“…The remaining [3,24,39,46,50,51,53,55,56,61] verified the cavum X-ray performance for diagnosis purposes.…”
Section: Characterization Of the Selected Studies (Table 2)mentioning
confidence: 76%
“…Out of them, 66 studies were pre-selected and forwarded to the examiners. From those, 11 studies were considered adequate and were systematically analyzed [3,24,39,46,50,51,53,55,56,58,61] (Fig. 1).…”
Section: Searching and Study Selectionmentioning
confidence: 99%
“…However, most of the studies preferred to use classification systems in order to evaluate both the adenoid size [3,39,50,51,53] or the extent of the airway obstruction [56]. For both staging systems, several authors used subjective criteria [39,50,53,56], while others relied upon objective criteria [3,51].…”
Section: Characterization Of the Selected Studies (Table 2)mentioning
“…The remaining [3,24,39,46,50,51,53,55,56,61] verified the cavum X-ray performance for diagnosis purposes.…”
Section: Characterization Of the Selected Studies (Table 2)mentioning
confidence: 76%
“…Out of them, 66 studies were pre-selected and forwarded to the examiners. From those, 11 studies were considered adequate and were systematically analyzed [3,24,39,46,50,51,53,55,56,58,61] (Fig. 1).…”
Section: Searching and Study Selectionmentioning
confidence: 99%
“…However, most of the studies preferred to use classification systems in order to evaluate both the adenoid size [3,39,50,51,53] or the extent of the airway obstruction [56]. For both staging systems, several authors used subjective criteria [39,50,53,56], while others relied upon objective criteria [3,51].…”
Section: Characterization Of the Selected Studies (Table 2)mentioning
“…Other studies reported inter-examiner agreement rates ranging between 77.5% 11 and 90.0% of the assessments 4 ; agreement rates seen in our study were lower. According to Maw et al 11 , this type of assessment is highly dependent on examiner experience; the assessments on Ysunza et al 4 were performed by experienced personnel. This instrument requires experienced examiners.…”
Section: Cavum X-raysmentioning
confidence: 99%
“…Ysunza et al 4 Subjective categorization of pharyngeal tonsil hypertrophy (C-Ysunza): "Grade 1", "Grade 2", "Grade 3", "Grade 4". Chart 1.…”
The assessment of adenoids by x-ray imaging has been the topic of heated debate, but few studies have looked into the reliability of most existing radiographic parameters.Objective: This study aims to verify the intra-examiner and inter-examiner reproducibility of the adenoid radiographic assessment methods.
Materials and Methods:This is a cross-sectional case series study. Forty children of both genders aged between 4 and 14 were enrolled. They were selected based on complaints of nasal obstruction or mouth breathing and suspicion of pharyngeal tonsil hypertrophy. Cavum x-rays and orthodontic teleradiographs were assessed by two examiners in quantitative and categorical terms.Results: All quantitative parameters in both x-ray modes showed excellent intra and inter-examiner reproducibility. Relatively better performance was observed in categorical parameters used in cavum x-ray assessment by C-Kurien, C-Wang, C-Fujioka, and C-Elwany over C-Cohen and C-Ysunza. As for orthodontic teleradiograph grading systems, C-McNamara has been proven to be more reliable than C-Holmberg.
Conclusion:Most instruments showed adequate reproducibility levels. However, more research is needed to properly determine the accuracy and viability of each method. Braz J Otorhinolaryngol. 2012;78(4):80-90.
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