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European Archives of Oto-Rhino-Laryngology

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01-09-2018 | Head & Neck

Intra and interobserver agreement of narrow band imaging for the detection of head and neck tumors

Authors: Anna Nogués-Sabaté, Francesc Xavier Aviles-Jurado, Laura Ruiz-Sevilla, Eduardo Lehrer, Alfonso Santamaría-Gadea, Meritxell Valls-Mateus, Isabel Vilaseca

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2018

Abstract

Background

Narrow band imaging (NBI) in combination with white light endoscopy (WLE) has improved the accuracy for the diagnosis and follow-up of head and neck carcinomas by identifying changes in the vascular patterns of the mucosa. However, NBI evaluation is explorer-dependent and may be influenced by the learning curve. The aim of this study is to assess the intra and interobserver agreement of NBI and WLE at the office, under local anaesthesia, by either experienced or non-experienced observers.

Methods

Eighty-seven images of head and neck lesions were routinely collected under WLE and NBI. A group of three experienced otolaryngologists and three medical students assessed the images after a brief training. No additional patient information was provided. The same protocol was repeated after three weeks. Intra and interobserver agreement were calculated with the kappa index.

Results

NBI intraobserver agreement was substantial (κ = 0.62) and better than with WLE alone, which was moderate (κ = 0.57) in both groups. Interobserver agreement was moderate with WLE (κ = 0.58) and substantial with NBI (κ = 0.63). Both groups improved intraobserver and interobserver agreement with the implementation of NBI.

Conclusions

Intra and interobserver agreement with NBI for the evaluation of head and neck lesions are substantial, and improve the results of WLE alone in both, professionals and trainees.

Vilaseca I, Valls-Mateus M, Nogués A, Lehrer E, López-Chacón M, Avilés-Jurado FX, Blanch JL, Bernal-Sprekelsen M (2017) Usefulness of office examination with narrow band imaging for the diagnosis of head and neck squamous cell carcinoma and follow-up of premalignant lesions. Head Neck 39:1854–1863. https://doi.org/10.1002/hed.24849 CrossRefPubMed

Ni X-G, Wang G-Q (2016) The role of narrow band imaging in head and neck cancers. Curr Oncol Rep 18:10. https://doi.org/10.1007/s11912-015-0498-1 CrossRefPubMed

Simo R, Bradley P, Chevalier D, Dikkers F, Eckel H, Matar N, Peretti G, Piazza C, Remacle M, Quer M (2014) European laryngological society: ELS recommendations for the follow-up of patients treated for laryngeal cancer. Eur Arch Otorhinolaryngol 271:2469–2479. https://doi.org/10.1007/s00405-014-2966-x CrossRefPubMed

Piazza C, Cocco D, De Benedetto L, Bon FD, Nicolai P, Peretti G (2010) Role of narrow-band imaging and high-definition television in the surveillance of head and neck squamous cell cancer after chemo- and/or radiotherapy. Eur Arch Otorhinolaryngol 267:1423–1428. https://doi.org/10.1007/s00405-010-1236-9 CrossRefPubMed

Cosway B, Drinnan M, Paleri V (2016) Narrow band imaging for the diagnosis of head and neck squamous cell carcinoma: a systematic review. Head Neck 38(1):E2358–E2367. https://doi.org/10.1002/hed.24300 CrossRefPubMed

Irjala H, Matar N, Remacle M, Georges L (2011) Pharyngo-laryngeal examination with the narrow band imaging technology: early experience. Eur Arch Otorhinolaryngol 268:801–806. https://doi.org/10.1007/s00405-011-1516-z CrossRefPubMed

Piazza C, Del Bon F, Paderno A, Grazioli P, Perotti P, Barbieri D, Majorana A, Bardellini E, Peretti G, Nicolai P (2016) The diagnostic value of narrow band imaging in different oral and oropharyngeal subsites. Eur Arch Otorhinolaryngol 273:3347–3353. https://doi.org/10.1007/s00405-016-3925-5 CrossRefPubMed

Filauro M, Paderno A, Perotti P, Marchi F, Garofolo S, Peretti G, Piazza C (2018) Role of narrow-band imaging in detection of head and neck unknown primary squamous cell carcinoma. Laryngoscope. https://doi.org/10.1002/lary.27098 CrossRefPubMed

Ni X-G, He S, Xu Z-G, Gao L, Lu N, Yuan Z, Lai SQ, Zhang YM, Yi JL, Wang XL, Zhang L, Li XY, Wang GQ (2011) Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging. J Laryngol Otol 125:288–296. https://doi.org/10.1017/S0022215110002033 CrossRefPubMed

10.

Arens C, Betz C, Kraft M, Voigt-Zimmermann S (2017) Narrow band imaging for early diagnosis of epithelial dysplasia and microinvasive tumors in the upper aero digestive tract. HNO 65(1):5–12. https://doi.org/10.1007/s00106-016-0284-x CrossRefPubMed

11.

Cohen J (1968) Weighted: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 70:213–220CrossRefPubMed

12.

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRefPubMed

13.

Doménech JM (2011) Fundamentos de diseño y estadística: medida del cambio: análisis de diseños con medidas intrasujeto [in Spanish], 12th edn. Signo, Barcelona

14.

Doménech JM (2000) GraneroR. Macro! KAPPA for SPSS Statistics: Weighted k [computer program]. Universitat Autònoma de Barcelona, Bellaterra

15.

Irjala H, Matar N, Remacle M, Georges L (2011) Pharyngo-laryngeal examination with the narrow band imaging technology: early experience. Eur Arch Otorhinololaryngol 268:801–806. https://doi.org/10.1007/s00405-011-1516-z CrossRef

16.

Tirelli G, Piovesana M, Bonini P, Gatto A, Azzarello G, Boscolo Nata F (2017) Follow-up of oral and oropharyngeal cancer using narrow-band imaging and high-definition television with rigid endoscope to obtain an early diagnosis of second primary tumors: a prospective study. Eur Arch Otorhinolaryngol 274:2529–2536. https://doi.org/10.1007/s00405-017-4515-x CrossRefPubMed

17.

Gilchrist JM (2009) Weighted 2 × 2 kappa coefficients: recommended indices of diagnostic accuracy for evidence-based practice. J Clin Epidemiol 62:1045–1053. https://doi.org/10.1016/j.jclinepi.2008.11.012 CrossRefPubMed

18.

Chmura Kraemer H, Periyakoil VS, Noda A (2002) Kappa coefficients in medical research. Stat Med 21:2109–2129CrossRefPubMed

19.

Zwakenberg MA, Dikkers FG, Wedman J, Halmos GB, van der Laan BF, Plaat BE (2016) Narrow band imaging improves observer reliability in evaluation of upperaero digestive tract lesions. Laryngoscope 126:2276–2281. https://doi.org/10.1002/lary.26008 CrossRefPubMed

20.

Yoo CH, Park MI, Park SJ, Moon W, Kim HH, Song JY, Kim DH (2014) Observer variability in gastric neoplasm assessment using the vessel plus surface classification for magnifying endoscopy with narrow band imaging. Clin Endosc 47:74–78. https://doi.org/10.5946/ce.2014.47.1.74 CrossRefPubMedPubMedCentral

21.

Alvarez Herrero L, Curvers WL, Bansal A, Bansal A, Wani S, Kara M, Schenk E, Schoon EJ, Lynch CR, Rastogi A, Pondugula K, Weusten B, Sharma P, Bergman JJ (2009) Zooming in on Barrett oesophagus using narrow-band imaging: an international observer agreement study. Eur J Gastroenterol Hepatol 21:1068–1075. https://doi.org/10.1097/MEG.0b013e3283271e87 CrossRefPubMed

22.

Lee YC, Lin JT, Chiu HM, Liao WC, Chen CC, Tu CH, Tai CM, Chiang TH, Chiu YH, Wu MS, Wang HP (2007) Intraobserver and interobserver consistency for grading esophagitis with narrow-band imaging Gastrointest Endosc. 66:230–236. https://doi.org/10.1016/j.gie.2006.10.056

Title: Intra and interobserver agreement of narrow band imaging for the detection of head and neck tumors
Authors: Anna Nogués-Sabaté
Francesc Xavier Aviles-Jurado
Laura Ruiz-Sevilla
Eduardo Lehrer
Alfonso Santamaría-Gadea
Meritxell Valls-Mateus
Isabel Vilaseca
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5063-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intra and interobserver agreement of narrow band imaging for the detection of head and neck tumors

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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