External validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary management of post-treatment gliomas

2024
journal article
article
1
dc.abstract.enPurpose: To independently and externally validate the Brain Tumour Reporting and Data System (BT-RADS) for post-treatment gliomas and assess interobserver variability. Material and methods: In this retrospective observational study, consecutive MRIs of 100 post-treatment glioma patients were reviewed by two independent radiologists (RD1 and RD2) and assigned a BT-RADS score. Inter-observer agreement statistics were determined by kappa statistics. The BT-RADS-linked management recommendations per score were compared with the multidisciplinary meeting (MDM) decisions. Results: The overall agreement rate between RD1 and RD2 was 62.7% (k = 0.67). The agreement rate between RD1 and consensus was 83.3% (k = 0.85), while the agreement between RD2 and consensus was 69.3% (k = 0.79). Among the radiologists, agreement was highest for score 2 and lowest for score 3b. There was a 97.9% agreement between BT-RADS-linked management recommendations and MDM decisions. Conclusions: BT-RADS scoring led to improved consistency, and standardised language in the structured MRI reporting of post-treatment brain tumours. It demonstrated good overall agreement among the reporting radiologists at both extremes; however, variation rates increased in the middle part of the spectrum. The interpretation categories linked to management decisions showed a near-perfect match with MDM decisions.
dc.contributor.authorTrivedi, Kamaxi Hitendrakumar
dc.contributor.authorGuha, Amrita
dc.contributor.authorThakur, Meenakshi
dc.contributor.authorMahajan, Abhishek
dc.contributor.authorBhole, Pallavi
dc.contributor.authorGupta, Tejpal
dc.date.accessioned2025-07-28T07:18:49Z
dc.date.available2025-07-28T07:18:49Z
dc.date.createdat2025-07-28T07:18:49Zen
dc.date.issued2024
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e155
dc.description.physicale148-e155
dc.description.versionostateczna wersja wydawcy
dc.description.volume89
dc.identifier.doi10.5114/pjr.2024.136390
dc.identifier.issn1733-134X
dc.identifier.projectDRC AI
dc.identifier.urihttps://ruj.uj.edu.pl/handle/item/558332
dc.languageeng
dc.language.containereng
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.typeotwarte czasopismo
dc.subject.enpost-treatment glioma
dc.subject.enBT-RADS
dc.subject.enstructured reporting
dc.subject.enneuroradiology
dc.subject.enexternal validation
dc.subtypeArticle
dc.titleExternal validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary management of post-treatment gliomas
dc.title.journalPolish Journal of Radiology
dc.typeJournalArticle
dspace.entity.typePublicationen
dc.abstract.en
Purpose: To independently and externally validate the Brain Tumour Reporting and Data System (BT-RADS) for post-treatment gliomas and assess interobserver variability. Material and methods: In this retrospective observational study, consecutive MRIs of 100 post-treatment glioma patients were reviewed by two independent radiologists (RD1 and RD2) and assigned a BT-RADS score. Inter-observer agreement statistics were determined by kappa statistics. The BT-RADS-linked management recommendations per score were compared with the multidisciplinary meeting (MDM) decisions. Results: The overall agreement rate between RD1 and RD2 was 62.7% (k = 0.67). The agreement rate between RD1 and consensus was 83.3% (k = 0.85), while the agreement between RD2 and consensus was 69.3% (k = 0.79). Among the radiologists, agreement was highest for score 2 and lowest for score 3b. There was a 97.9% agreement between BT-RADS-linked management recommendations and MDM decisions. Conclusions: BT-RADS scoring led to improved consistency, and standardised language in the structured MRI reporting of post-treatment brain tumours. It demonstrated good overall agreement among the reporting radiologists at both extremes; however, variation rates increased in the middle part of the spectrum. The interpretation categories linked to management decisions showed a near-perfect match with MDM decisions.
dc.contributor.author
Trivedi, Kamaxi Hitendrakumar
dc.contributor.author
Guha, Amrita
dc.contributor.author
Thakur, Meenakshi
dc.contributor.author
Mahajan, Abhishek
dc.contributor.author
Bhole, Pallavi
dc.contributor.author
Gupta, Tejpal
dc.date.accessioned
2025-07-28T07:18:49Z
dc.date.available
2025-07-28T07:18:49Z
dc.date.createdaten
2025-07-28T07:18:49Z
dc.date.issued
2024
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additional
Bibliogr. s. e155
dc.description.physical
e148-e155
dc.description.version
ostateczna wersja wydawcy
dc.description.volume
89
dc.identifier.doi
10.5114/pjr.2024.136390
dc.identifier.issn
1733-134X
dc.identifier.project
DRC AI
dc.identifier.uri
https://ruj.uj.edu.pl/handle/item/558332
dc.language
eng
dc.language.container
eng
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.en
post-treatment glioma
dc.subject.en
BT-RADS
dc.subject.en
structured reporting
dc.subject.en
neuroradiology
dc.subject.en
external validation
dc.subtype
Article
dc.title
External validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary management of post-treatment gliomas
dc.title.journal
Polish Journal of Radiology
dc.type
JournalArticle
dspace.entity.typeen
Publication
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