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Table 2 Interobserver agreement on axillary staging with FDG-PET/CT in supine or prone position

From: [18F]FDG-PET/CT in prone compared to supine position for optimal axillary staging and treatment in clinically node-positive breast cancer patients with neoadjuvant systemic therapy

 

Axillary staging

Agreement

Observer 1

Observer 2

Original report

Observers

Kappa

Obs. & report

*Kappa

Supine PET/CT

        

0.80

  

0.78

 cALN<4

115

75%

107

70%

108

71%

105

69%

 

99

65%

 

 cALN≥4

38

25%

46

30%

45

29%

36

24%

 

34

22%

 

 Total

153

100%

153

100%

153

100%

141

92%

 

133

87%

 

Prone PET/CT

        

0.67

  

0.74

 cALN<4

116

76%

96

63%

108

71%

95

62%

 

93

61%

 

 cALN≥4

37

24%

57

37%

45

29%

36

24%

 

35

23%

 

 Total

153

100%

153

100%

153

100%

131

86%

 

128

84%

 
  1. Data are N, %.*Fleiss kappa. Original report staging at time of treatment including both supine and prone FDG-PET/CT scans
  2. cALN<4 less than four FDG-positive axillary lymph nodes, cALN4 more than four FDG-positive axillary lymph nodes