Magnetic resonance imaging for suspected perianal Crohn's disease in children: a multi-reader agreement study
Question Pelvic magnetic resonance imaging (MRI) is used for diagnosing and monitoring children with perianal Crohn's disease (CD). Limited information is known about inter-radiologist agreement. Findings Agreement between pediatric radiologists when interpreting MRI for perianal CD in children is only fair for most imaging features (κ = 0.21 to 0.35). Clinical relevance Understanding MRI inter-radiologist agreement is crucial to improve the reliability of pelvic MRI in children with perianal Crohn's disease since it may affect patient management (e.g., surgery); further radiologist education and improved imaging feature definitions may help improve inter-radiologist agreement.
Authors
- Jonathan R. Dillman (ORCID: https://orcid.org/0000-0003-0124-0164)
- Jason S. Frischer
- Gary R. Schooler (ORCID: https://orcid.org/0000-0002-1102-314X)
- Shailee Lala (ORCID: https://orcid.org/0000-0002-1402-712X)
- R. Paul Guillerman
- Monica M. Forbes-Amrhein
- Alexander J. Towbin (ORCID: https://orcid.org/0000-0003-1729-5071)
- Pradipta Debnath (ORCID: https://orcid.org/0000-0003-2590-7891)
- Phillip Minar (ORCID: https://orcid.org/0000-0003-4223-4211)
- Mary‐Louise C. Greer (ORCID: https://orcid.org/0000-0001-6159-5472)
- Jesse Courtier (ORCID: https://orcid.org/0000-0003-2717-8653)
- Christopher G. Anton (ORCID: https://orcid.org/0000-0002-8793-6607)
- Alexander M. El‐Ali (ORCID: https://orcid.org/0000-0003-1594-7726)
- Murat Kocaoğlu (ORCID: https://orcid.org/0000-0002-4674-8634)
- Mitchell A. Rees (ORCID: https://orcid.org/0000-0001-9914-1396)
- Michael R. Acord (ORCID: https://orcid.org/0000-0001-8575-0983)
- Michael S. Gee (ORCID: https://orcid.org/0000-0002-6117-5168)
- Bin Zhang (ORCID: https://orcid.org/0000-0002-8100-0808)
Institutions
- Cincinnati Children's Hospital Medical Center (US)
- Nationwide Children's Hospital (US)
- Children's Hospital of Philadelphia (US)
- University of Toronto (CA)
- Hospital for Sick Children (CA)
- Riley Hospital for Children (US)
- NYU Langone Health (US)
- Massachusetts General Hospital (US)
- UCSF Benioff Children's Hospital (US)
- SickKids Foundation (CA)
- University of Cincinnati Medical Center (US)
Publication Details
- Journal
- European Radiology
- Published
- 2025-03-23
- DOI
- https://doi.org/10.1007/s00330-025-11469-5
- Citations
- 1
- Primary Topic
- Anorectal Disease Treatments and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.01