TY - JOUR T1 - Influence of Nomenclature in the Interpretation of Lumbar Disk Contour on MR Imaging: A Comparison of the Agreement Using the Combined Task Force and the Nordic Nomenclatures JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 1143 LP - 1148 DO - 10.3174/ajnr.A2448 VL - 32 IS - 6 AU - E. Arana AU - F.M. Kovacs AU - A. Royuela AU - A. Estremera AU - H. Sarasíbar AU - G. Amengual AU - I. Galarraga AU - C. Martínez AU - A. Muriel AU - V. Abraira AU - J. Zamora AU - C. Campillo Y1 - 2011/06/01 UR - http://www.ajnr.org/content/32/6/1143.abstract N2 - BACKGROUND AND PURPOSE: The CTF nomenclature had not been tested in clinical practice. The purpose of this study was to compare the reliability and diagnostic confidence in the interpretation of disk contours on lumbar 1.5T MR imaging when using the CTF and the Nordic nomenclatures. MATERIALS AND METHODS: Five general radiologists from 3 hospitals blindly and independently assessed intravertebral herniations (Schmorl node) and disk contours on the lumbar MR imaging of 53 patients with low back pain, on 4 occasions. Measures were taken to minimize the risk of recall bias. The Nordic nomenclature was used for the first 2 assessments, and the CTF nomenclature, in the remaining 2. Radiologists had not previously used either of the 2 nomenclatures. κ statistics were calculated separately for reports deriving from each nomenclature and were categorized as almost perfect (0.81–1.00), substantial (0.61–0.80), moderate (0.41–0.60), fair (0.21–0.40), slight (0.00–0.20), and poor (<0.00). RESULTS: Categorization of intra- and interobserver agreement was the same across nomenclatures. Intraobserver reliability was substantial for intravertebral herniations and disk contour abnormalities. Interobserver reliability was moderate for intravertebral herniations and fair to moderate for disk contour. CONCLUSIONS: In conditions close to clinical practice, regardless of the specific nomenclature used, a standardized nomenclature supports only moderate interobserver agreement. The Nordic nomenclature increases self-confidence in an individual observer's report but is less clear regarding the classification of disks as normal versus bulged. CTFCombined Task Force of the North American Spine Society, American Society of Spine Radiology, and American Society of NeuroradiologyNordicNordic Modic Consensus Group ClassificationRxradiologist ER -