A Multicenter Assessment of Interreader Reliability of LI-RADS Version 2018 for MRI and CT

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorHONG, Cheng William
dc.contributor.authorCHERNYAK, Victoria
dc.contributor.authorCHOI, Jin-Young
dc.contributor.authorLEE, Sonia
dc.contributor.authorPOTU, Chetan
dc.contributor.authorDELGADO, Timoteo
dc.contributor.authorWOLFSON, Tanya
dc.contributor.authorGAMST, Anthony
dc.contributor.authorBIRNBAUM, Jason
dc.contributor.authorKAMPALATH, Rony
dc.contributor.authorLALL, Chandana
dc.contributor.authorLEE, James T.
dc.contributor.authorOWEN, Joseph W.
dc.contributor.authorAGUIRRE, Diego A.
dc.contributor.authorMENDIRATTA-LALA, Mishal
dc.contributor.authorDAVENPORT, Matthew S.
dc.contributor.authorMASCH, William
dc.contributor.authorROUDENKO, Alexandra
dc.contributor.authorLEWIS, Sara C.
dc.contributor.authorKIERANS, Andrea Siobhan
dc.contributor.authorHECHT, Elizabeth M.
dc.contributor.authorBASHIR, Mustafa R.
dc.contributor.authorBRANCATELLI, Giuseppe
dc.contributor.authorDOUEK, Michael L.
dc.contributor.authorOHLIGER, Michael A.
dc.contributor.authorTANG, An
dc.contributor.authorCERNY, Milena
dc.contributor.authorFUNG, Alice
dc.contributor.authorCOSTA, Eduardo A.
dc.contributor.authorCORWIN, Michael T.
dc.contributor.authorMCGAHAN, John P.
dc.contributor.authorKALB, Bobby
dc.contributor.authorELSAYES, Khaled M.
dc.contributor.authorSURABHI, Venkateswar R.
dc.contributor.authorBLAIR, Katherine
dc.contributor.authorMARKS, Robert M.
dc.contributor.authorHORVAT, Natally
dc.contributor.authorBEST, Shaun
dc.contributor.authorASH, Ryan
dc.contributor.authorGANESAN, Karthik
dc.contributor.authorKAGAY, Christopher R.
dc.contributor.authorKAMBADAKONE, Avinash
dc.contributor.authorWANG, Jin
dc.contributor.authorCRUITE, Irene
dc.contributor.authorBIJAN, Bijan
dc.contributor.authorGOODWIN, Mark
dc.contributor.authorCUNHA, Guilherme Moura
dc.contributor.authorTAMAYO-MURILLO, Dorathy
dc.contributor.authorFOWLER, Kathryn J.
dc.contributor.authorSIRLIN, Claude B.
dc.date.accessioned2024-04-05T19:36:31Z
dc.date.available2024-04-05T19:36:31Z
dc.date.issued2023
dc.description.abstractBackground: Various limitations have impacted research evaluating reader agreement for Liver Imaging Reporting and Data System (LI-RADS). Purpose: To assess reader agreement of LI-RADS in an international multicenter multireader setting using scrollable images. Materials and Methods: This retrospective study used deidentified clinical multiphase CT and MRI and reports with at least one untreated observation from six institutions and three countries; only qualifying examinations were submitted. Examination dates were October 2017 to August 2018 at the coordinating center. One untreated observation per examination was randomly selected using observation identifiers, and its clinically assigned features were extracted from the report. The corresponding LI-RADS version 2018 category was computed as a rescored clinical read. Each examination was randomly assigned to two of 43 research readers who independently scored the observation. Agreement for an ordinal modified four-category LI-RADS scale (LR-1, definitely benign; LR2, probably benign; LR-3, intermediate probability of malignancy; LR-4, probably hepatocellular carcinoma [HCC]; LR-5, definitely HCC; LR-M, probably malignant but not HCC specific; and LR-TIV, tumor in vein) was computed using intraclass correlation coefficients (ICCs). Agreement was also computed for dichotomized malignancy (LR-4, LR-5, LR-M, and LR-TIV), LR-5, and LR-M. Agreement was compared between research-versus-research reads and research-versus-clinical reads. Results: The study population consisted of 484 patients (mean age, 62 years +/- 10 [SD]; 156 women; 93 CT examinations, 391 MRI examinations). ICCs for ordinal LI-RADS, dichotomized malignancy, LR-5, and LR-M were 0.68 (95% CI: 0.61, 0.73), 0.63 (95% CI: 0.55, 0.70), 0.58 (95% CI: 0.50, 0.66), and 0.46 (95% CI: 0.31, 0.61) respectively. Research-versus-research reader agreement was higher than research-versus-clinical agreement for modified four-category LI-RADS (ICC, 0.68 vs 0.62, respectively; P =.03) and for dichotomized malignancy (ICC, 0.63 vs 0.53, respectively; P =.005), but not for LR-5 (P =.14) or LR-M (P =.94). Conclusion: There was moderate agreement for LI-RADS version 2018 overall. For some comparisons, research-versus-research reader agreement was higher than research-versus-clinical reader agreement, indicating differences between the clinical and research environments that warrant further study.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.sponsorship2017 RSNA Resident Research Grant [RR1726]
dc.description.sponsorshipNational Institutes of Health [T32 EB005970-09]
dc.description.sponsorshipFondation de l'Association des Radiologistes du Quebec [FRQS-ARQ 298509]
dc.description.sponsorshipFonds de recherche du Quebec en Sante
dc.identifier.citationRADIOLOGY, v.307, n.5, article ID e222855, 9p, 2023
dc.identifier.doi10.1148/radiol.222855
dc.identifier.issn0033-8419
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59101
dc.language.isoeng
dc.publisherRADIOLOGICAL SOC NORTH AMERICA (RSNA)eng
dc.relation.ispartofRadiology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright RADIOLOGICAL SOC NORTH AMERICA (RSNA)eng
dc.subject.otherdata systemeng
dc.subject.otherhepatocellular-carcinomaeng
dc.subject.otherdiagnosiseng
dc.subject.wosRadiology, Nuclear Medicine & Medical Imagingeng
dc.titleA Multicenter Assessment of Interreader Reliability of LI-RADS Version 2018 for MRI and CTeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryColômbia
hcfmusp.affiliation.countryAustrália
hcfmusp.affiliation.countryChina
hcfmusp.affiliation.countryÍndia
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryCoréia do Sul
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisokr
hcfmusp.affiliation.countryisoco
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisoca
hcfmusp.affiliation.countryisoin
hcfmusp.affiliation.countryisocn
hcfmusp.affiliation.countryisoau
hcfmusp.author.externalHONG, Cheng William:Univ Calif San Francisco, Dept Radiol & Biomed Imaging, 513 Parnassus Ave,Box 0628, San Francisco, CA 94143 USA; Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.author.externalCHERNYAK, Victoria:Mem Sloan Kettering Canc Ctr, Radiol, New York, NY USA
hcfmusp.author.externalCHOI, Jin-Young:Yonsei Univ, Dept Radiol, Seoul, South Korea
hcfmusp.author.externalLEE, Sonia:Univ Calif Irvine, Dept Radiol, Orange, CA USA
hcfmusp.author.externalPOTU, Chetan:Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.author.externalDELGADO, Timoteo:Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.author.externalBIRNBAUM, Jason:Univ Calif San Diego, Computat & Appl Stat Lab, San Diego, CA USA
hcfmusp.author.externalKAMPALATH, Rony:Univ Calif Irvine, Dept Radiol, Orange, CA USA
hcfmusp.author.externalLALL, Chandana:Univ Florida, Dept Radiol, Jacksonville, FL USA
hcfmusp.author.externalLEE, James T.:Univ Kentucky, Dept Radiol, Lexington, KY USA
hcfmusp.author.externalOWEN, Joseph W.:Univ Kentucky, Dept Radiol, Lexington, KY USA
hcfmusp.author.externalAGUIRRE, Diego A.:Fdn Santa Fe Bogota, Dept Radiol, Bogota, Colombia
hcfmusp.author.externalMENDIRATTA-LALA, Mishal:Univ Michigan, Dept Radiol, Ann Arbor, MI USA
hcfmusp.author.externalDAVENPORT, Matthew S.:Univ Michigan, Dept Radiol, Ann Arbor, MI USA
hcfmusp.author.externalMASCH, William:Univ Michigan, Dept Radiol, Ann Arbor, MI USA
hcfmusp.author.externalROUDENKO, Alexandra:Allegheny Hlth Network, Dept Radiol, Pittsburgh, PA USA
hcfmusp.author.externalLEWIS, Sara C.:Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY USA
hcfmusp.author.externalKIERANS, Andrea Siobhan:New York Presbyterian Weill Cornell Med Ctr, Dept Radiol, New York, NY USA
hcfmusp.author.externalHECHT, Elizabeth M.:New York Presbyterian Weill Cornell Med Ctr, Dept Radiol, New York, NY USA
hcfmusp.author.externalBASHIR, Mustafa R.:Duke Univ, Dept Radiol, Med Ctr, New York, NY USA; Duke Univ, Dept Med, Med Ctr, New York, NY USA
hcfmusp.author.externalBRANCATELLI, Giuseppe:Univ Hosp Paolo Giaccone, Sect Radiol, Dept Biomed Neurosci & Adv Diagnost, Palermo, Italy
hcfmusp.author.externalDOUEK, Michael L.:Univ Calif Los Angeles, Dept Radiol, Los Angeles, CA USA
hcfmusp.author.externalOHLIGER, Michael A.:Univ Calif San Francisco, Dept Radiol & Biomed Imaging, 513 Parnassus Ave,Box 0628, San Francisco, CA 94143 USA
hcfmusp.author.externalTANG, An:Univ Montreal, Dept Radiol, Radiat Oncol & Nucl Med, Montreal, PQ, Canada
hcfmusp.author.externalCERNY, Milena:Univ Montreal, Dept Radiol, Radiat Oncol & Nucl Med, Montreal, PQ, Canada
hcfmusp.author.externalFUNG, Alice:Oregon Hlth & Sci Univ, Dept Radiol, Portland, OR USA
hcfmusp.author.externalCOSTA, Eduardo A.:CEDRUL Ctr Diagnost Imagem, Joao Pessoa, Paraiba, Brazil
hcfmusp.author.externalCORWIN, Michael T.:Univ Calif Davis, Dept Radiol, Sacramento, CA USA
hcfmusp.author.externalMCGAHAN, John P.:Univ Calif Davis, Dept Radiol, Sacramento, CA USA
hcfmusp.author.externalKALB, Bobby:Radiol Ltd, Tucson, AZ USA
hcfmusp.author.externalELSAYES, Khaled M.:Univ Texas MD Anderson Canc Ctr, Dept Abdominal Imaging, Houston, TX USA
hcfmusp.author.externalSURABHI, Venkateswar R.:Univ Texas MD Anderson Canc Ctr, Dept Abdominal Imaging, Houston, TX USA
hcfmusp.author.externalBLAIR, Katherine:Univ Texas MD Anderson Canc Ctr, Dept Abdominal Imaging, Houston, TX USA
hcfmusp.author.externalMARKS, Robert M.:Naval Med Ctr San Diego, Dept Radiol, San Diego, CA USA
hcfmusp.author.externalBEST, Shaun:Univ Kansas, Dept Radiol, Kansas City, KS USA
hcfmusp.author.externalASH, Ryan:Univ Kansas, Dept Radiol, Kansas City, KS USA
hcfmusp.author.externalGANESAN, Karthik:Sir HN Reliance Fdn Hosp & Res Ctr, Mumbai, India
hcfmusp.author.externalKAGAY, Christopher R.:Calif Pacific Med Ctr, Dept Radiol, San Francisco, CA USA
hcfmusp.author.externalKAMBADAKONE, Avinash:Massachusetts Gen Hosp, Dept Radiol, Boston, MA USA
hcfmusp.author.externalWANG, Jin:Sun Yat Sen Univ, Affiliated Hosp 3, Guangzhou, Peoples R China
hcfmusp.author.externalCRUITE, Irene:Inland Imaging, Spokane, WA USA
hcfmusp.author.externalBIJAN, Bijan:Sutter Med Grp, Sacramento, CA USA
hcfmusp.author.externalGOODWIN, Mark:Austin Hlth, Melbourne, Vic, Australia
hcfmusp.author.externalCUNHA, Guilherme Moura:Univ Washington, Dept Radiol, Seattle, WA USA
hcfmusp.author.externalTAMAYO-MURILLO, Dorathy:Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.author.externalFOWLER, Kathryn J.:Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.author.externalSIRLIN, Claude B.:Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, San Diego, CA USA
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcNATALLY DE SOUZA MACIEL ROCHA HORVAT
hcfmusp.description.articlenumbere222855
hcfmusp.description.issue5
hcfmusp.description.volume307
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1160162833
hcfmusp.origem.pubmed37367445
hcfmusp.origem.scopus2-s2.0-85166215981
hcfmusp.origem.wosWOS:001061457800019
hcfmusp.publisher.cityOAK BROOKeng
hcfmusp.publisher.countryUNITED STATESeng
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