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Table 4 Rectal cancer nodal enhancement characteristics on MR images versus histopathological findings in subgroups with different short-axis diameter ranges

From: Fat-suppressed gadolinium-enhanced isotropic high-resolution 3D-GRE-T1WI for predicting small node metastases in patients with rectal cancer

Radiologist

Radiologist 1

Radiologist 2

κ

Histopathologic Findings

Benign

Malignant

P

Benign

Malignant

P

≤5 mm

290

23

 

290

23

  

Enhancement degree

  

< 0.001

  

< 0.001

0.593

Obvious

255 (87.9%)

4 (17.4%)

 

265 (91.4%)

6 (26.1%)

  

Intermediate

32 (11.0%)

15 (65.2%)

 

19 (6.6%)

15 (65.2%)

  

Mild

3 (1.0%)

4 (17.4%)

 

6 (2.1%)

2 (8.7%)

  

Enhancement homogeneity

  

< 0.001

  

< 0.001

0.699

Homogeneous

218 (75.2%)

1 (4.3%)

 

209 (72.1%)

0 (0.0%)

  

Mild-heterogeneous

67 (23.1%)

7 (30.4%)

 

73 (25.2%)

8 (34.8%)

  

Obvious-heterogenous

0 (0.0%)

3 (13.0%)

 

0 (0.0%)

1 (4.3%)

  

Rim-like

5 (1.7%)

12 (52.2%)

 

8 (2.8%)

14 (60.9%)

  

> 5 mm and ≤ 10 mm

40

71

 

40

71

  

Enhancement degree

  

< 0.001

  

< 0.001

0.627

Obvious

22 (55.0%)

8 (11.3%)

 

22 (55.0%)

6 (8.5%)

  

Intermediate

14 (35.0%)

34 (47.9%)

 

13 (32.5%)

34 (47.9%)

  

Mild

4(10.0%)

29 (40.8%)

 

5 (12.5%)

31 (43.7%)

  

Enhancement homogeneity

  

< 0.001

  

< 0.001

0.651

Homogeneous

5 (12.5%)

3 (4.2%)

 

1 (2.5%)

2 (2.8%)

  

Mild-heterogeneous

29 (72.5%)

5 (7.0%)

 

29 (72.5%)

5 (7.0%)

  

Obvious-heterogenous

2 (5.0%)

27 (38.0%)

 

3 (7.5%)

34 (47.9%)

  

Rim-like

4 (10.0%)

36 (50.7%)

 

7 (17.5%)

30 (42.3%)

  

> 10 mm*

0

17

 

0

17

  

Enhancement degree

  

  

0.521

Obvious

0

0 (0.0%)

 

0

0

  

Intermediate

0

8 (47.1%)

 

0

6 (35.3%)

  

Mild

0

9 (52.9%)

 

0

11 (64.7%)

  

Enhancement homogeneity

  

  

0.783

Homogeneous

0

1 (5.9%)

 

0

0

  

Mild-heterogeneous

0

0 (0.0%)

 

0

1 (5.9%)

  

Obvious-heterogenous

0

6 (35.3%)

 

0

7 (41.2%)

  

Rim-like

0

10 (58.8%)

 

0

9 (52.9%)

  
  1. Notes: *The χ2 test was not used in the subgroup with > 10 mm nodes because all were metastatic; that is, the dependent variable was constant