Author/Editor     Jakšić, Emilija; Beatović, Slobodanka; Žagar, Ivana; Paunković, Nebojša; Stefanović, Aida; Ajdinović, Boris; Janošević, Slobodanka; Han, Ruben
Title     Interobserver variability in 99mTc-DMSA renal scintigraphy reports: multicentric study
Type     članek
Source     Nucl Med Rev
Vol. and No.     Letnik 2, št. 1
Publication year     1999
Volume     str. 28-33
Language     eng
Abstract     Background: The aim of the study was to evaluate the interobserver variability and reproducibility of the renal scintigraphy reports. Methods: The study was prospective performed in 60 99mTc DMSA scintigraphies (116 kidneys), done in one centre, displayed on X ray films as analogue 300 kcounts images in 4 standard projections. Six observers from 4 different centres (group A), including three observers from one institution (group B), were asked to interpret original scans. Seven parameters of scintigraphy protocol were analysed with at least two responses: kidney size (1), uptake (2), outlines (3), scars (4), SOL (5), differential function (6) and conclusion (7). Results: Among 116 kidneys, concordant results in interpretation of seven points of report from 1 to 7, in the group A were found in 62%, 42,5%.0, 45%, 9%.0, 47%, 52% and 34%, and in the aroup B in 72%, 55%, 59%, 22%, 62%, 60% and 41% respectively. Some improvement in concordant reporting was noted in the group of 3 observers, in comparison of group of all, statistically significant in category of scar reports (p < 0.01). Conclusions: Results suoaest to use of standardised criteria and terminology in interpretations, to improve low interobserver reproducibility and objectivity of renal scintigraphy reports, particularly in evaluation of renal scars.
Descriptors     RADIOISOTOPE RENOGRAPHY
TECHNETIUM
SUCCIMER
OBSERVER VARIATION
MULTICENTER STUDIES