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Table 2 Radiologist findings and agreement for radiograph and MRI

From: Radiographs in screening for sacroiliitis in children: what is the value?

 

Frequency (%)

 

Rater 1

Rater 2

Rater 3

Rater 4

Rater 5

Kappa (95% CI)

Radiograph

 Global impression of sacroiliitis

8 (1)

8 (13)

27 (45)

17 (28)

25 (42)

0.34 (0.19–0.52)

 Erosion

7 (12)

6 (10)

25 (42)

12 (20)

15 (26)

0.42 (0.22–0.6)

 Sclerosis

8 (13)

8 (13)

21 (35)

19 (32)

32 (53)

0.35 (0.19–0.52)

 Ankylosis

0 (0)

0 (0)

2 (3)

3 (5)

4 (7)

 JSN

1 (2)

1 (2)

10 (17)

18 (30)

8 (13)

0.11 (0.03–0.2)

 JSW

7 (12)

5 (8)

13 (22)

10 (17)

8 (13)

0.4 (0.23–0.57)

MRI

 Global impression of acute/active sacroiliitisa

12 (20)

9 (15)

9 (15)

10 (17)

17 (28)

0.72 (0.52–0.86)

  BME

10 (17)

9 (15)

12 (20)

10 (17)

16 (27)

0.78 (0.58–0.9)

  Capsulitis

6 (10)

2 (3)

0 (0)

1 (2)

7 (12)

0.21 (−0.02–0.46)

  Enthesitis outside of SIJ

6 (10)

3 (5)

1 (2)

0 (0)

4 (7)

0.25 (− 0.01–0.52)

  SIJ effusion

1 (2)

3 (5)

7 (12)

11 (18)

17 (28)

0.19 (0.05–0.34)

 Global impression of structural chronicb lesions consistent with sacroiliitis

16 (27)

9 (15)

12 (20)

13 (22)

19 (32)

0.58 (0.39–0.74)

  Erosion

14 (23)

9 (15)

9 (15)

13 (22)

9 (15)

0.64 (0.48–0.81)

  Sclerosis

4 (7)

4 (7)

6 (10)

12 (20)

36 (60)

0.15 (0.01–0.31)

  Backfill

11 (18)

4 (7)

6 (10)

4 (7)

6 (10)

0.59 (0.24–0.81)

  Fat metaplasia

3 (5)

1 (2)

2 (3)

1 (2)

5 (8)

0.52 (−0.02–0.93)

  Ankylosis

0 (0)

1 (2)

0 (0)

1 (2)

1 (2)

  1. BME bone marrow edema, CI confidence interval, JSN joint space narrowing, JSW joint space widening, MRI magnetic resonance imaging, SIJ sacroiliac joint
  2. aAcute/active inflammatory lesions meeting the Assessment of Spondyloarthritis International Society definition of a positive MRI scan of the sacroiliac joints
  3. bStructural chronic lesions refer to the clear presence of typical findings such as sclerosis, erosion, fatty lesions, bone bridges, and ankyloses