Table 3:

Diagnostic accuracy for the detection of cortical venous reflux on 4D-CTA for the correctly identified AVFs by the 3 observers, with DSA serving as the reference standarda

Cortical Venous RefluxObserver 1, Method 1 (n = 16)bObserver 2, Method 1 (n = 18)bObserver 3, Method 1 (n = 15)bObserver 1, Method 2 (n = 17)cObserver 2, Method 2 (n = 18)cObserver 3, Method 2 (n = 15)c
True-positive, true-negative667835667845
False-positive, false-negative312134412133
Sensitivity (%) (95% CI)86 (42–100)88 (47–100)43 (10–82)86 (42–100)88 (47–100)57 (18–90)
Specificity (%) (95% CI)67 (30–93)80 (44–97)63 (25–92)60 (26–88)80 (44–97)63 (24–91)
PPV (%) (95% CI)67 (43–84)78 (50–93)50 (23–78)60 (40–77)78 (50–93)57 (31–80)
NPV (%) (95% CI)86 (48–98)89 (55–98)56 (35–74)86 (48–98)89 (55–98)63 (32–84)
Krippendorff α0.294 (Fair agreement)0.372 (Fair agreement)
  • Note:—PPV indicates positive predictive value; NPV, negative predictive value.

  • a The Krippendorff α for interobserver agreement is shown per method.

  • b Method 1, color-mapping only.

  • c Method 2, color-mapping and dynamic subtraction rendering of 4D-CTA.