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. 2025 Jan 13;14(2):456. doi: 10.3390/jcm14020456

Table 2.

The interobserver agreement with observed and expected agreements in diagnosing adenomyosis and individual ultrasound features.

Characteristics Prevalence (n = 68) Interobserver Agreement
(κ)
95% CI Observed
(%)
Expected
(%)
Reviewer 1 Reviewer 2
Diagnosis of Adenomyosis (atleast one direct feature) 53 (77.9) 38 (55.8) 0.27 0.06–0.48 66.1 53.2
Direct features Myometrial cysts 37 (52.8) 25 (35.7) 0.21 −0.00–0.42 60.0 49.1
Hyperechogenic islands 34 (49.2) 32 (46.3) 0.24 0.01–0.47 62.3 50.0
Sub-endometrial lines/buds 14 (21) 4 (5.8) 0.00 −0.20–0.19 75.0 75.0
Indirect features Globular Uterus 7 (10) 16 (22.8) 0.54 0.29–0.79 87.1 71.7
Asymmetrical thickening 14 (20.2) 28 (40.5) 0.21 0.00–0.43 65.2 55.5
Fan shaped shadowing 56 (80) 28 (40) 0.19 0.04–0.35 55.7 44.8
Trans-lesional vascularity 25 (35.7) 17 (24.2) 0.39 0.17–0.62 74.2 57.3
Irregular JZ 51 (75) 43 (63.2) 0.25 0.02–0.48 67.6 56.6
Interrupted JZ 27 (39.7) 18 (26.4) 0.31 0.09–0.54 69.1 54.8

Data given as n (%). CI indicates confidence interval.