Diagnostic Step | step1P (n = 52) | step1R (n = 52) | step1C (n = 52) | step2 (n = 52) | step3 (n = 52) | step4 (n = 52) | step4(H/D) (n = 38) |
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Agreement | 42.3% | 53.8% | 67.3% | 65.3% | 55.8% | 65.4% | 76.3% |
kappa | 0.23 | 0.45 | 0.61 | 0.59 | 0.57 | 0.57 | 0.71 |
95%CI | 0.08–0.39 | 0.29–0.61 | 0.45–0.76 | 0.44–0.74 | 0.43–0.72 | 0.42–0.73 | 0.55–0.87 |
- Step4 (H/D): 38 cases were diagnosed with high or definite confidence in TBLC-MDD.step1P: consensus pathological diagnosis without clinical and radiological information. step1R: consensus radiological diagnosis without clinical and pathological information. Step1C: Consensus clinical diagnosis without radiological diagnosis and pathological information Step2: Consensus clinical diagnosis with radiological diagnosis and without pathological information Step3: Consensus clinical diagnosis with radiological diagnosis and bronchoalveolar lavage analysis without pathological information Step4: MDD diagnosis with full information, including pathological diagnosis