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External validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary management of post-treatment gliomas
post-treatment glioma
BT-RADS
structured reporting
neuroradiology
external validation
Bibliogr. s. e155
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.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.createdat | 2025-07-28T07:18:49Z | en |
| 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.type | Publication | en |
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