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Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture

Evelien Bogaerts (UGent) , Elke Van der Vekens, Geert Verhoeven (UGent) , Hilde De Rooster (UGent) , Bernadette Van Ryssen (UGent) , Yves Samoy (UGent) , Ingrid Putcuyps, Johan Van Tilburg, Nausikaa Devriendt (UGent) , Frederik Weekers, et al.
(2018) VETERINARY RECORD. 182(17).
Author
Organization
Abstract
Even though radiography is one of the most frequently used imaging techniques for orthopaedic disorders, it has been demonstrated that the interpretation can vary between assessors. As such, the purpose of this study was to examine the intraobserver and interobserver agreement and the influence of level of expertise on the interpretation of radiographs of the stifle in dogs with and without cranial cruciate ligament rupture (CCLR). Sixteen observers, divided in four groups according to their level of experience, evaluated 30 radiographs (15 cases with CCLR and 15 control stifles) twice. Each observer was asked to evaluate joint effusion, presence and location of degenerative joint disease, joint instability and whether CCLR was present or absent. Overall, intraobserver and interobserver agreement ranged from fair to almost perfect with a trend towards increased agreement for more experienced observers. Additionally, it was found that stifles that were classified with high agreement have either overt disease characteristics or no disease characteristics at all, in comparison to the ones that are classified with a low agreement. Overall, the agreement on radiographic interpretation of CCLR was high, which is important, as it is the basis of a correct diagnosis and treatment.
Keywords
HIP-DYSPLASIA, RISK-FACTORS, DOGS, INJURY, STIFLE, PREVALENCE

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MLA
Bogaerts, Evelien, et al. “Intraobserver and Interobserver Agreement on the Radiographical Diagnosis of Canine Cranial Cruciate Ligament Rupture.” VETERINARY RECORD, vol. 182, no. 17, 2018, doi:10.1136/vr.104523.
APA
Bogaerts, E., Van der Vekens, E., Verhoeven, G., De Rooster, H., Van Ryssen, B., Samoy, Y., … Broeckx, B. (2018). Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture. VETERINARY RECORD, 182(17). https://doi.org/10.1136/vr.104523
Chicago author-date
Bogaerts, Evelien, Elke Van der Vekens, Geert Verhoeven, Hilde De Rooster, Bernadette Van Ryssen, Yves Samoy, Ingrid Putcuyps, et al. 2018. “Intraobserver and Interobserver Agreement on the Radiographical Diagnosis of Canine Cranial Cruciate Ligament Rupture.” VETERINARY RECORD 182 (17). https://doi.org/10.1136/vr.104523.
Chicago author-date (all authors)
Bogaerts, Evelien, Elke Van der Vekens, Geert Verhoeven, Hilde De Rooster, Bernadette Van Ryssen, Yves Samoy, Ingrid Putcuyps, Johan Van Tilburg, Nausikaa Devriendt, Frederik Weekers, Miléva Bertal, Blandine Houdellier, Stephanie Scheemaeker, Jeroen Verstreken, Maryline Lamerand, Laurien Feenstra, Luc Peelman, Filip Van Nieuwerburgh, Jimmy Saunders, and Bart Broeckx. 2018. “Intraobserver and Interobserver Agreement on the Radiographical Diagnosis of Canine Cranial Cruciate Ligament Rupture.” VETERINARY RECORD 182 (17). doi:10.1136/vr.104523.
Vancouver
1.
Bogaerts E, Van der Vekens E, Verhoeven G, De Rooster H, Van Ryssen B, Samoy Y, et al. Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture. VETERINARY RECORD. 2018;182(17).
IEEE
[1]
E. Bogaerts et al., “Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture,” VETERINARY RECORD, vol. 182, no. 17, 2018.
@article{8550056,
  abstract     = {{Even though radiography is one of the most frequently used imaging techniques for orthopaedic disorders, it has been demonstrated that the interpretation can vary between assessors. As such, the purpose of this study was to examine the intraobserver and interobserver agreement and the influence of level of expertise on the interpretation of radiographs of the stifle in dogs with and without cranial cruciate ligament rupture (CCLR). Sixteen observers, divided in four groups according to their level of experience, evaluated 30 radiographs (15 cases with CCLR and 15 control stifles) twice. Each observer was asked to evaluate joint effusion, presence and location of degenerative joint disease, joint instability and whether CCLR was present or absent. Overall, intraobserver and interobserver agreement ranged from fair to almost perfect with a trend towards increased agreement for more experienced observers. Additionally, it was found that stifles that were classified with high agreement have either overt disease characteristics or no disease characteristics at all, in comparison to the ones that are classified with a low agreement. Overall, the agreement on radiographic interpretation of CCLR was high, which is important, as it is the basis of a correct diagnosis and treatment.}},
  articleno    = {{484}},
  author       = {{Bogaerts, Evelien and Van der Vekens, Elke and Verhoeven, Geert and De Rooster, Hilde and Van Ryssen, Bernadette and Samoy, Yves and Putcuyps, Ingrid and Van Tilburg, Johan and Devriendt, Nausikaa and Weekers, Frederik and Bertal, Miléva and Houdellier, Blandine and Scheemaeker, Stephanie and Verstreken, Jeroen and Lamerand, Maryline and Feenstra, Laurien and Peelman, Luc and Van Nieuwerburgh, Filip and Saunders, Jimmy and Broeckx, Bart}},
  issn         = {{0042-4900}},
  journal      = {{VETERINARY RECORD}},
  keywords     = {{HIP-DYSPLASIA,RISK-FACTORS,DOGS,INJURY,STIFLE,PREVALENCE}},
  language     = {{eng}},
  number       = {{17}},
  pages        = {{7}},
  title        = {{Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture}},
  url          = {{http://doi.org/10.1136/vr.104523}},
  volume       = {{182}},
  year         = {{2018}},
}
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