{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:11:04Z","timestamp":1787008264627,"version":"build-2736575974"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Subcutaneous echogenicity grade (SEG) and subcutaneous echo-free space (SEFS) grade allow semiquantitation of nonspecific subcutaneous tissue inflammation and fluid accumulation in breast cancer-related lymphedema. However, inter- and intrarater reliability of SEG and SEFS is yet to be reported. The objective of this study is to assess inter-rater and intrarater reliability of SEG and SEFS in patients with breast cancer-related lymphedema.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      Two physiatrists performed SEG and SEFS grade to determine inter-rater and intrarater reliability. Inter-rater reliability for SEG and SEFS was excellent (Kappa [\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      ]\u2009=\u20090.836, weighted Kappa [\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      <jats:sub>w<\/jats:sub>\n                      ]\u2009=\u20090.85;\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      \u2009=\u20090.884,\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      <jats:sub>w<\/jats:sub>\n                      \u2009=\u20090.92).\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      <jats:sub>w<\/jats:sub>\n                      values of SEG and SEFS grading systems indicated excellent intrarater reliability (\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      \u2009=\u20090.81,\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      <jats:sub>w<\/jats:sub>\n                      \u2009=\u20090.83;\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      \u2009=\u20090.798,\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      <jats:sub>w<\/jats:sub>\n                      \u2009=\u20090.82). This trial is registered with Clinicaltrials.gov, under number NCT03559296.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on the findings of this study, SEG and SEFS demonstrated acceptable reliability. SEG and SEFS appear to be reliable and useful grading systems for the assessment of breast cancer-related lymphedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2018.0053","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T10:43:16Z","timestamp":1545302596000},"page":"518-524","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Interrater and Intrarater Reliability of Subcutaneous Echogenicity Grade and Subcutaneous Echo-Free Space Grade in Breast Cancer-Related Lymphedema"],"prefix":"10.1177","volume":"17","author":[{"given":"Esra","family":"Giray","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lker","family":"Ya\u011fc\u0131","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2012.12.018"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2016.07.006"},{"key":"e_1_3_3_4_2","first-page":"118","article-title":"Demonstration of tissue alterations by ultrasonography, magnetic resonance imaging and spectroscopy, and histology in breast cancer patients without lymphedema after axillary node dissection","volume":"39","author":"Tassenoy A","year":"2006","unstructured":"Tassenoy A, , Vermeiren K, , van der Veen P, et al. Demonstration of tissue alterations by ultrasonography, magnetic resonance imaging and spectroscopy, and histology in breast cancer patients without lymphedema after axillary node dissection. Lymphology, 2006; 39:118\u2013126.","journal-title":"Lymphology"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2015.0021"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2015.02.001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000223"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3400\/avd.oa.12.00102"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3400\/avd.oa.16-00086"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3400\/avd.oa.13-00107"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2016.0067"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0053"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/72.2.115"},{"key":"e_1_3_3_14_2","volume-title":"Statistical methods for rates and proportions","author":"Fleiss JL","year":"2013","unstructured":"Fleiss JL, , Levin B, , Paik MC. Statistical methods for rates and proportions. Hoboken, New Jersey: John Wiley & Sons; 2013."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0047"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2006.00342.x"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31815b6199"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31828d7285"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2015.0001"},{"key":"e_1_3_3_20_2","first-page":"152","article-title":"Ultrasonography of arm edema after axillary dissection for breast cancer: A preliminary study","volume":"34","author":"Balzarini A","year":"2001","unstructured":"Balzarini A, , Milella M, , Civelli E, , Sigari C, , De FC. Ultrasonography of arm edema after axillary dissection for breast cancer: A preliminary study. Lymphology, 2001; 34:152\u2013155.","journal-title":"Lymphology"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2018.0053","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2018.0053","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2018.0053","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:12:06Z","timestamp":1777666326000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2018.0053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,1]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,10,1]]}},"alternative-id":["10.1089\/lrb.2018.0053"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2018.0053","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,1]]}}}