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Research ArticleINTERVENTIONAL

Observer Agreement in the Assessment of Endovascular Aneurysm Therapy and Aneurysm Recurrence

H.J. Cloft, T. Kaufmann and D.F. Kallmes
American Journal of Neuroradiology March 2007, 28 (3) 497-500;
H.J. Cloft
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T. Kaufmann
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D.F. Kallmes
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    Fig 1.

    Examples of observer variability in the assessment of completeness of cerebral aneurysm therapy. A carotid aneurysm before (A) and immediately after (B) endovascular therapy, which was assessed variably as “complete,” “dog ear,” and “incomplete.”

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    Table 1:

    Comparison of interobserver agreement for assessment of aneurysm treatment using 4-, 3-, and 2-response scales and “better/same/worse” scale

    AssessmentConcordant Rate pκ (95% CI)
    Initial angiogram
        4-Response.580.50 (0.38–0.61)*
        3-Response.710.54 (0.42–0.67)*
        2-Response.940.63 (0.40–0.87)†
    Follow-up angiogram
        4-Response.630.66 (0.55–0.77)*
        3-Response.720.67 (0.55–0.79)*
        2-Response.960.87 (0.74–0.99)†
    Comparing initial with follow-up
        Better/same/worse.800.68 (0.55–0.81)*
        Not worse/worse.950.89 (0.78–0.99)†
    • Note:— CI indicates confidence interval.

    • * Weighted κ.

    • † Simple κ.

    • View popup
    Table 2:

    Comparison of intraobserver agreement for assessment of aneurysm treatment using 4-, 3-, and 2-response scales, and “better/same/ worse” scale

    AssessmentObserver 1Observer 2
    Concordant Rate pκ (95% CI)Concordant Rate pκ (95% CI)
    Initial angiogram
        4-Response.700.67 (0.57–0.77)*.630.48 (0.34–0.62)*
        3-Response.740.65 (0.54–0.76)*.690.50 (0.35–0.65)*
        2-Response.910.66 (0.47–0.84)†.940.56 (0.28–0.85)††
    Follow-up angiogram
        4-Response.750.78 (0.69–0.87)*.770.78 (0.68–0.88)*
        3-Response.780.75 (0.65–0.86)*.830.77 (0.65–0.88)*
        2-Response.990.97 (0.91–1.00)†.960.89 (0.77–1.00)†
    Comparing initial with follow-up
        Better/same/worse.820.71 (0.58–0.84)*.780.64 (0.49–0.78)*
        Not worse/worse.930.80 (0.66–0.94)†.920.78 (0.63–0.92)†
    • Note:— CI indicates confidence interval.

    • * Weighted κ.

    • † Simple κ.

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American Journal of Neuroradiology: 28 (3)
American Journal of Neuroradiology
Vol. 28, Issue 3
March 2007
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H.J. Cloft, T. Kaufmann, D.F. Kallmes
Observer Agreement in the Assessment of Endovascular Aneurysm Therapy and Aneurysm Recurrence
American Journal of Neuroradiology Mar 2007, 28 (3) 497-500;

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Observer Agreement in the Assessment of Endovascular Aneurysm Therapy and Aneurysm Recurrence
H.J. Cloft, T. Kaufmann, D.F. Kallmes
American Journal of Neuroradiology Mar 2007, 28 (3) 497-500;
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