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<meta name="DC.Title" content="Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors" />
<meta name="DC.Identifier" content="10.3174/ajnr.A7399" />
<meta name="DC.Date" content="2022-02-01" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
<meta name="DC.Rights" content="© 2022 by American Journal of Neuroradiology" />
<meta name="DC.AccessRights" content="restricted" />
<meta name="DC.Description" content="BACKGROUND AND PURPOSE: At present, no evidence-based lexicon exists for pediatric intracranial tumors. The Visually AcceSAble Rembrandt Images terminology describes reproducible MR imaging features of adult gliomas for prediction of tumor grade, molecular markers, and survival. Our aim was to assess the interrater reliability of the pre-resection features of Visually AcceSAble Rembrandt Images in pediatric brain tumors.

MATERIALS AND METHODS: Fifty consecutive pre-resection brain MR imaging examinations of pediatric intracranial neoplasms were independently reviewed by 3 neuroradiologists. The intraclass correlation coefficient for continuous variables and the Krippendorf alpha were used to evaluate the interrater agreement. Subgroup analysis was performed for 30 gliomas.

RESULTS: Parameters with almost perfect agreement (α &gt; .8) included tumor location (F1) and proportion of enhancing tumor (F5). Parameters with substantial agreement (α = .61–.80) were side of tumor epicenter (F2), involvement of eloquent brain (F3), enhancement quality (F4), proportion of non-contrast-enhancing tumor (F6), and deep white matter invasion (F21). The other parameters showed either moderate (α = .41–.60; n  = 11), fair (α = .21–.40; n  = 5), or slight agreement (α = 0–.20; n  = 1). Subgroup analysis of 30 gliomas showed almost perfect agreement for tumor location (F1), involvement of eloquent brain (F3), and proportion of enhancing tumor (F5); and substantial agreement for side of tumor epicenter (F2), enhancement quality (F4), proportion of noncontrast enhancing tumor (F6), cysts (F8), thickness of enhancing margin (F11), and deep white matter invasion (F21). The intraclass correlation coefficient for measurements in the axial plane was excellent in both the main group (0.984 [F29] and 0.982 [F30]) and the glioma subgroup (0.973 [F29] and 0.973 [F30]).

CONCLUSIONS: Nine features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement in pediatric brain tumors. For the subgroup of pediatric gliomas, 11 features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement. The low degree of reproducibility of the remainder of the features necessitates the use of features tailored to the pediatric age group and is likely related to the more heterogeneous imaging morphology of pediatric brain tumors.

VASARI
:   Visually AccesSAble Rembrandt Images
REMBRANDT
:   REpository for Molecular BRAin Neoplasia DaTA" />
<meta name="DC.Contributor" content="A. Biswas" />
<meta name="DC.Contributor" content="A. Amirabadi" />
<meta name="DC.Contributor" content="M.W. Wagner" />
<meta name="DC.Contributor" content="B.B. Ertl-Wagner" />
<meta name="article:published_time" content="2022-02-01" />
<meta name="article:section" content="Pediatrics" />
<meta name="citation_title" content="Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;BACKGROUND AND PURPOSE:&lt;/h3&gt;
&lt;p&gt;At present, no evidence-based lexicon exists for pediatric intracranial tumors. The Visually AcceSAble Rembrandt Images terminology describes reproducible MR imaging features of adult gliomas for prediction of tumor grade, molecular markers, and survival. Our aim was to assess the interrater reliability of the pre-resection features of Visually AcceSAble Rembrandt Images in pediatric brain tumors.&lt;/p&gt;&lt;h3&gt;MATERIALS AND METHODS:&lt;/h3&gt;
&lt;p&gt;Fifty consecutive pre-resection brain MR imaging examinations of pediatric intracranial neoplasms were independently reviewed by 3 neuroradiologists. The intraclass correlation coefficient for continuous variables and the Krippendorf alpha were used to evaluate the interrater agreement. Subgroup analysis was performed for 30 gliomas.&lt;/p&gt;&lt;h3&gt;RESULTS:&lt;/h3&gt;
&lt;p&gt;Parameters with almost perfect agreement (α &amp;gt; .8) included tumor location (F1) and proportion of enhancing tumor (F5). Parameters with substantial agreement (α = .61–.80) were side of tumor epicenter (F2), involvement of eloquent brain (F3), enhancement quality (F4), proportion of non-contrast-enhancing tumor (F6), and deep white matter invasion (F21). The other parameters showed either moderate (α = .41–.60; &lt;i&gt;n&lt;/i&gt; = 11), fair (α = .21–.40; &lt;i&gt;n&lt;/i&gt; = 5), or slight agreement (α = 0–.20; &lt;i&gt;n&lt;/i&gt; = 1). Subgroup analysis of 30 gliomas showed almost perfect agreement for tumor location (F1), involvement of eloquent brain (F3), and proportion of enhancing tumor (F5); and substantial agreement for side of tumor epicenter (F2), enhancement quality (F4), proportion of noncontrast enhancing tumor (F6), cysts (F8), thickness of enhancing margin (F11), and deep white matter invasion (F21). The intraclass correlation coefficient for measurements in the axial plane was excellent in both the main group (0.984 [F29] and 0.982 [F30]) and the glioma subgroup (0.973 [F29] and 0.973 [F30]).&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;Nine features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement in pediatric brain tumors. For the subgroup of pediatric gliomas, 11 features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement. The low degree of reproducibility of the remainder of the features necessitates the use of features tailored to the pediatric age group and is likely related to the more heterogeneous imaging morphology of pediatric brain tumors.&lt;/p&gt;" />
<meta name="citation_journal_title" content="American Journal of Neuroradiology" />
<meta name="citation_publisher" content="American Journal of Neuroradiology" />
<meta name="citation_publication_date" content="2022/02/01" />
<meta name="citation_mjid" content="ajnr;43/2/304" />
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<meta name="citation_issn" content="0195-6108" />
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<meta name="citation_doi" content="10.3174/ajnr.A7399" />
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<meta name="citation_volume" content="43" />
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<meta name="citation_article_type" content="Research Article" />
<meta name="citation_section" content="Pediatrics" />
<meta name="citation_firstpage" content="304" />
<meta name="citation_lastpage" content="308" />
<meta name="citation_author" content="A. Biswas" />
<meta name="citation_author_institution" content="aFrom the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada" />
<meta name="citation_author_institution" content="bDepartment of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada" />
<meta name="citation_author_orcid" content="https://orcid.org/0000-0003-2010-9524" />
<meta name="citation_author" content="A. Amirabadi" />
<meta name="citation_author_institution" content="aFrom the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada" />
<meta name="citation_author_institution" content="bDepartment of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada" />
<meta name="citation_author_orcid" content="https://orcid.org/0000-0001-6324-9776" />
<meta name="citation_author" content="M.W. Wagner" />
<meta name="citation_author_institution" content="aFrom the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada" />
<meta name="citation_author_institution" content="bDepartment of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada" />
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<meta name="twitter:title" content="Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors" />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE: At present, no evidence-based lexicon exists for pediatric intracranial tumors. The Visually AcceSAble Rembrandt Images terminology describes reproducible MR imaging features of adult gliomas for prediction of tumor grade, molecular markers, and survival. Our aim was to assess the interrater reliability of the pre-resection features of Visually AcceSAble Rembrandt Images in pediatric brain tumors.

MATERIALS AND METHODS: Fifty consecutive pre-resection brain MR imaging examinations of pediatric intracranial neoplasms were independently reviewed by 3 neuroradiologists. The intraclass correlation coefficient for continuous variables and the Krippendorf alpha were used to evaluate the interrater agreement. Subgroup analysis was performed for 30 gliomas.

RESULTS: Parameters with almost perfect agreement (α &gt; .8) included tumor location (F1) and proportion of enhancing tumor (F5). Parameters with substantial agreement (α = .61–.80) were side of tumor epicenter (F2), involvement of eloquent brain (F3), enhancement quality (F4), proportion of non-contrast-enhancing tumor (F6), and deep white matter invasion (F21). The other parameters showed either moderate (α = .41–.60; n  = 11), fair (α = .21–.40; n  = 5), or slight agreement (α = 0–.20; n  = 1). Subgroup analysis of 30 gliomas showed almost perfect agreement for tumor location (F1), involvement of eloquent brain (F3), and proportion of enhancing tumor (F5); and substantial agreement for side of tumor epicenter (F2), enhancement quality (F4), proportion of noncontrast enhancing tumor (F6), cysts (F8), thickness of enhancing margin (F11), and deep white matter invasion (F21). The intraclass correlation coefficient for measurements in the axial plane was excellent in both the main group (0.984 [F29] and 0.982 [F30]) and the glioma subgroup (0.973 [F29] and 0.973 [F30]).

CONCLUSIONS: Nine features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement in pediatric brain tumors. For the subgroup of pediatric gliomas, 11 features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement. The low degree of reproducibility of the remainder of the features necessitates the use of features tailored to the pediatric age group and is likely related to the more heterogeneous imaging morphology of pediatric brain tumors.

VASARI
:   Visually AccesSAble Rembrandt Images
REMBRANDT
:   REpository for Molecular BRAin Neoplasia DaTA" />
<meta name="og-title" property="og:title" content="Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/43/2/304" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: At present, no evidence-based lexicon exists for pediatric intracranial tumors. The Visually AcceSAble Rembrandt Images terminology describes reproducible MR imaging features of adult gliomas for prediction of tumor grade, molecular markers, and survival. Our aim was to assess the interrater reliability of the pre-resection features of Visually AcceSAble Rembrandt Images in pediatric brain tumors.

MATERIALS AND METHODS: Fifty consecutive pre-resection brain MR imaging examinations of pediatric intracranial neoplasms were independently reviewed by 3 neuroradiologists. The intraclass correlation coefficient for continuous variables and the Krippendorf alpha were used to evaluate the interrater agreement. Subgroup analysis was performed for 30 gliomas.

RESULTS: Parameters with almost perfect agreement (α &gt; .8) included tumor location (F1) and proportion of enhancing tumor (F5). Parameters with substantial agreement (α = .61–.80) were side of tumor epicenter (F2), involvement of eloquent brain (F3), enhancement quality (F4), proportion of non-contrast-enhancing tumor (F6), and deep white matter invasion (F21). The other parameters showed either moderate (α = .41–.60; n  = 11), fair (α = .21–.40; n  = 5), or slight agreement (α = 0–.20; n  = 1). Subgroup analysis of 30 gliomas showed almost perfect agreement for tumor location (F1), involvement of eloquent brain (F3), and proportion of enhancing tumor (F5); and substantial agreement for side of tumor epicenter (F2), enhancement quality (F4), proportion of noncontrast enhancing tumor (F6), cysts (F8), thickness of enhancing margin (F11), and deep white matter invasion (F21). The intraclass correlation coefficient for measurements in the axial plane was excellent in both the main group (0.984 [F29] and 0.982 [F30]) and the glioma subgroup (0.973 [F29] and 0.973 [F30]).

CONCLUSIONS: Nine features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement in pediatric brain tumors. For the subgroup of pediatric gliomas, 11 features of Visually AcceSAble Rembrandt Images have an acceptable interrater agreement. The low degree of reproducibility of the remainder of the features necessitates the use of features tailored to the pediatric age group and is likely related to the more heterogeneous imaging morphology of pediatric brain tumors.

VASARI
:   Visually AccesSAble Rembrandt Images
REMBRANDT
:   REpository for Molecular BRAin Neoplasia DaTA" />
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      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">Pediatrics</span></span></div>
  
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      <h1 class="highwire-cite-title" id="page-title">Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">A. Biswas</span>, <span class="highwire-citation-author" data-delta="1">A. Amirabadi</span>, <span class="highwire-citation-author" data-delta="2">M.W. Wagner</span> and <span class="highwire-citation-author" data-delta="3">B.B. Ertl-Wagner</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">February 2022,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">43 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(2) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">304-308; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A7399 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-95497--61515150619" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">A. Biswas </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada</div><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=A.%2BBiswas%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Biswas%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AA.%2BBiswas%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-2010-9524" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for A. Biswas</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">A. Amirabadi </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada</div><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=A.%2BAmirabadi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Amirabadi%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AA.%2BAmirabadi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-6324-9776" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for A. Amirabadi</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">M.W. Wagner </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada</div><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.W.%2BWagner%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Wagner%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AM.W.%2BWagner%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-6501-839X" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for M.W. Wagner</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">B.B. Ertl-Wagner </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada</div><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Medical Imaging, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=B.B.%2BErtl-Wagner%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Ertl-Wagner%20B&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AB.B.%2BErtl-Wagner%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-7896-7049" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for B.B. 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      <div class="highwire-cite-title">Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">A.</span> <span class="nlm-surname">Biswas</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">A.</span> <span class="nlm-surname">Amirabadi</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">M.W.</span> <span class="nlm-surname">Wagner</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">B.B.</span> <span class="nlm-surname">Ertl-Wagner</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Feb 2022, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">43 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(2) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">304-308; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A7399 </span></div>
  
  
  
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      <div class="highwire-cite-title">Features of Visually AcceSAble Rembrandt Images: Interrater Reliability in Pediatric Brain Tumors</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">A.</span> <span class="nlm-surname">Biswas</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">A.</span> <span class="nlm-surname">Amirabadi</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">M.W.</span> <span class="nlm-surname">Wagner</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">B.B.</span> <span class="nlm-surname">Ertl-Wagner</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Feb 2022, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">43 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(2) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">304-308; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A7399 </span></div>
  
  
  
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