ArticleEuropean radiology2021
Interobserver reliability of the Tile classification system for pelvic fractures among radiologists and surgeons.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
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- The Reconstructive Pelvic Anatomy classification system : a valid and reliable classification system for pelvic reconstruction.Bone & joint open · 2026Article
- Association Between Pelvic Injury and Trauma-Induced Coagulopathy in Severe Trauma Patients: A Retrospective Single-Center Study.Journal of clinical medicine · 2026Article
- Pubic and Multiple Pelvic Fractures in Trauma Patients Are Associated With Intensive Care Unit Admission.Cureus · 2025Article
- Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: a retrospective study.BMC surgery · 2025Article
- Interpretable Severity Scoring of Pelvic Trauma Through Automated Fracture Detection and Bayesian Inference.IEEE transactions on medical imaging · 2025Article
- Reliability of interobserver and intraobserver assessments of the Tile versus Young-Burgess classifications for pelvic ring injuries.Scientific reports · 2024Article
- Earthquakes from a radiological perspective: what is demanded from the radiologists, and what can we do? A pictorial review.Diagnostic and interventional radiology (Ankara, Turkey) · 2024Review
- Performance Assessment of Out-of-Hospital Use of Pelvic Circumferential Compression Devices for Severely Injured Patients in Switzerland: A Nationwide Retrospective Cross-Sectional Study.Journal of clinical medicine · 2023Article
- Correlation between traumatic pelvic ring injuries and sexual dysfunctions: a multicentric retrospective study.International orthopaedics · 2023Article
- Concordance of neonatal critical condition data between secondary databases: Florida and Texas birth certificate Linkage with medicaid analytic extract.BMC medical research methodology · 2023Article
- Histological, radiological and clinical analysis of the supraspinatus tendon and muscle in rotator cuff tears.BMC musculoskeletal disorders · 2023Article
- A retrospective analysis of minimally invasive internal fixation versus nonoperative conservative management of pelvic ring fragility fractures and the elderly.Journal of orthopaedic surgery and research · 2023Article
- Design and evaluation of an intelligent reduction robot system for the minimally invasive reduction in pelvic fractures.Journal of orthopaedic surgery and research · 2022Article
- An Automated Deep Learning Method for Tile AO/OTA Pelvic Fracture Severity Grading from Trauma whole-Body CT.Journal of digital imaging · 2021Article
- An Interpretable Approach to Automated Severity Scoring in Pelvic Trauma.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted InterventionArticle
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the interobserver reliability (IOR) of the Tile classification system, and its potential influence on outcomes, for the interpretation of CT images of pelvic fractures by radiologists and surgeons.
methodsRetrospective data (1/2008-12/2016) from 238 patients with pelvic fractures were analyzed. Mean patient age was 44 years (SD 20); 66% were male. There were 54 Tile A, 82 Tile B, and 102 Tile C type injuries. The 30-day mortality rate was 15% (36/238). Six observers, three radiologists, and three surgeons with different levels of experience (attending/resident/intern) classified each fracture into one of the 26 second-order subcategories of the Tile classification. Weighted kappa coefficients were used to assess the IORs for the three main categories and nine first-order subcategories.
resultsThe overall IORs of the Tile system for the main categories and first-order subcategories were moderate (kappa = 0.44) and fair (kappa = 0.31), respectively. IOR was fair to moderate among radiologists, but only fair among surgeons. By level of training, IOR was moderate between attendings and between residents, whereas it was only fair between interns. IOR was moderate to substantial (kappa = 0.56-0.70) between the radiology attending and resident. Association of the Tile fracture type with 30-day mortality was present based on two out of six observer ratings.
conclusionsThe overall IOR of the Tile classification system is only fair to moderate, increases with the level of rater experience and is better among radiologists than surgeons. In the light of these findings, results from studies using this classification system must be interpreted cautiously. KEY POINTS: • The overall interobserver reliability of the Tile pelvic fracture classification is only fair to moderate. • Interobserver reliability increases with observer experience and radiologists have higher kappa coefficients than surgeons. • Interobserver reliability has an impact on the association of the Tile classification system with mortality in two out of six cases.
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