Neuropathologic Diagnosis of Alzheimer DiseaseInterrater Reliability in the Assessment of Senile Plaques and Neurofibrillary Tangles
作者:
Helena Chui,
Mary Tierney,
Chris Zarow,
Anthony Lewis,
Eugene Sobel,
Lynn Perlmutter,
期刊:
Alzheimer Disease and Associated Disorders
(OVID Available online 1993)
卷期:
Volume 7,
issue 1
页码: 48-54
ISSN:0893-0341
年代: 1993
出版商: OVID
关键词: Neuropathologic diagnosis;Senile plaque;Neurofibrillary tangle
数据来源: OVID
摘要:
A diagnosis of definite Alzheimer disease (AD) is made when there is a history of progressive dementia combined with the pathologic findings of numerous senile plaques and neurofibrillary tangles in neocortex. Recent studies have shown, however, that there may be significant interrater variability in the quantitation of these histopathologic lesions. In the present two-center study, interrater reliability and test-retest reliability for plaque and tangle counts were examined when histologic staining and sampling were controlled. We report similar levels of reliability for plaque and tangle counts in 35 cases of AD, nine normal elderly controls and six non-AD dementias: Pearson correlations for interrater reliability ranged from 0.68 to 0.88, and from 0.97 to 0.99 for test-retest reliability. Using quantitative cut-points, concordance between laboratories for experimental diagnoses of AD versus non-AD made on the basis of these lesion counts ranged from 84 to 92% (κ scores: 0.69–0.84). The agreement between these experimental diagnoses and the clinicopathologic diagnoses of record ranged from 74 to 86% (κ scores: 0.50–0.71). Thus, under optimal conditions, a moderate to substantial degree of interrater reliability can be attained in the pathologic diagnosis of AD.
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