Interobserver agreement for detecting Hill-Sachs lesions on magnetic resonance imaging
- Author:
Hassanin ALKADUHIMI
1
;
Aïmane SAARIG
;
Ihsan AMAJJAR
;
Just A. van der LINDE
;
Marieke F. van WIER
;
Nienke W. WILLIGENBURG
;
Michel P.J. van den BEKEROM
;
Author Information
- Publication Type:Original Article
- From:Clinics in Shoulder and Elbow 2021;24(2):98-105
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement.
Methods:Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss’ kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction.
Results:The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion.
Conclusions:Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.
