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Research ArticleNeurointervention

Interobserver Agreement after Pipeline Embolization Device Implantation

S.H. Suh, H.J. Cloft, G. Lanzino, K. Woodward and D.F. Kallmes
American Journal of Neuroradiology June 2013, 34 (6) 1215-1218; DOI: https://doi.org/10.3174/ajnr.A3371
S.H. Suh
aFrom the Department of Radiology, Gangnam Severance Hospital, Yonsei University, Seoul, Korea (S.H.S.)
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H.J. Cloft
bDepartments of Radiology (H.J.C., D.F.K.)
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G. Lanzino
cNeurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota
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K. Woodward
dDepartment of Radiology (K.W.), Fort Sanders Regional Medical Center, Knoxville, Tennessee.
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D.F. Kallmes
bDepartments of Radiology (H.J.C., D.F.K.)
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    Fig 1.

    Examples of the absolute agreement among 5 readers. Fusiform aneurysm of the left ICA before (A) and after (B) the procedure, which was assessed unanimously as “incomplete” occlusion and paraclinoid aneurysm (C and D) also assessed unanimously as “near-complete” occlusion.

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    Fig 2.

    Examples of the major discrepancy among 5 readers. Saccular aneurysm of the left cavernous ICA before (A) and after (B) the procedure. After exclusion of the large aneurysm, another small aneurysm was detected on the anterior genu of the ICA.

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    Table 1:

    Interpretation of the angiographic images for 96 cases with PED implantation

    AgreementNo.Percentage
    Absolute7477%
        Complete67
        Near-complete2
        Incomplete5
    Minor discrepancy
        Dominanta1516%
        Complete8
        Near-complete4
        Incomplete3
    Major discrepancy
        Dominanta77%
        Complete2
        Near-complete2
        Incomplete1
        Undetermined2
    Total96100%
    • ↵a Dominant indicates case with the same assessment from more than 3 readers.

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    Table 2:

    Comparison between “previously coiled” and “not previously coiled” subgroup

    Not Previously Coiled (%)Previously Coiled (%)P Value
    Absolute agreement67 (83.8%)7 (43.8%).09
    Minor discrepancy9 (11.2%)6 (37.5%).02
    Major discrepancy4 (5%)3 (18.7%).06
    ICC0.780.66.39
    Total8016
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American Journal of Neuroradiology: 34 (6)
American Journal of Neuroradiology
Vol. 34, Issue 6
1 Jun 2013
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Cite this article
S.H. Suh, H.J. Cloft, G. Lanzino, K. Woodward, D.F. Kallmes
Interobserver Agreement after Pipeline Embolization Device Implantation
American Journal of Neuroradiology Jun 2013, 34 (6) 1215-1218; DOI: 10.3174/ajnr.A3371

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Interobserver Agreement after Pipeline Embolization Device Implantation
S.H. Suh, H.J. Cloft, G. Lanzino, K. Woodward, D.F. Kallmes
American Journal of Neuroradiology Jun 2013, 34 (6) 1215-1218; DOI: 10.3174/ajnr.A3371
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