Reproducibility of a new classification of the anterior clinoid process of the sphenoid bone.

Anterior clinoid process Cavernous sinus Optic strut Skull base Sphenoid bone

Journal

Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836

Informations de publication

Date de publication:
2020
Historique:
received: 29 03 2020
accepted: 08 07 2020
entrez: 9 10 2020
pubmed: 10 10 2020
medline: 10 10 2020
Statut: epublish

Résumé

Pneumatization of the anterior clinoid process (ACP) affects paraclinoid region surgery, this anatomical variation occurs in 6.6-27.7% of individuals, making its preoperative recognition essential given the need for correction based on the anatomy of the pneumatized process. This study was conducted to evaluate the reproducibility of an optic strut-based ACP pneumatization classification by presenting radiological examinations to a group of surgeons. Thirty cranial computer tomography (CT) scans performed from 2013 to 2014 were selected for analysis by neurosurgery residents and neurosurgeons. The evaluators received Google Forms with questionnaires on each scan, DICOM files to be manipulated in the Horos software for multiplanar reconstruction, and a collection of slides demonstrating the steps for classifying each type of ACP pneumatization. Interobserver agreement was calculated by the Fleiss kappa test. Thirty CT scans were analyzed by 37 evaluators, of whom 20 were neurosurgery residents and 17 were neurosurgeons. The overall reproducibility of the ACP pneumatization classification showed a Fleiss kappa index of 0.49 (95% confidence interval: 0.49-0.50). The interobserver agreement indices for the residents and neurosurgeons were 0.52 (0.51-0.53) and 0.49 (0.48-0.50), respectively, and the difference was statistically significant ( The optic strut-based classification of ACP pneumatization showed acceptable concordance. Minor differences were observed in the agreement between the residents and neurosurgeons. These differences could be explained by the residents' presumably higher familiarity with multiplanar reconstruction software.

Sections du résumé

BACKGROUND BACKGROUND
Pneumatization of the anterior clinoid process (ACP) affects paraclinoid region surgery, this anatomical variation occurs in 6.6-27.7% of individuals, making its preoperative recognition essential given the need for correction based on the anatomy of the pneumatized process. This study was conducted to evaluate the reproducibility of an optic strut-based ACP pneumatization classification by presenting radiological examinations to a group of surgeons.
METHODS METHODS
Thirty cranial computer tomography (CT) scans performed from 2013 to 2014 were selected for analysis by neurosurgery residents and neurosurgeons. The evaluators received Google Forms with questionnaires on each scan, DICOM files to be manipulated in the Horos software for multiplanar reconstruction, and a collection of slides demonstrating the steps for classifying each type of ACP pneumatization. Interobserver agreement was calculated by the Fleiss kappa test.
RESULTS RESULTS
Thirty CT scans were analyzed by 37 evaluators, of whom 20 were neurosurgery residents and 17 were neurosurgeons. The overall reproducibility of the ACP pneumatization classification showed a Fleiss kappa index of 0.49 (95% confidence interval: 0.49-0.50). The interobserver agreement indices for the residents and neurosurgeons were 0.52 (0.51-0.53) and 0.49 (0.48-0.50), respectively, and the difference was statistically significant (
CONCLUSION CONCLUSIONS
The optic strut-based classification of ACP pneumatization showed acceptable concordance. Minor differences were observed in the agreement between the residents and neurosurgeons. These differences could be explained by the residents' presumably higher familiarity with multiplanar reconstruction software.

Identifiants

pubmed: 33033643
doi: 10.25259/SNI_133_2020
pii: SNI-11-281
pmc: PMC7538961
doi:

Types de publication

Journal Article

Langues

eng

Pagination

281

Informations de copyright

Copyright: © 2020 Surgical Neurology International.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Feres Chaddad-Neto (F)

Department of Neurosurgery, Universidade Federal de São Paulo.

Marcos Devanir Silva da Costa (MDS)

Department of Neurosurgery, Universidade Federal de São Paulo.

Bruno Santos (B)

Department of Neurosurgery, Universidade Federal de São Paulo.

Ricardo Lourenco Caramanti (RL)

Department of Neurosurgery, Faculdade de Medicina de São Jose do Rio Preto, Sao Jose do Rio Preto.

Bruno Lourenco Costa (BL)

Department of Neurosurgery, Centro Hospitalar Tondela-Viseu, EPE, Viseu, Portugal.

Hugo Leonardo Doria-Netto (HL)

Department of Neurosurgery, Universidade Federal de São Paulo.

Eberval Gadelha Figueiredo (EG)

Department of Neurosurgery, Universidade de São Paulo, São Paulo, Brazil.

Classifications MeSH