Cambridge, United Kingdom
Название журнала
  • BJR|Open
Том
  • 2
Выпуск
  • 1
Страницы
  • 20200053
Издатель
  • British Institute of Radiology
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • dimensions