Intra- and interobserver agreement of computed tomography in assessment of the mandibular condyle.
- Author:
Bong Hae CHO
1
;
Yun Hoa JUNG
Author Information
1. Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Busan, Korea. yhjung@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Mandibular Condyle;
Tomography, Spiral Computed;
Observer Variation
- MeSH:
Mandibular Condyle*;
Multidetector Computed Tomography;
Observer Variation;
Osteophyte;
Sclerosis;
Temporomandibular Joint;
Tomography, Spiral Computed
- From:Korean Journal of Oral and Maxillofacial Radiology
2007;37(4):191-195
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To study the intra- and interobserver agreement of multidetector row computed tomography (MDCT) in interpretation of degenerative changes of the mandibular condyle. MATERIALS AND METHODS: Five observers independently evaluated one hundred temporomandibular joint MDCT images for signs of osteophytes, erosion, sclerosis and flattening. The intra- and interobserver agreements were calculated by using Kappa statistics. RESULTS: The intraobserver agreement was substantial for erosion (k=0.75), flattening (k=0.74) and sclerosis (k=0.72) and almost perfect for osteophytes (k=0.84). The interobserver agreement was fair for flattening (k=0.39), moderate for erosion (k=0.58) and sclerosis (k=0.48) and substantial for osteophytes (k=0.75). CONCLUSION: This study shows that we can expect good agreement for the presence of osteophytes, but not for flattening in the interpretation of MDCT images of the condyle.