Evidence map›Paper›PMID 35604891›Full record

ArticlePloS one2022

Impact of measurement method on interobserver variability of apparent diffusion coefficient of lesions in prostate MRI.

Hiroaki Takahashi, Kotaro Yoshida, Akira Kawashima, Nam Ju Lee, Adam T Froemming, Daniel A Adamo, Ashish Khandelwal, Candice W Bolan, Matthew T Heller, Robert P Hartman and 7 more

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Hiroaki TakahashiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Kotaro YoshidaDepartment of Radiology, Kanazawa University School of Medical Science, Ishikawa, Japan.
Akira KawashimaDepartment of Radiology, Mayo Clinic, Rochester, Arizona, United States of America.
Nam Ju LeeDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Adam T FroemmingDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Daniel A AdamoDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID 0000-0003-1420-7785
Ashish KhandelwalDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Candice W BolanDepartment of Radiology, Mayo Clinic, Rochester, Florida, United States of America.ORCID 0000-0002-9847-3599
Matthew T HellerDepartment of Radiology, Mayo Clinic, Rochester, Arizona, United States of America.
Robert P HartmanDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Bohyun KimDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Kenneth A PhilbrickDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Rickey E CarterDepartment of Health Science Research, Mayo Clinic, Rochester, Florida, United States of America.ORCID 0000-0002-0818-273X
Lance A MynderseDepartment of Urology, Mayo Clinic, Rochester, Minnesota, United States of America.
Mitchell R HumphreysDepartment of Urology, Mayo Clinic, Rochester, Arizona, United States of America.
Jason C CaiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID 0000-0002-9190-0252
Naoki TakahashiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID 0000-0002-7946-6078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the inter-observer variability of apparent diffusion coefficient (ADC) values of prostate lesions measured by 2D-region of interest (ROI) with and without specific measurement instruction.

methodsForty lesions in 40 patients who underwent prostate MR followed by targeted prostate biopsy were evaluated. A multi-reader study (10 readers) was performed to assess the agreement of ADC values between 2D-ROI without specific instruction and 2D-ROI with specific instruction to place a 9-pixel size 2D-ROI covering the lowest ADC area. The computer script generated multiple overlapping 9-pixel 2D-ROIs within a 3D-ROI encompassing the entire lesion placed by a single reader. The lowest mean ADC values from each 2D-small-ROI were used as reference values. Inter-observer agreement was assessed using the Bland-Altman plot. Intraclass correlation coefficient (ICC) was assessed between ADC values measured by 10 readers and the computer-calculated reference values.

resultsTen lesions were benign, 6 were Gleason score 6 prostate carcinoma (PCa), and 24 were clinically significant PCa. The mean±SD ADC reference value by 9-pixel-ROI was 733 ± 186 (10-6 mm2/s). The 95% limits of agreement of ADC values among readers were better with specific instruction (±112) than those without (±205). ICC between reader-measured ADC values and computer-calculated reference values ranged from 0.736-0.949 with specific instruction and 0.349-0.919 without specific instruction.

conclusionInterobserver agreement of ADC values can be improved by indicating a measurement method (use of a specific ROI size covering the lowest ADC area).

Indexed as

Diffusion Magnetic Resonance ImagingProstateHumansMagnetic Resonance ImagingMaleObserver VariationReproducibility of ResultsRetrospective Studies

Identifiers

PMID35604891
PMCPMC9126398

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.