Inter-observer agreement of paranasal sinus computed tomography scans

Julkunen, Anna; Terna, Emma; Numminen, Jura; Markkola, Annamari; Dastidar, Prasun; Karjalainen, Markus; Huhtala, Heini; Rautiainen, Markus; Meurman, Jukka H.; Toppila‐Salmi, Sanna

doi:10.1080/00016489.2016.1262552

Cited by 11 publications

(8 citation statements)

References 16 publications

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“…Therefore, the presented ICC results are much more informative on the extent of interrater agreement. As expected, the kappa values for the LM scores of the current study fit well into existing literature (data not shown) (7,10,11) .…”

Section: Interrater Agreement and Degree Of Opacification And Diagnosissupporting

confidence: 90%

The Amsterdam Classification of Completeness of Endoscopic Sinus Surgery (ACCESS): a new CT-based scoring system grading the extent of surgery

Reitsma¹,

Adriaensen²,

Cornet³

et al. 2020

Rhin

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Background: A debate is ongoing on the role of the extent of sinus surgery in disease control in chronic rhinosinusitis (CRS). The newly developed Amsterdam Classification on Completeness of Endoscopic Sinus Surgery (ACCESS) score provides a way to quantify extent of surgery. This study aimed to validate the ACCESS scoring system and to report its interrater agreement compared to the widely used Lund-Mackay (LM) scoring system. Methodology: Forty hand-picked anonymized computed tomography scans of sinuses of patients with varying pathology and degree of previous sinus surgery were independently scored by six rhinologists. Interrater agreement was determined by the intraclass correlation (ICC) statistic. Results: The interrater agreement of the ACCESS score was excellent, comparable to the LM score. The ACCESS interrater agreement was not influenced by degree of opacification or diagnosis. The ACCESS score reliably measured predicted differences induced by sinus surgery. Conclusions: the ACCESS score is an easy-to-use valid tool to assess extent of sinus surgery with an excellent interrater agreement. Further validation in a random group of CRS cases is required.

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Section: Interrater Agreement and Degree Of Opacification And Diagnosissupporting

confidence: 90%

The Amsterdam Classification of Completeness of Endoscopic Sinus Surgery (ACCESS): a new CT-based scoring system grading the extent of surgery

Reitsma¹,

Adriaensen²,

Cornet³

et al. 2020

Rhin

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“…All CRSsNP patients underwent sinus CT at the Tampere University Hospital as previously described. 11 All control subjects and 14 CRSsNP patients underwent MRI at the Terveystalo Healthcare Oyj, Tampere. MRI was performed during the same day when CT scans were performed in the CRSsNP group.…”

Section: Methodsmentioning

confidence: 99%

“…He filled a form of LM scores and other sinonasal structures as previously described. 11 For this study, we used LM scores and signs of sinus mucosal abnormality. Sinus mucosal abnormality was scored: 0 ¼ normal mucosa or sinus cyst, 1 ¼ mild mucosal swelling/thickened mucosa without signs of discharge, and 2 ¼ polypous mucosa AE signs of discharge.…”

Section: Sinus Imagingmentioning

confidence: 99%

Diagnostic Accuracy of Symptoms, Endoscopy, and Imaging Signs of Chronic Rhinosinusitis Without Nasal Polyps Compared to Allergic Rhinitis

Koskinen

Numminen

Markkola

et al. 2018

Am J Rhinol�Allergy

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Objectives The diagnosis of chronic rhinosinusitis without nasal polyps (CRSsNP) and distinguishing it from allergic rhinitis is difficult. Yet, early detection of CRSsNP is important to prevent progressive and severe chronic rhinosinusitis. Our aim was to compare diagnostic accuracy of symptoms, endoscopy, and imaging signs of CRSsNP and allergic rhinitis -only phenotypes. Setting Prospective controlled follow-up study. Participants Forty-two nonsmoking patients visiting tertiary care due to CRSsNP and 19 nonsmoking volunteer controls with allergic rhinitis filled a symptoms questionnaire and underwent nasal endoscopy off-seasonally. All CRSsNP patients underwent computed tomography scans of paranasal sinuses. All the allergic rhinitis control subjects and 14 of the CRSsNP patients underwent sinus magnetic resonance imaging. Results Radiologic Lund-Mackay score, duration of symptoms, visual analogue scale scores of symptoms, and Sinonasal Outcome Test 22 were significantly higher in the CRSsNP group compared to allergic rhinitis control group. These factors also correlated in part with each other. Endoscopic score did not correlate with other factors, nor did it differ between CRSsNP and allergic rhinitis groups. The highest area under curve value was demonstrated for visual analogue scale score of facial pain/pressure (0.93) and score ≥4/10 showed 60% sensitivity and 95% specificity for detecting CRSsNP group ( P < .001). Radiologic sign of obstructed osteomeatal complex showed 100% specificity and 38% sensitivity for detecting CRSsNP group ( P < .001). Conclusions CRSsNP phenotype could be primarily distinguished from allergic rhinitis by higher facial pain/pressure score and secondarily by radiologic sings of obstructed ostiomeatal complex and higher Lund-Mackay score. Endoscopic score has limited value in distinguishing CRSsNP from allergic rhinitis.

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“…meeting with inclusion/exclusion criteria), from a random sample of 69 CRSwNP patients who had undergone nasal polyp biopsy during ESS consultation/ESS at Tampere University Hospital between 2005–2007; (ii) thirty-eight CRSwNP patients eligible from a random sample of 246 CRS patients who had undergone ESS consultation between 2002–2017 at the Helsinki and Tampere University Hospitals; (iii) six CRSwNP patients eligible form a random sample of 97 CRS/rhinitis patients who underwent sinus CT scans due to suspicion of CRS at Tampere University Hospital during 2006–2011. 32 …”

Section: Subjectsmentioning

confidence: 99%

Factors Affecting the Control of Chronic Rhinosinusitis With Nasal Polyps: A Comparison in Patients With or Without NERD

Lilja

Koskinen

Virkkula

et al. 2021

Allergy�Rhinol (Providence)

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Objectives The aim was to compare the control of chronic rhinosinusitis with nasal polyps (CRSwNP) after endoscopic sinus surgery (ESS), in patients with/without nonsteroidal anti-inflammatory drug exacerbated respiratory disease (NERD). Study Desing: A retrospective hospital-based sample of CRSwNP patients with/without NERD with follow-up. Setting Tertiary rhinology centers. Methods Electronic patient record data from 116 CRSwNP patients (46 with NERD and 70 without NERD) undergoing ESS during 2001–17 were studied. Mean follow-up time was 9.9 years (range 1.1–15.3). Endpoints reflecting uncontrolled CRSwNP were revision ESS, and need for rescue/advanced therapy (e.g. antibiotics, oral corticosteroids and/or biological therapy) during follow-up. NERD was variable of interest and gender, age, asthma, allergic rhinitis (AR), smoking, Lund-Mackay (LM) score of sinus computed tomography scans previous ESS and baseline total ethmoidectomy were used as covariates. Results Twenty-one (49.7%) NERD patients and 18 (25.7%) non-NERD patients underwent revision ESS within a mean ± SD of 4.3 ± 2.8 and 3.7 ± 2.6 years, respectively (p = .013, by Logrank test). In Cox´s regression models, NERD, female gender, young age, asthma, AR, previous ESS, and lack of total ethmoidectomy were associated with revision-ESS. In adjusted model, only the total ethmoidectomy predicted revision-free survival. In adjusted logistic regression model, there was an insignificant trend that NERD and LM score were associated with the need for rescue/advanced therapy in the follow-up. Conclusions Patients with NERD had higher risk of uncontrolled CRSwNP than patient group without NERD, as measured by revision ESS and/or need for rescue/advanced therapy in the follow-up. In addition, baseline total ethmoidectomy was associated with revision-free survival.

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Inter-observer agreement of paranasal sinus computed tomography scans

Abstract: In general, there was moderate inter-observer agreement of the structures by Cohen's kappa coefficient. Poor reproducibility was observed in the following structures: optic nerve, insertion of the uncinated process, anterior ethmoidal artery, and Keros class.

Cited by 11 publications

References 16 publications

The Amsterdam Classification of Completeness of Endoscopic Sinus Surgery (ACCESS): a new CT-based scoring system grading the extent of surgery

The Amsterdam Classification of Completeness of Endoscopic Sinus Surgery (ACCESS): a new CT-based scoring system grading the extent of surgery

Diagnostic Accuracy of Symptoms, Endoscopy, and Imaging Signs of Chronic Rhinosinusitis Without Nasal Polyps Compared to Allergic Rhinitis

Factors Affecting the Control of Chronic Rhinosinusitis With Nasal Polyps: A Comparison in Patients With or Without NERD

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