Carotid Plaque-RADS: Inter-and intra-reader agreement and learning curve analysis in Computed Tomography Angiography

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA

From the Department of Radiology (L.S., R.S., G.L.C., R.C.), Azienda Ospedaliero Universitaria (A.O.U.), Cagliari, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam (D.B.), University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC (D.B.), Rotterdam, the Netherlands; Department of Cardiovascular Sciences (D.B.), KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology (D.B.), Harvard School of Public Health, Boston, Massachusetts, USA; Institute for Stroke and Dementia Research (A.K.), University Hospital, LMU Munich, Munich, Germany; University of Washington Medical Center (M.M.B.), Seattle, Washington, USA; Department of Radiology (J.W.S), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Vascular Surgery(R.S), Azienda Ospedaliero-Universitaria (A.O.U.) di Cagliari—Polo di Monserrato, Cagliari, Italy; Institute of Neuroradiology (A.S.,T.S.), University Hospital, LMU Munich, Germany; Vascular Screening and Diagnostic Centre (A.N.N.), Nicosia, Cyprus; University of Nicosia Medical School (A.N.N.), Nicosia, Cyprus; Department of Vascular Surgery (A.N.N), Imperial College, London, United Kingdom; Department of Radiology and Nuclear Medicine (M.E.K.), Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands; Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, Minnesota, USA