Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists
In patients with Legg-Calve-Perthes (LCP), the Catterall and Herring classifications based on standard hip radiographs are frequently used. In this study, the compatibility of classification systems in hip radiographs and MR images of LCP patients was examined among specialist working in the departm...
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| Format: | Article |
| Language: | English |
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Society of Turaz Bilim
2022-12-01
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| Series: | Medicine Science |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=111810 |
| _version_ | 1827360447558320128 |
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| author | Serkan Erkus Onder Kalenderer Ali Turgut Dilek Oncel |
| author_facet | Serkan Erkus Onder Kalenderer Ali Turgut Dilek Oncel |
| author_sort | Serkan Erkus |
| collection | DOAJ |
| description | In patients with Legg-Calve-Perthes (LCP), the Catterall and Herring classifications based on standard hip radiographs are frequently used. In this study, the compatibility of classification systems in hip radiographs and MR images of LCP patients was examined among specialist working in the departments of Orthopedics and Radiology, and the reliability was investigated. In this study, which included 37 Perthes patients, two separate presentations were prepared in which the radiological imaging of the patients was determined by drawing lots. Six experienced specialists were selected as observers, three of whom were radiologist and three of pediatric orthopedists. Each presentations were sent to the observers one month apart. They were asked to categorize visual data. Data were evaluated with percent agreement (PA) and Gwet's AC1 method. In the Catterall classification, agreement among pediatric orthopedists decreased in MRI examination, while an increase was observed among radiologists. In the Herring classification, while pediatric orthopedists remained at a similar level, radiologists' inter-observer reliability increased. When the intra-observer reliability was examined, it was observed that the radiologists in the Catterall classification and the orthopedists in the Herring classification were more stable in the evaluations made with MRI. The usability of both classification systems, which provide prognostic prediction, in MRI examinations is a crucial unknown. It is fruitful that both radiologists and pediatric orthopedists work together in novel classification systems to be created using MRI. [Med-Science 2022; 11(4.000): 1507-10] |
| first_indexed | 2024-03-08T06:48:23Z |
| format | Article |
| id | doaj.art-a3ef416c43db44808b6ded26866e6972 |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T06:48:23Z |
| publishDate | 2022-12-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-a3ef416c43db44808b6ded26866e69722024-02-03T07:29:07ZengSociety of Turaz BilimMedicine Science2147-06342022-12-0111415071010.5455/medscience.2022.09.204111810Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologistsSerkan Erkus0Onder Kalenderer1Ali Turgut2Dilek Oncel3Specialist in Orthopaedics and Traumatology, Izmir, Turkey Izmir Tınaztepe University, Faculty of Health Sciences, Department of Occupational Therapy, Izmir, Turkiye Tepecik Training and Research Hospital, Department of Orthopaedics and Traumatology, Izmir, Turkiye Tepecik Training and Research Hospital, Department of Radiology, Izmir, TurkiyeIn patients with Legg-Calve-Perthes (LCP), the Catterall and Herring classifications based on standard hip radiographs are frequently used. In this study, the compatibility of classification systems in hip radiographs and MR images of LCP patients was examined among specialist working in the departments of Orthopedics and Radiology, and the reliability was investigated. In this study, which included 37 Perthes patients, two separate presentations were prepared in which the radiological imaging of the patients was determined by drawing lots. Six experienced specialists were selected as observers, three of whom were radiologist and three of pediatric orthopedists. Each presentations were sent to the observers one month apart. They were asked to categorize visual data. Data were evaluated with percent agreement (PA) and Gwet's AC1 method. In the Catterall classification, agreement among pediatric orthopedists decreased in MRI examination, while an increase was observed among radiologists. In the Herring classification, while pediatric orthopedists remained at a similar level, radiologists' inter-observer reliability increased. When the intra-observer reliability was examined, it was observed that the radiologists in the Catterall classification and the orthopedists in the Herring classification were more stable in the evaluations made with MRI. The usability of both classification systems, which provide prognostic prediction, in MRI examinations is a crucial unknown. It is fruitful that both radiologists and pediatric orthopedists work together in novel classification systems to be created using MRI. [Med-Science 2022; 11(4.000): 1507-10]http://www.ejmanager.com/fulltextpdf.php?mno=111810hip radiographmrilegg-calve-perthes diseasereliability |
| spellingShingle | Serkan Erkus Onder Kalenderer Ali Turgut Dilek Oncel Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists Medicine Science hip radiograph mri legg-calve-perthes disease reliability |
| title | Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists |
| title_full | Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists |
| title_fullStr | Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists |
| title_full_unstemmed | Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists |
| title_short | Reliability of two common classifications for Legg-Calve-Perthes disease if using MRI: Pediatric orthopedists vs. radiologists |
| title_sort | reliability of two common classifications for legg calve perthes disease if using mri pediatric orthopedists vs radiologists |
| topic | hip radiograph mri legg-calve-perthes disease reliability |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=111810 |
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