Mycobacterium Infections, Nontuberculous
Conditions
Brief summary
The aim of this study was to elucidate the accuracy and inter-rater agreement of diagnosis of nontuberculous mycobacterial lung disease based on chest computed tomography findings.
Detailed description
To elucidate the accuracy and inter-rater agreement of diagnosis of nontuberculous mycobacterial lung disease based on chest CT, two pulmonologists and two chest radiologists were requested to interpret chest CT of patients nontuberculous mycobacterial lung disease satisfying diagnostic criteria of American Thoracic Society as well as British Thoracic Society, or pulmonary tuberculosis. Two pulmonologists and two chest radiologists \> 10 years of clinical experiences at a tertiary referral hospital participated as raters in this study. They were blinded to the any clinical information of the patients including the specific diagnosis, except age and sex. The interpretations of four raters were analyzed and compared.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Nontuberculous mycobacterial patients satisfying diagnostic criteria suggested by American Thoracic Society * Patients with bacteriologically confirmed pulmonary tuberculosis * Patients with bronchiectasis, confirmed by clinically as well as radiographically
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity for the diagnosis of nontuberculous mycobacterial lung disease | baseline | Percentage of cases diagnosed as nontuberculous mycobacterial lung disease by four raters out of confirmed cases with nontuberculous mycobacterial lung disease |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inter-rater correlation (kappa value) for the diagnosis of nontuberculous mycobacterial lung disease | baseline | Inter-rater correlation between four raters |
| Specificity for the diagnosis nontuberculous mycobacterial lung disease | baseline | Percentage of cases diagnosed as other than nontuberculous mycobacterial lung disease by four raters out of confirmed cases with other than nontuberculous mycobacterial lung disease |