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. Author manuscript; available in PMC: 2024 May 14.
Published in final edited form as: Mult Scler Relat Disord. 2023 Sep 14;79:104968. doi: 10.1016/j.msard.2023.104968

Table 2.

Reliability of paramagnetic rim lesions reported in the literature.

Study Field Strength Image type Sample used for reliability Intra- or inter-rater reliability? Quantity measured Reliability metric Reliability value
Hagemeier et al. (2012)25 3T Phase 5 pwMS and 5 HCs Intra (scan-rescan) Per-subject number ICC 1
Per-subject volume ICC 0.999
Kuchling et al. (2014)6* 7T T2*w 10 representative cases (7 pwMS patients and 3 HCs) Intra Per-subject number ICC as a two-way mixed test for average measures 0.854
Inter Per-subject number ICC as a two-way mixed test for average measures 0.796
Sinnecker et al. (2016)35* 7T Phase 10 randomly selected pwMS or pwNMOSD Inter Per-subject number ICC as a 2-way mixed test of average measures 0.96
Dal-Bianco et al. (2017)27, 28 7T FLAIR-SWI 15 rim or non-rim lesions segmented twice Intra Per-lesion volume ICC 0.998
Absinta et al. (2018)4* 3T Phase 100 lesions from 20 pwMS (16 RRMS, 4 PMS), 5 lesions per pwMS Inter Per-lesion rim presence Fleiss κ 0.71
Intra Per-lesion rim presence Cohen’s κ 0.77
7T Inter Per-lesion rim presence Cohen’s κ 0.72
Intra Per-lesion rim presence Cohen’s κ 0.77
Barquero et al. (2020)39* 3T Phase 124 pwMS (87 RRMS, 21 SPMS, 16 PPMS) Inter Per-lesion rim presence Cohen’s κ 0.73
Clarke et al. (2020)34* 3T SWI 25 randomly-chosen scans (from 112 pwCIS and 35 non-MS) Inter Per-subject number ICC (2-way mix model, single measures, absolute agreement) 0.84 (0.64-0.93) (95% CI)
Maggi et al. (2020)11* 3T Phase 83 non-MS cases and 83 pwMS Inter Per-lesion rim presence Cohen’s κ 0.79
Dal-Bianco et al. (2021)27* 7T FLAIR-SWI 15 randomly selected PRLs Intra Per-lesion volume Dice 0.92 ± 0.05 (mean ± s.d.)
MP2RAGE Intra Per-lesion volume Dice 0.90 ± 0.02 (mean ± s.d.)
Kolb et al. (2021)33* 7T T2*w phase 110 randomly selected lesions Intra Per-lesion rim presence Cohen’s κ 0.96
Inter Per-lesion rim presence Kendall W 0.88
Maggi et al. (2021)40 3T Unwrapped phase images 118 pwMS (86 RRMS, 32 PMS) Inter Per-subject PRL category (0, 1-3, or 4+ PRLs) Cohen’s κ 0.83
Treaba et al. (2021)37 7T Phase 5 pwMS Intra Per-subject number Lin’s concordance correlation coefficients 0.99
Inter Per-subject number Lin’s concordance correlation coefficients 0.98
Altokhis et al. (2022)32 7T SWI-filtered phase 10 randomly selected pwCIS or pwMS Intra Per-subject PRL category (0, 1-3, or 4+ PRLs) ICC 0.95
Inter Per-subject PRL category (0, 1-3, or 4+ PRLs) ICC 0.81
Hemond et al. (2022) 8 1.5T Filtered phase 5 pwRRMS, 3pwSPMS, and 1 pwPPMS Inter Per-subject PRL presence Cohen’s κ 0.65
3T Inter Per-subject PRL presence Cohen’s κ 0.72
Intra Per-subject PRL presence Cohen’s κ 0.70
Huang et al. (2022)30* 3T High-pass-filtered phase 2062 FLAIR-hyperintense no-enhancing lesions from 80 pwRRMS Inter Per-lesion rim presence Cohen’s κ 0.43
Inter Per-lesion rim presence Percent agreement 75.8%
QSM Inter Per-lesion rim presence Cohen’s κ 0.62
Inter Per-lesion rim presence Percent agreement 92.7%
Krajnc et al. (2022)41 3T SWI 75 pwMS Inter Per-lesion rim presence Percent agreement 98.7%
Marcille et al. (2022)29* 3T QSM 159 pwRRMS Inter Per-lesion rim presence Bangdiwala’s B-statistics 95.49%
Cohen’s κ 0.706
Cohen’s κ 0.858
Fleiss κ 0.71
Meaton et al. (2022)36 3T SWI 100 blocks (1/8 brain volume each) Intra Per-subject PRL presence Cohen’s κ 0.696
Inter Per-subject PRL presence Cohen’s κ 0.827
Micheletti et al. (2022)7 1.5T Phase 29 children (13 pwMS and 16 non-MS). 132 white matter lesions, 63 were in the MS group and 69 were in the non-MS group. Inter Per-lesion rim presence Cohen’s κ 0.75
Zhang et al. (2022)42* 3T QSM 4,163 T2-FLAIR lesions from 172 pwMS Inter Per-lesion rim presence Cohen’s κ 0.59
Calvi et al. (2023)43* 3T SWI 20 pwMS Inter Per-lesion rim presence Cohen’s κ 0.87
Krajnc et al. (2023)44 3T SWI 107 pwMS (97 RRMS, 10 SPMS) Inter Per-lesion rim presence Percent agreement 97.2%

FLAIR – fluid-attenuated inversion recovery; HC – healthy control; ICC – intraclass correlation coefficient; pwNMOSD – people with neuromyelitis optica spectrum disorder; PRL – paramagnetic rim lesion; pwCIS – people with clinically isolated syndrome; pwMS – people with multiple sclerosis; pwPPMS – people with primary progressive multiple sclerosis; pwRRMS – people with relapsing-remitting multiple sclerosis; pwSPMS – people with secondary progressive multiple sclerosis; QSM – quantitative susceptibility mapping; RRMS – relapsing-remitting multiple sclerosis; SPMS – secondary progressive multiple sclerosis; SWI – susceptibility-weighted imaging.

*

Included in quantitative synthesis.