Evidence map›Paper›PMID 30789784›Full record

ArticleThe British journal of radiology2019

Inter-rater and scan-rescan reproducibility of the detection of intracranial atherosclerosis on contrast-enhanced 3D vessel wall MRI.

Mahmud Mossa-Basha, Hiroko Watase, Jie Sun, Dean K Shibata, Daniel S Hippe, Niranjan Balu, Thomas Hatsukami, Chun Yuan

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. MR Intracranial Vessel Wall Imaging: A Systematic Review.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Pooled it
  3. Review
  4. Article
  5. Inter-rater reliability of atherosclerotic plaque enhancement on 7 T vessel wall MRI: Comparison with quantitative analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. Article
  7. Vessel Wall Imaging in Cryptogenic Stroke.Radiologic clinics of North America · 2023
    Review
  8. Advanced cross-sectional imaging of cerebral aneurysms.The British journal of radiology · 2023
    Review
  9. Review
  10. Article
  11. Vessel Wall MR Imaging in the Pediatric Head and Neck.Magnetic resonance imaging clinics of North America · 2021
    Review
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mahmud Mossa-Basha1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Hiroko Watase2 Department of Surgery, University of Washington School of Medicine , Seattle , United States.
Jie Sun1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Dean K Shibata1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Daniel S Hippe1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Niranjan Balu1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Thomas Hatsukami2 Department of Surgery, University of Washington School of Medicine , Seattle , United States.
Chun Yuan1 Department of Radiology, University of Washington School of Medicine , Seattle , United States.
Seattle University · USUniversity of Washington · US

Funding

3D WALLI: MR intracranial vessel wall imaging for stroke preventionR01NS092207 · NINDS · UNIVERSITY OF WASHINGTON · PI MOSSA-BASHA, MAHMUD, YUAN, CHUN · 2016 to 2019
$3.1M
3D WALLI: MR intracranial vessel wall imaging for stroke preventionR56NS092207 · NINDS · UNIVERSITY OF WASHINGTON · PI MOSSA-BASHA, MAHMUD, YUAN, CHUN · 2015 to 2015
$609k
NINDS NIH HHS R01 NS092207NINDS NIH HHS R56 NS092207
6 · The paper itself

Abstract

objectiveThe objective is to establish interscan, inter- and intra-rater reproducibility of a multicontrast three-dimensional contrast-enhanced intracranial vessel wall (IVW) MRI protocol with 0.6 mm acquired (0.3 mm interpolated) isotropic resolution in the detection of intracranial atherosclerosis.

methodsSubjects with established intracranial atherosclerosis were prospectively recruited and underwent two contrast-enhanced three-dimensional IVW scans within a 2-week period. Four raters with varying degrees of vessel wall imaging interpretation experience, through an iterative training process developed guidelines for plaque identification with no, possible and definite plaque categories. Using these guidelines, the raters reviewed the cases in pairs (consensus rating), while blinded to the interpretations of the other pair, clinical reports and patient history. The rater pairs reviewed 19 segments per patient for the presence and location of atherosclerotic plaques. Inter-scan, inter rater and intra rater reproducibility were assessed.

results19 subjects were scanned twice, with 361 total segments reviewed and 304-324 evaluable segments analyzed in the different reproducibility assessments. Overall inter-rater agreement for possible and definite plaque was 88.9 % [κ = 0.73; 95% confidence interval (CI) (0.62-0.81)], inter-scan/intra-rater agreement was 82.1 % [κ = 0.58; 95% CI (0.48-0.70)] and inter-scan/inter-rater agreement of 84.5% [κ = 0.64; 95% CI (0.51 - 0.76)].

conclusionContrast-enhanced IVW imaging, with the utilization of detailed plaque definition guidelines for image review, can be a reproducible technique for the evaluation of intracranial atherosclerosis. ADVANCES IN KNOWLEDGE: This work is the first to establish reproducibility of IVW for plaque identification with and without contrast. Reproducibility using contrast is important as most IVW applications rely on lesion enhancement.

Indexed as

Contrast MediaImage EnhancementImaging, Three-DimensionalAgedFemaleHumansIntracranial ArteriosclerosisMagnetic Resonance AngiographyMaleMiddle AgedObserver VariationPlaque, AtheroscleroticProspective StudiesReproducibility of ResultsContrast Media

Identifiers

PMID30789784
PMCPMC6580910
OpenAlexW2917478487

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.