Plain radiographic evaluation of the nasopharynx: do raters agree?

Int J Pediatr Otorhinolaryngol. 2010 May;74(5):532-4. doi: 10.1016/j.ijporl.2010.02.015. Epub 2010 Mar 12.

Abstract

Background: Subjective plain radiographic evaluation of the nasopharynx has been a widely adopted technique. Although it has its own limitations, its ease of interpretation and simplicity are some of its advantages.

Aim: To investigate the reliability, using kappa, in subjectively reporting plain nasopharyngeal radiographs in children with symptoms suggestive of enlarged adenoids.

Methods: This was a retrospective study of the clinical records, and plain X-rays of the nasopharynx of paediatric patients with clinical features of adenoid hypertrophy in a Nigerian Tertiary Health Institution from January 2008 to December 2008.

Results: Fifty-one children with a mean age of 3.4 years; standard deviation of 2.772 was studied. They had an age range of 2 months to 12 years. Most (66.6%) of the children studied were in the age bracket 0-4 years. The inter-rater reliability between the two Otolaryngologists, and that between an Otolaryngologist and a Radiologist using kappa statistics were 0.6696, 95% CI (0.5035-0.8357; p<0.05) and 0.8182, 95% CI (0.7073-0.9291; p<0.05) respectively. While the kappa intra-rater reliabilities for the two Otolaryngologists were 0.6931, 95% CI (0.5473-0.8389) and 0.9591, 95% CI (0.9033-1.000).

Conclusion: There was a high level of agreement among trained raters, in subjectively interpreting plain nasopharyngeal radiographs in children with suspected adenoidal obstruction.

MeSH terms

  • Adenoids / pathology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Hypertrophy
  • Infant
  • Male
  • Nasopharynx / diagnostic imaging*
  • Nigeria
  • Observer Variation
  • Radiography
  • Reproducibility of Results
  • Retrospective Studies