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Improving Interobserver Variation in Reporting Gadolinium-Enhancing MRI Lesions in Multiple Sclerosis
Neurol 49:1682-1688, Barkhof,F.,et al, 1997
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Article Abstract
Gadolinium-enhanced MRI is a sensitive and objective means to monitor disease activity in multiple sclerosis(MS).We evaluated the interobserver agreement and the value of observer training in reporting enhancing lesions from serial MRI.Scans of 16 MS patients were evaluated by five inexperienced and five experienced observers before and after consensus formation and training.In both groups MADM scores were<0.72 for baseline and new lesions but>1.2 for persistent lesions.Interobserver agreement is improved by training,especially in inexperienced readers.Interobserver agreement in reporting gadolinium-enhanced lesions is high which validates the use of serial enhanced MRI as an outcome parameter in treatment trials in MS.
 
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gadolinium
interobserver agreement
MRI
MRI,abnormal
MRI,contrast enhanced
MRI,serial
multiple sclerosis
multiple sclerosis,treatment of
treatment of neurologic disorder

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