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THE EFFECT OF A TECHNICAL QUALITY ASSESSMENT OF HIP‐EXTENDED RADIOGRAPHS ON INTEROBSERVER AGREEMENT IN THE DIAGNOSIS OF CANINE HIP DYSPLASIA
Authors:GEERT EC VERHOEVEN  RUTH R FORTRIE  LUC DUCHATEAU  JIMMY H SAUNDERS  BERNADETTE VAN RYSSEN  HENRI VAN BREE  FRANK COOPMAN
Institution:1. Department of Medical Imaging, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium;2. Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium;3. Algemene Dierenkliniek Randstad, Frans Beirenslaan 155, 2150 Borsbeek, Belgium;4. Department of Physiology and Biometrics, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium;5. Department of Biosciences and Landscape Architecture, University College Ghent, Voskenslaan 290, 9000 Gent, Belgium
Abstract:Experienced and inexperienced observers evaluated the assessability of 50 radiographs (25 dogs) and determined the hip status (dysplasia/nondysplasia and final scoring according Fédération Cynologique Internationale FCI]‐criteria) individually. A radiographic technical quality assessment was performed in a separate reading session. Interobserver agreement in determining dysplasia/nondysplasia and FCI‐scoring did not significantly increase with the increasing quality of a radiograph, irrespective whether these observers are experienced or not. There was a significant agreement between the technical quality assessment and assessability (P<0.0005). Despite the effort to objectify radiographic quality and to present high‐quality radiographs to observers, interobserver agreement on dysplasia/nondysplasia and final scoring, remains low, even in the experienced group. Although increased radiographic quality narrows the range of scoring, the range remains unacceptably high.
Keywords:agreement  dog  hip dysplasia
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