Table 3.
Experienced and novice observer agreement for the direct findings of pulmonary embolism found on contrast enhanced pulmonary magnetic resonance angiography.
Direct Finding of PE at CE-MRA | Consensus Number of findings |
Reader Prevalence time 1, time 2 |
N | kappa | 95 % C.I. | P value |
---|---|---|---|---|---|---|
Non-occlusive, R1 | 12 | 19,20 | 56 | 0.88 | 0.75−1.00 | <0.0001 |
Non-occlusive, R2 | 12 | 14,16 | 56 | 0.46 | 0.19−0.72 | 0.0006 |
Non-occlusive, Interobserver | 12 | 56 | 0.36 | 0.10−0.62 | 0.0056 | |
Occlusive, R1 | 43 | 36,35 | 56 | 0.88 | 0.76−1.00 | <0.0001 |
Occlusive, R2 | 43 | 38,39 | 56 | 0.54 | 0.31−0.78 | <0.0001 |
Occlusive, Interobserver | 43 | 56 | 0.44 | 0.20−0.69 | 0.0009 | |
Vessel Cutoff, R1 | 42 | 36,33 | 56 | 0.44 | 0.20−0.68 | 0.001 |
Vessel Cutoff, R2 | 42 | 31,39 | 56 | 0.48 | 0.25−0.70 | 0.0002 |
Vessel Cutoff, Interobserver | 42 | 56 | 0.52 | 0.30−0.74 | 0.0001 | |
Double Bronchus, R1 | 26 | 24,27 | 56 | 0.53 | 0.31−0.75 | 0.0001 |
Double Bronchus, R2 | 26 | 10,13 | 56 | 0.77 | 0.51−0.95 | <0.0001 |
Double Bronchus, Interobserver | 26 | 56 | 0.45 | 0.24−0.65 | 0.0001 | |
Central Dot, R1 | 34 | 21,16 | 56 | 0.32 | 0.07−0.58 | 0.01 |
Central Dot, R2 | 34 | 32,25 | 56 | 0.54 | 0.33−0.75 | <0.005 |
Central Dot, Interobserver | 34 | 56 | 0.34 | 0.12−0.57 | <0.0001 | |
Ghost Vessel, R1 | 31 | 23,17 | 55 | 0.54 | 0.31−0.76 | <0.0001 |
Ghost Vessel, R2 | 31 | 34,36 | 55 | 0.53 | 0.39−0.83 | <0.0001 |
Ghost Vessel, Interobserver | 31 | 55 | 0.27 | 0.27−0.69 | 0.0001 | |
Bright clot, R1 | 18 | 16,13 | 53 | 0.67 | 0.45−0.89 | <0.0001 |
Bright clot, R2 | 18 | 12,18 | 53 | 0.64 | 0.41−0.86 | <0.0001 |
Bright clot, Interobserver | 18 | 53 | 0.51 | 0.26−0.78 | 0.0001 | |
Filling Defect on FS-SGRE, R1 | 28 | 28,31 | 34 | 0.62 | 0.24−1.00 | 0.0001 |
Filling Defect on FS-SGRE, R2 | 28 | 28,28 | 34 | 0.60 | 0.24−0.95 | 0.0005 |
Filling Defect, Interobserver | 28 | 34 | 0.19 | −0.20−0.58 | 0.3 |
Abbreviations: PE- pulmonary embolism, CE-MRA- contrast enhanced magnetic resonance angiography, C.I.- confidence interval,R1- reader 1 with 2 years of experience reading CE-MRA, R2- reader 2 with one month of experience reading CE-MRA. FS-SGRE – Fat saturated spoiled gradient echo sequence.