CT colonography polyp matching: differences between experienced readers

The purpose of this study was to investigate if experienced readers differ when matching polyps shown by both CT colonography (CTC) and optical colonoscopy (OC) and to explore the reasons for discrepancy. Twenty-eight CTC cases with corresponding OC were presented to eight experienced CTC readers. C...

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Veröffentlicht in:European radiology 2009-07, Vol.19 (7), p.1723-1730
Hauptverfasser: Liedenbaum, Marjolein H., de Vries, Ayso H., Halligan, Steve, Bossuyt, Patrick M. M., Dachman, Abraham H., Dekker, Evelien, Florie, Jasper, Gryspeerdt, Stefaan S., Jensch, Sebastiaan, Johnson, C. Daniel, Laghi, Andrea, Taylor, Stuart A., Stoker, Jaap
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container_end_page 1730
container_issue 7
container_start_page 1723
container_title European radiology
container_volume 19
creator Liedenbaum, Marjolein H.
de Vries, Ayso H.
Halligan, Steve
Bossuyt, Patrick M. M.
Dachman, Abraham H.
Dekker, Evelien
Florie, Jasper
Gryspeerdt, Stefaan S.
Jensch, Sebastiaan
Johnson, C. Daniel
Laghi, Andrea
Taylor, Stuart A.
Stoker, Jaap
description The purpose of this study was to investigate if experienced readers differ when matching polyps shown by both CT colonography (CTC) and optical colonoscopy (OC) and to explore the reasons for discrepancy. Twenty-eight CTC cases with corresponding OC were presented to eight experienced CTC readers. Cases represented a broad spectrum of findings, not completely fulfilling typical matching criteria. In 21 cases there was a single polyp on CTC and OC; in seven there were multiple polyps. Agreement between readers for matching was analyzed. For the 21 single-polyp cases, the number of correct matches per reader varied from 13 to 19. Almost complete agreement between readers was observed in 15 cases (71%), but substantial discrepancy was found for the remaining six (29%) probably due to large perceived differences in polyp size between CT and OC. Readers were able to match between 27 (71%) and 35 (92%) of the 38 CTC detected polyps in the seven cases with multiple polyps. Experienced CTC readers agree to a considerable extent when matching polyps between CTC and subsequent OC, but non-negligible disagreement exists.
doi_str_mv 10.1007/s00330-009-1328-3
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subjects Colonic Polyps - pathology
Colonic Polyps - radiotherapy
Colonography, Computed Tomographic - methods
Colonoscopy
Diagnostic Radiology
Europe
Gastrointestinal
Humans
Imaging
Internal Medicine
Interventional Radiology
Medicine
Medicine & Public Health
Neuroradiology
Observer Variation
Radiology
Reproducibility of Results
Sensitivity and Specificity
Ultrasound
United States
title CT colonography polyp matching: differences between experienced readers
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