Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems
The diagnostic value of Bosniak classification based on contrast enhanced ultrasound (CEUS) on complex cystic renal mass (CRM) was compared among different observers. From 2012 to 2022, 212 complex CRMs, confirmed by pathology or at least 1-year imaging follow-up, were enrolled. The CEUS images of C...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | WFUMB Ultrasound Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949668323000071 |
| _version_ | 1797237880299454464 |
|---|---|
| author | Pei Sun Qing Lu Luxia Jing Cuixian Li Jiexian Wen Cong Li Jingjing Wang Hongli Cao Beijian Huang |
| author_facet | Pei Sun Qing Lu Luxia Jing Cuixian Li Jiexian Wen Cong Li Jingjing Wang Hongli Cao Beijian Huang |
| author_sort | Pei Sun |
| collection | DOAJ |
| description | The diagnostic value of Bosniak classification based on contrast enhanced ultrasound (CEUS) on complex cystic renal mass (CRM) was compared among different observers. From 2012 to 2022, 212 complex CRMs, confirmed by pathology or at least 1-year imaging follow-up, were enrolled. The CEUS images of CRM were retrospectively analyzed by two reviewers with different experience in kidney CEUS examination, and each lesion was given the categorizations according the Bosniak ver. 2015 and ver. 2019, respectively. There was good inter-observer agreement (k = 0.689; p < 0.05) for Bosniak ver. 2019. With Bosniak ver. 2019, senior and junior reviewer correctly classified 44 (83.02%), 40 (75.47%) benign lesions as low grade (Ⅰ ∼ ⅡF), and 94 (94.95%), 80 (80.81%) malignant tumors as high grade (Ⅲ or Ⅳ), respectively. Meanwhile, the combination of Bosniak 2019 and senior reviewer demonstrated the highest area under the receiver operating characteristic curve (Az: 0.875, all p < 0.05) than other groups, with the highest specificity (81.10%) and sensitivity (93.90%) among all the groups (95% CI, 0.807–0.943; p < 0.05), respectively. Overall, the senior reviewer combined with Bosniak ver. 2019 was the best choice for the diagnosis of complex CRM. |
| first_indexed | 2024-04-24T17:26:46Z |
| format | Article |
| id | doaj.art-3d579895c09a42d7b1d2cce22c0a6d99 |
| institution | Directory Open Access Journal |
| issn | 2949-6683 |
| language | English |
| last_indexed | 2024-04-24T17:26:46Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | WFUMB Ultrasound Open |
| spelling | doaj.art-3d579895c09a42d7b1d2cce22c0a6d992024-03-28T06:39:44ZengElsevierWFUMB Ultrasound Open2949-66832023-12-0112100007Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systemsPei Sun0Qing Lu1Luxia Jing2Cuixian Li3Jiexian Wen4Cong Li5Jingjing Wang6Hongli Cao7Beijian Huang8Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, ChinaDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Imaging Medicine, Shanghai, China; Corresponding author. Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.The diagnostic value of Bosniak classification based on contrast enhanced ultrasound (CEUS) on complex cystic renal mass (CRM) was compared among different observers. From 2012 to 2022, 212 complex CRMs, confirmed by pathology or at least 1-year imaging follow-up, were enrolled. The CEUS images of CRM were retrospectively analyzed by two reviewers with different experience in kidney CEUS examination, and each lesion was given the categorizations according the Bosniak ver. 2015 and ver. 2019, respectively. There was good inter-observer agreement (k = 0.689; p < 0.05) for Bosniak ver. 2019. With Bosniak ver. 2019, senior and junior reviewer correctly classified 44 (83.02%), 40 (75.47%) benign lesions as low grade (Ⅰ ∼ ⅡF), and 94 (94.95%), 80 (80.81%) malignant tumors as high grade (Ⅲ or Ⅳ), respectively. Meanwhile, the combination of Bosniak 2019 and senior reviewer demonstrated the highest area under the receiver operating characteristic curve (Az: 0.875, all p < 0.05) than other groups, with the highest specificity (81.10%) and sensitivity (93.90%) among all the groups (95% CI, 0.807–0.943; p < 0.05), respectively. Overall, the senior reviewer combined with Bosniak ver. 2019 was the best choice for the diagnosis of complex CRM.http://www.sciencedirect.com/science/article/pii/S2949668323000071Complex cystic renal massContrast enhanced ultrasoundBosniak classificationInter-observer agreementDiagnostic performance |
| spellingShingle | Pei Sun Qing Lu Luxia Jing Cuixian Li Jiexian Wen Cong Li Jingjing Wang Hongli Cao Beijian Huang Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems WFUMB Ultrasound Open Complex cystic renal mass Contrast enhanced ultrasound Bosniak classification Inter-observer agreement Diagnostic performance |
| title | Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems |
| title_full | Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems |
| title_fullStr | Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems |
| title_full_unstemmed | Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems |
| title_short | Contrast enhanced ultrasound diagnosis of complex cystic renal mass: Interobserver variability based on different Bosniak classification systems |
| title_sort | contrast enhanced ultrasound diagnosis of complex cystic renal mass interobserver variability based on different bosniak classification systems |
| topic | Complex cystic renal mass Contrast enhanced ultrasound Bosniak classification Inter-observer agreement Diagnostic performance |
| url | http://www.sciencedirect.com/science/article/pii/S2949668323000071 |
| work_keys_str_mv | AT peisun contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT qinglu contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT luxiajing contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT cuixianli contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT jiexianwen contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT congli contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT jingjingwang contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT honglicao contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems AT beijianhuang contrastenhancedultrasounddiagnosisofcomplexcysticrenalmassinterobservervariabilitybasedondifferentbosniakclassificationsystems |