Table 2:
Reporting of temporal change between two MRI scans and inter-rater reliability of reporting temporal change for radiologists A and B (n=50)
| MRI finding | “A”
change “B” change |
“A”
change “B” no change |
“A” no
change “B” change |
“A” no
change “B” no change |
Kappa (95% CI) | Prevalence and Bias Adjusted Kappa (PABAK) | Percent Agreement |
|---|---|---|---|---|---|---|---|
| Disc degeneration (Pfirrmann Grade) | 0 | 6 | 17 | 227 | −0.037 (−0.060 to −0.014) |
0.816 | 90.8 |
| Disc signal intensity | 0 | 2 | 19 | 229 | −0.015 (−0.033 to 0.004) |
0.832 | 91.6 |
| Disc height | 0 | 0 | 17 | 233 | N/A | 0.864 | 93.2 |
| High intensity zone | 1 | 5 | 3 | 241 | 0.184 (−0.15 to 0.520) |
0.936 | 96.8 |
| Annular fissure | 0 | 6 | 2 | 242 | −0.012 (−0.025 to 0.001) |
0.936 | 96.8 |
| Modic changes* | 0 | 0 | 2 | 498 | N/A | 0.992 | 99.6 |
| Disc contour/herniation | 3 | 6 | 10 | 231 | 0.240 (−0.010 to 0.491) |
0.872 | 93.6 |
| Facet joint arthropathy* | 0 | 0 | 5 | 495 | N/A | 0.980 | 99 |
| Central canal stenosis | 0 | 1 | 5 | 244 | 0.007 (−0.018 to 0.004) |
0.952 | 97.6 |
| Spondylolisthesis | 0 | 0 | 1 | 249 | N/A | 0.992 | 99.6 |
| Bone marrow oedema | 0 | 0 | 0 | 250 | N/A | N/A | 100 |
| Nerve root compromise* | 0 | 2 | 2 | 496 | −0.004 (−0.008 to −0.000) |
0.984 | 99.2 |
A and B refer to the 2 reporting radiologists. “A” change indicates radiologist A reported a change between the 2 MRIs. “B” change indicates radiologist B reported a change between the 2 MRIs.
50 patients were included in these analyses and all MRI findings reported at 5 lumbar levels. Therefore, there are 250 data points for most MRI findings apart from those indicated with an * where each MRI finding produced 2 data points per spinal level resulting in a total of 500 data points for Modic changes (upper and lower endplates), facet joint arthropathy (right and left) and nerve root compromise (right and left).