Interobserver variability in determining enhancement of renal masses on helical CT.
- 1 May 1999
- journal article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 172 (5) , 1207-1212
- https://doi.org/10.2214/ajr.172.5.10227490
Abstract
Because enhancing renal masses are often surgically excised, we assessed interobserver variability in determining enhancement of renal masses.Forty-nine complicated cysts or solid lesions were imaged with helical CT. Simple cysts (n = 20) were included, for a total of 69 lesions. Three radiologists obtained three region-of-interest measurements for each lesion in the unenhanced and nephrographic phases. Enhancement was defined as an attenuation increase of 15 H or more, provided that partial volume effects were not the cause. Observer concordance was defined as agreement among all three observers on whether a lesion was enhancing or nonenhancing. Measurement-interpretation agreement was defined as an observer's measuring an attenuation increase of less than 15 H and interpreting the lesion as nonenhancing or measuring an increase of 15 H or greater and interpreting the lesion as enhancing.For the 20 simple cysts, observer concordance was 100% and measurement-interpretation agreement was 100%. For the 49 c...Keywords
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