Table 9

Reproducibility of some histological features

FeatureReproducibilityIOV%112533κ1162636869
Architecture
 Normal crypt architectureAcceptable>0.4
 Crypt distortionVariable4–250.4–0.77
 Villous/irregular mucosal surfaceVariable4–190.37–<0.4
 Crypt atrophyVariable6–290.27–0.67
 Crypt branchingVariable26<0.4–0.47
 Crypt dilatationPoor330.31
Epithelium
 Severe mucin depletionAcceptable>0.4
 Mucin depletionVariable21>0.4–0.57
 Paneth cell metaplasiaVariable130.36–0.75
Chronic inflammation
 Basal plasmacytosisAcceptable/good0.53–0.84
 Focal vs diffuse chronic inflammationAcceptable/good0.54–0.87
 Normal lamina proprial cellularityAcceptable17>0.4
 Basal lymphoid aggregatesAcceptable10–160.52
 Submucosal inflammationAcceptable140.44–0.63
 Lamina proprial lymphocytes/plasma cellsVariable23–330.08–0.68
 EosinophilsVariable230.32–0.51
 HistiocytesVariable/poor460.07–0.6
Granulomas/giant cells
 Granuloma/epithelioid granulomaGood4–6>0.4–1
 Giant cells (NOS/Langhans/isolated/basal)Acceptable/good3–80.45–0.85
Acute/active inflammation
 Crypt neutrophils/crypt abscess/cryptitisAcceptable18>0.4–0.66
 Ulceration/surface erosionVariable15<0.4–0.56
 Lamina proprial neutrophilsVariable21>0.4–0.57
  • Reproducibility is arbitrarily classified as acceptable if κ is >0.4 and IOV <20%.

  • IOV, interobserver variability; NOS, not otherwise specified.