Inter-sonographer reproducibility of quantitative ultrasound outcomes and shear wave speed measured in the right lobe of the liver in adults with known or suspected non-alcoholic fatty liver disease

Autor: William D. O'Brien, Michael P. Andre, Aiguo Han, Ethan Z. Sy, Claude B. Sirlin, Rohit Loomba, Yassin Labyed, John W. Erdman, Andrew S. Boehringer
Rok vydání: 2018
Předmět:
Male
Reproducibility of results
Intraclass correlation
Image Processing
Phantoms
030218 nuclear medicine & medical imaging
Imaging
0302 clinical medicine
Computer-Assisted
Non-alcoholic Fatty Liver Disease
Image Processing
Computer-Assisted

Medicine
Prospective Studies
Ultrasonography
Observer Variation
medicine.diagnostic_test
Phantoms
Imaging

Liver Disease
Ultrasound
General Medicine
Middle Aged
Nuclear Medicine & Medical Imaging
Liver
Elasticity Imaging Techniques
030211 gastroenterology & hepatology
Female
Radiology
Elastography
Adult
medicine.medical_specialty
Coefficient of variation
Chronic Liver Disease and Cirrhosis
Liver fibrosis
Clinical Sciences
Article
Imaging phantom
03 medical and health sciences
Clinical Research
Humans
Radiology
Nuclear Medicine and imaging

Reproducibility
Analysis of Variance
business.industry
Reproducibility of Results
Confidence interval
Sonographer
Digestive Diseases
business
Software
Zdroj: European radiology, vol 28, iss 12
Eur Radiol
Han, A; Labyed, Y; Sy, EZ; Boehringer, AS; Andre, MP; Erdman, JW; et al.(2018). Inter-sonographer reproducibility of quantitative ultrasound outcomes and shear wave speed measured in the right lobe of the liver in adults with known or suspected non-alcoholic fatty liver disease.. European radiology, 28(12), 4992-5000. doi: 10.1007/s00330-018-5541-9. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/53n7r9n3
DOI: 10.1007/s00330-018-5541-9.
Popis: To assess inter-sonographer reproducibility of ultrasound attenuation coefficient (AC), backscatter coefficient (BSC) and shear wave speed (SWS) in adults with known/suspected non-alcoholic fatty liver disease (NAFLD). The institutional review board approved this HIPAA-compliant prospective study; informed consent was obtained. Participants with known/suspected NAFLD were recruited and underwent same-day liver examinations with a clinical scanner. Each participant was scanned by two of the six trained sonographers. Each sonographer performed multiple data acquisitions in the right liver lobe using a lateral intercostal approach. A data acquisition was a single operator button press that recorded a B-mode image, radio-frequency data, and the SWS value. AC and BSC were calculated from the radio-frequency data using the reference phantom method. SWS was calculated automatically using product software. Intraclass correlation coefficient (ICC) and within-subject coefficient of variation (wCV) were calculated for applicable metrics. Sixty-one participants were recruited. Inter-sonographer ICC was 0.86 (95% confidence interval: 0.77–0.92) for AC and 0.87 (0.78–0.92) for log-transformed BSC (logBSC = 10log10BSC) using one acquisition per sonographer. ICC was 0.88 (0.80–0.93) for both AC and logBSC averaging 5 acquisitions. ICC for SWS was 0.57 (0.29–0.74) using one acquisition per sonographer, and 0.84 (0.66–0.93) using 10 acquisitions. The wCV was ~7% for AC, and 19–43% for SWS, depending on number of acquisitions. Hepatic AC, BSC and SWS measures on a clinical scanner have good inter-sonographer reproducibility in adults with known or suspected NAFLD. Multiple acquisitions are required for SWS but not AC or BSC to achieve good inter-sonographer reproducibility. • AC, BSC and SWS measurements are reproducible in adults with NAFLD. • Inter-sonographer reproducibility of SWS measurement improves with more acquisitions being averaged. • Multiple acquisitions are required for SWS but not AC or BSC.
Databáze: OpenAIRE