Inter-rater reliability of diagnostic criteria for sacroiliac joint-, disc- and facet joint pain

Tilburg, Cornelis Wilhelmus Jacobus van; Groeneweg, George; Stronks, Dirk L.; Huygen, Frank

doi:10.3233/bmr-150495

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…The zygapophyseal joints can only be definitely diagnosed with an intra-articular block [7]. The painful lumbar extension as a provocation test of the facet joints must be interpreted in the light of the poor sensitivity and specificity of these tests [27]. The absence of centralization decreases the likelihood of the discogenic pain [28].…”

Section: Differential Diagnosis Of Pmsmentioning

confidence: 99%

Piriformis Muscle Syndrome, Post Discectomy: a Comprehensive Review of its Diagnostic Process and Management, Illustrated with the Aid of a Case Report

Schembri

2018

SN Compr. Clin. Med.

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This review, with the help of a case study, provides a detailed account of the possible biopsychosocial risk factors underlying piriformis muscle syndrome, post discectomy. The diagnostic process including imaging, nerve conduction studies, musculoskeletal examination coupled with provocation maneuvers, palpation, and the musculoskeletal differential diagnosis of buttock pain is illustrated. Reference is made to the aberrant sciatic nerve anatomy and to the myofascial component which is frequently reported to underlie piriformis muscle syndrome. Additionally, the use of validated neuropathic pain assessment tools in grading the possibility of neuropathic pain due to piriformis muscle syndrome is discussed. The prevalence and mechanisms of piriformis muscle syndrome, especially post sipnal surgery, are reviewed. Evidence-based multidisciplinary management underlying this condition is discussed. In refractory cases, treatment escalation, using intramuscular botulinum neurotoxin injection, usually yields very positive results and long-term pain resolution, as evidenced by the case study.

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Section: Differential Diagnosis Of Pmsmentioning

confidence: 99%

Piriformis Muscle Syndrome, Post Discectomy: a Comprehensive Review of its Diagnostic Process and Management, Illustrated with the Aid of a Case Report

Schembri

2018

SN Compr. Clin. Med.

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“…Obtaining high inter-rater reliability among experts can be challenging when interpreting complex multifactorial diseases and grading lesions on multiclass scales. The phenomenon of variable inter-rater reliability has been widely documented across imaging subspecialities [3][4][5][6][7] and can result in both missed diagnoses and limit appropriate medical intervention at the right time [8] (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Utilizing a Digital Swarm Intelligence Platform to Improve Consensus Among Radiologists and Exploring Its Applications

et al. 2022

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Radiologists today play a central role in making diagnostic decisions and labeling images for training and benchmarking artificial intelligence (AI) algorithms. A key concern is low inter-reader reliability (IRR) seen between experts when interpreting challenging cases. While team-based decisions are known to outperform individual decisions, inter-personal biases often creep up in group interactions which limit nondominant participants from expressing true opinions. To overcome the dual problems of low consensus and interpersonal bias, we explored a solution modeled on bee swarms. Two separate cohorts, three board-certified radiologists, (cohort 1), and five radiology residents (cohort 2) collaborated on a digital swarm platform in real time and in a blinded fashion, grading meniscal lesions on knee MR exams. These consensus votes were benchmarked against clinical (arthroscopy) and radiological (senior-most radiologist) standards of reference using Cohen’s kappa. The IRR of the consensus votes was then compared to the IRR of the majority and most confident votes of the two cohorts. IRR was also calculated for predictions from a meniscal lesion detecting AI algorithm. The attending cohort saw an improvement of 23% in IRR of swarm votes (k = 0.34) over majority vote (k = 0.11). Similar improvement of 23% in IRR (k = 0.25) in 3-resident swarm votes over majority vote (k = 0.02) was observed. The 5-resident swarm had an even higher improvement of 30% in IRR (k = 0.37) over majority vote (k = 0.07). The swarm consensus votes outperformed individual and majority vote decision in both the radiologists and resident cohorts. The attending and resident swarms also outperformed predictions from a state-of-the-art AI algorithm.

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Low Back Pain and Sciatica in Pregnancy

Goldstein

2023

Neurological Disorders in Pregnancy

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Inter-rater reliability of diagnostic criteria for sacroiliac joint-, disc- and facet joint pain

Abstract: The poor reliability of the diagnostic parameters seriously limits their predictive validity, and as such their use in patients with low back pain for more than 3 months.

Cited by 6 publications

References 12 publications

Piriformis Muscle Syndrome, Post Discectomy: a Comprehensive Review of its Diagnostic Process and Management, Illustrated with the Aid of a Case Report

Piriformis Muscle Syndrome, Post Discectomy: a Comprehensive Review of its Diagnostic Process and Management, Illustrated with the Aid of a Case Report

Utilizing a Digital Swarm Intelligence Platform to Improve Consensus Among Radiologists and Exploring Its Applications

Low Back Pain and Sciatica in Pregnancy

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