Inter- and Intra-rater Agreement of Dermatologic Ultrasound for the Diagnosis of Lobular and Septal Panniculitis

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dc.contributor.authorRomani, Jorge
dc.contributor.authorGiavedoni, Priscila
dc.contributor.authorRoe, Esther
dc.contributor.authorVidal, David
dc.contributor.authorLuelmo, Jesus
dc.contributor.authorWortsman, Ximena
dc.date.accessioned2025-01-23T19:52:22Z
dc.date.available2025-01-23T19:52:22Z
dc.date.issued2020
dc.description.abstractObjectives-Dermatologic ultrasound (US) may aid in the diagnosis and classification of panniculitis. The purpose of this study was to assess the capability of dermatologic US for subtyping mainly septal/lobular panniculitis.
dc.description.abstractMethods-A multicentric and prospective study of the inter- and intra-rater agreement of dermatologic US for subtyping panniculitis was conducted among 4 clinicians with experience in dermatologic US and a radiologist specialized in dermatologic US. Clinicians recruited patients and performed dermatologic US examinations of the most substantial lesion and punch biopsies. A histologic study was considered the reference standard. Then the images were blindly evaluated by all researchers. For intra- and inter-rater agreement, Cohen and Fleiss kappa values were calculated.
dc.description.abstractResults-Sixty-four patients were included. The Cohen intra-rater kappa was 0.74. Sensitivity and specificity for lobular panniculitis were 85.19 and 88.57, respectively. The Fleiss inter-rater kappa was 0.47. Limitations of the study included the small number of patients and differences in evaluators and their dermatologic US equipment.
dc.description.abstractConclusions-This study supports the use of US for diagnosing panniculitis. For subtyping panniculitis, the intra-rater correlation was good. Improvement of inter-rater agreement may depend on access to clinical information, dynamic images, a better definition of criteria, homogeneous configurations of the devices, and the expertise of dermatologic US operators.
dc.fuente.origenWOS
dc.identifier.doi10.1002/jum.15080
dc.identifier.eissn1550-9613
dc.identifier.issn0278-4297
dc.identifier.urihttps://doi.org/10.1002/jum.15080
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/100630
dc.identifier.wosidWOS:000526850900013
dc.issue.numero1
dc.language.isoen
dc.pagina.final112
dc.pagina.inicio107
dc.revistaJournal of ultrasound in medicine
dc.rightsacceso restringido
dc.subjectdermatologic ultrasound
dc.subjectlobular
dc.subjectpanniculitis
dc.subjectseptal
dc.subjectultrasound
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleInter- and Intra-rater Agreement of Dermatologic Ultrasound for the Diagnosis of Lobular and Septal Panniculitis
dc.typeartículo
dc.volumen39
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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