Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol
<h3>Purpose</h3><p dir="ltr">To develop a specified radiographic scoring system for the pubic symphysis and adjacent bones, and to examine the intra- and inter-rater reproducibility of this system.</p><h3>Method</h3><p dir="ltr">Developme...
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2020
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| _version_ | 1864513559482859520 |
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| author | Andreas Serner (8377587) |
| author2 | Javier Arnaiz (11026980) Andrea Mosler (9581147) Emad Almusa (17052432) Zarko Vuckovic (17052435) Igor Tak (7015109) Mario Maas (3400763) Adam Weir (8377590) Per Hölmich (5585114) |
| author2_role | author author author author author author author author |
| author_facet | Andreas Serner (8377587) Javier Arnaiz (11026980) Andrea Mosler (9581147) Emad Almusa (17052432) Zarko Vuckovic (17052435) Igor Tak (7015109) Mario Maas (3400763) Adam Weir (8377590) Per Hölmich (5585114) |
| author_role | author |
| dc.creator.none.fl_str_mv | Andreas Serner (8377587) Javier Arnaiz (11026980) Andrea Mosler (9581147) Emad Almusa (17052432) Zarko Vuckovic (17052435) Igor Tak (7015109) Mario Maas (3400763) Adam Weir (8377590) Per Hölmich (5585114) |
| dc.date.none.fl_str_mv | 2020-11-28T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.ejrad.2020.109452 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Classifying_radiographic_changes_of_the_pubic_symphysis_in_male_athletes_Development_and_reproducibility_of_a_new_scoring_protocol/24204198 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Reliability X-ray Pubic symphysis Pelvis Groin pain Sport |
| dc.title.none.fl_str_mv | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">To develop a specified radiographic scoring system for the pubic symphysis and adjacent bones, and to examine the intra- and inter-rater reproducibility of this system.</p><h3>Method</h3><p dir="ltr">Development of the scoring protocol was performed in three stages using AP pelvis radiographs of 102 male adult athletes. The final protocol included 5 overall scoring items, which included further specification of locations: 1) bone lucency (erosion-like configuration and cysts), 2) proliferation, 3) fragmentation, 4) sclerosis, and 5) joint space width. Intra- and inter-rater reproducibility were determined using Cohen’s kappa statistic (κ) and intraclass correlation coefficient (ICC). The standard error of measurement (SEM) and minimal detectable difference (MDD) were also determined.</p><h3>Results</h3><p dir="ltr">We present a radiographic scoring protocol with clear definitions and examples to improve clinical usability. Intra-rater reproducibility was: bone lucency (erosion-like configuration or cysts): κ = 0.67 (95 %CI 0.56−0.78), proliferation: κ = 0.54 (95 %CI 0.38−0.70), fragmentation: κ = 0.80 (95 %CI 0.67−0.93), sclerosis: κ = 0.60 (95 %CI 0.49−0.71), and joint space width: ICC(2.1) 0.85 (95 %CI 0.78−0.89), SEM 0.4 mm, MDD 1.2 mm. Inter-rater reproducibility was: bone lucency: κ = 0.61 (95 %CI 0.50−0.72), proliferation: κ = 0.34 (95 %CI 0.20−0.48), fragmentation: κ = 0.67 (95 %CI 0.50−0.84), sclerosis: κ = 0.30 (95 %CI 0.17−0.43), and joint space width: ICC(2.1) 0.72 (95 %CI 0.59−0.81), SEM 0.5 mm., MDD 1.5 mm.</p><h3>Conclusions</h3><p dir="ltr">The Aspetar pubic symphysis radiographic scoring protocol contains five overall scoring items, with additional specifications. These five items showed moderate to almost perfect intra-rater reproducibility, and fair to substantial inter-rater reproducibility. This protocol provides the basis for use in clinical practice, and will allow future investigations of the clinical significance of radiographic changes at the pubic symphysis in athletes.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Radiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ejrad.2020.109452" target="_blank">https://dx.doi.org/10.1016/j.ejrad.2020.109452</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_09d317068539059f17fff94725e906a1 |
| identifier_str_mv | 10.1016/j.ejrad.2020.109452 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24204198 |
| publishDate | 2020 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocolAndreas Serner (8377587)Javier Arnaiz (11026980)Andrea Mosler (9581147)Emad Almusa (17052432)Zarko Vuckovic (17052435)Igor Tak (7015109)Mario Maas (3400763)Adam Weir (8377590)Per Hölmich (5585114)Biomedical and clinical sciencesClinical sciencesReliabilityX-rayPubic symphysisPelvisGroin painSport<h3>Purpose</h3><p dir="ltr">To develop a specified radiographic scoring system for the pubic symphysis and adjacent bones, and to examine the intra- and inter-rater reproducibility of this system.</p><h3>Method</h3><p dir="ltr">Development of the scoring protocol was performed in three stages using AP pelvis radiographs of 102 male adult athletes. The final protocol included 5 overall scoring items, which included further specification of locations: 1) bone lucency (erosion-like configuration and cysts), 2) proliferation, 3) fragmentation, 4) sclerosis, and 5) joint space width. Intra- and inter-rater reproducibility were determined using Cohen’s kappa statistic (κ) and intraclass correlation coefficient (ICC). The standard error of measurement (SEM) and minimal detectable difference (MDD) were also determined.</p><h3>Results</h3><p dir="ltr">We present a radiographic scoring protocol with clear definitions and examples to improve clinical usability. Intra-rater reproducibility was: bone lucency (erosion-like configuration or cysts): κ = 0.67 (95 %CI 0.56−0.78), proliferation: κ = 0.54 (95 %CI 0.38−0.70), fragmentation: κ = 0.80 (95 %CI 0.67−0.93), sclerosis: κ = 0.60 (95 %CI 0.49−0.71), and joint space width: ICC(2.1) 0.85 (95 %CI 0.78−0.89), SEM 0.4 mm, MDD 1.2 mm. Inter-rater reproducibility was: bone lucency: κ = 0.61 (95 %CI 0.50−0.72), proliferation: κ = 0.34 (95 %CI 0.20−0.48), fragmentation: κ = 0.67 (95 %CI 0.50−0.84), sclerosis: κ = 0.30 (95 %CI 0.17−0.43), and joint space width: ICC(2.1) 0.72 (95 %CI 0.59−0.81), SEM 0.5 mm., MDD 1.5 mm.</p><h3>Conclusions</h3><p dir="ltr">The Aspetar pubic symphysis radiographic scoring protocol contains five overall scoring items, with additional specifications. These five items showed moderate to almost perfect intra-rater reproducibility, and fair to substantial inter-rater reproducibility. This protocol provides the basis for use in clinical practice, and will allow future investigations of the clinical significance of radiographic changes at the pubic symphysis in athletes.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Radiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ejrad.2020.109452" target="_blank">https://dx.doi.org/10.1016/j.ejrad.2020.109452</a></p>2020-11-28T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.ejrad.2020.109452https://figshare.com/articles/journal_contribution/Classifying_radiographic_changes_of_the_pubic_symphysis_in_male_athletes_Development_and_reproducibility_of_a_new_scoring_protocol/24204198CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242041982020-11-28T00:00:00Z |
| spellingShingle | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol Andreas Serner (8377587) Biomedical and clinical sciences Clinical sciences Reliability X-ray Pubic symphysis Pelvis Groin pain Sport |
| status_str | publishedVersion |
| title | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| title_full | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| title_fullStr | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| title_full_unstemmed | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| title_short | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| title_sort | Classifying radiographic changes of the pubic symphysis in male athletes: Development and reproducibility of a new scoring protocol |
| topic | Biomedical and clinical sciences Clinical sciences Reliability X-ray Pubic symphysis Pelvis Groin pain Sport |