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Intra- and interobserver agreement of computed tomography in assessment of the mandibular condyle

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Á¶ºÀÇý, Á¤¿¬È­,
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Á¶ºÀÇý ( Cho Bong-Hae ) - ºÎ»ê´ëÇб³ Ä¡°ú´ëÇÐ ±¸°­¾Ç¾È¸é¹æ»ç¼±Çб³½Ç
Á¤¿¬È­ ( Jung Yun-Hoa ) - ºÎ»ê´ëÇб³ Ä¡°ú´ëÇÐ ±¸°­¾Ç¾È¸é¹æ»ç¼±Çб³½Ç

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 & 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. (Korean J Oral Maxillofac Radiol 2007; 37 : 191-5 )

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Mandibular Condyle; Tomography; Spiral Computed; Observer Variation

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