title: Reliability of grading scales for individual radiographic features of osteoarthritis of the knee. The Baltimore longitudinal study of aging atlas of knee osteoarthritis.
abstract: OBJECTIVE
  The authors present an atlas of individual radiographic features of osteoarthritis of the knee and evaluate the inter- and intra-reader reliability of trained readers using this atlas.
  
  
  METHODS
  Four trained readers graded 30 standing anterior-posterior knee radiographs for eight selected features of osteoarthritis (medial and lateral osteophytes, joint space narrowing, and sclerosis; osteophytes of the tibial spines and chondrocalcinosis) as well as the Kellgren-Lawrence global scale. Inter- and intra-reader reliability were calculated using intraclass correlation coefficients.
  
  
  RESULTS
  For all features except sclerosis and osteophytes of the tibial spines, inter-reader reliability ranged from 0.63 to 0.83, whereas intra-reader reliability ranged from 0.82 to 0.95.
  
  
  CONCLUSIONS
  Using this atlas, trained readers are reliable in measuring the presence and severity of individual radiographic features of osteoarthritis of the knee. This atlas should be useful in clinical and epidemiologic studies of osteoarthritis of the knee.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: W W
authors.initials: WW
authors.lastname: Scott
authors.forename: M
authors.initials: M
authors.lastname: Lethbridge-Cejku
authors.forename: R
authors.initials: R
authors.lastname: Reichle
authors.forename: F M
authors.initials: FM
authors.lastname: Wigley
authors.forename: J D
authors.initials: JD
authors.lastname: Tobin
authors.forename: M C
authors.initials: MC
authors.lastname: Hochberg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D010003:Osteoarthritis / Q000145:classification / Q000000981:diagnostic imaging*; D011859:Radiography