Table 4.
Experienced and novice observer agreement for the indirect findings of PE found on contrast enhanced pulmonary magnetic resonance angiography.
| Indirect Finding of PE at MRA | Consensus number of findings | Prevalence | N | kappa | 95 % C.I. | P value |
|---|---|---|---|---|---|---|
| Pulmonary venous stasis, R1 | 10 | 11,12 | 56 | 0.40 | 0.11−0.69 | 0.003 |
| Pulmonary venous stasis, R2 | 10 | 3,2 | 56 | 0.37 | −0.18−0.93 | 0.004 |
| Pulmonary venous stasis Inter-reader |
10 | 56 | 0.06 | −0.18−0.31 | 0.5 | |
| Atelectasis, R1 | 21 | 27,32 | 56 | 0.54 | 0.32−0.76 | <0.0001 |
| Atelectasis, R1 | 21 | 24,23 | 56 | 0.81 | 0.66−0.97 | <0.0001 |
| Atelectasis Inter-reader |
21 | 56 | 0.67 | 0.49−0.87 | <0.0001 | |
| Perfusion Defect, R1 | 42 | 39,37 | 56 | 0.59 | 0.37−0.82 | <0.0001 |
| Perfusion Defect, R2 | 42 | 37,41 | 56 | 0.66 | 0.45−0.87 | <0.0001 |
| Perfusion Defect, Inter-reader |
42 | 56 | 0.51 | 0.27−0.75 | 0.0001 | |
| Effusion, R1 | 21 | 17,18 | 56 | 0.79 | 0.62−0.97 | <0.0001 |
| Effusion, R2 | 21 | 20,19 | 56 | 0.88 | 0.75−1.0 | <0.0001 |
| Effusion, Inter-reader |
21 | 56 | 0.56 | 0.32−0.79 | <0.0001 | |
| Pleural Enhancement, R1 | 22 | 10,14 | 56 | 0.47 | 0.20−0.75 | 0.0003 |
| Pleural Enhancement, R2 | 22 | 23,19 | 56 | 0.70 | 0.51−0.88 | <0.0001 |
| Pleural Enhancement, Inter-reader |
22 | 56 | 0.31 | 0.09−0.54 | 0.0058 | |
| White-Black-White, R1 | 34 | 22,14 | 56 | 0.60 | 0.39−0.81 | <0.0001 |
| White-Black-White, R2 | 34 | 20,25 | 56 | 0.67 | 0.47−0.86 | <0.0001 |
| White-Black-White, Inter-reader |
34 | 56 | 0.47 | 0.23−0.71 | 0.0005 | |
| Pulmonary Infarction, R1 | 12 | 11,12 | 54 | 0.94 | 0.84−1.0 | <0.0001 |
| Pulmonary Infarction, R2 | 12 | 6,7 | 54 | 0.74 | 0.46−1.0 | <0.0001 |
| Pulmonary Infarction, Inter-reader |
12 | 54 | 0.52 | 0.22−0.82 | <0.0001 | |
| Blank Slate, R1 | 5 | 4,5 | 56 | 0.64 | 0.26−1.0 | <0.0001 |
| Blank Slate, R2 | 5 | 6,6 | 56 | 1.0 | 1.0−1.0 | <0.0001 |
| Blank Slate, Inter-reader |
5 | 56 | 0.56 | 0.18−0.94 | <0.0001 |
Abbreviations: PE- pulmonary embolism, 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.