PittsburghV1, Main, Exploration, bibRecord, 002617

Interobserver Agreement for Single Operator Choledochoscopy Imaging: Can We Do Better?

Identifieur interne : 002617 ( Main/Exploration ); précédent : 002616; suivant : 002618

Interobserver Agreement for Single Operator Choledochoscopy Imaging: Can We Do Better?

Auteurs : Amrita Sethi [États-Unis] ; Theodore Doukides [États-Unis] ; Divyesh V. Sejpal [États-Unis] ; Douglas K. Pleskow [États-Unis] ; Adam Slivka [États-Unis] ; Douglas G. Adler [États-Unis] ; Raj J. Shah [États-Unis] ; Steven A. Edmundowicz [États-Unis] ; Takao Itoi [Japon] ; Bret T. Petersen [États-Unis] ; Frank G. Gress [États-Unis] ; Monica Gaidhane [États-Unis] ; Michel Kahaleh [États-Unis]

Source :

Diagnostic and Therapeutic Endoscopy [ 1070-3608 ] ; 2014.

RBID : PMC:4220579

Abstract

Background. The SpyGlass Direct Visualization System (Boston Scientific, Natick, MA) is routinely used during single operator choledochoscopy (SOC) to identify biliary lesions or strictures with a diagnostic accuracy up to 88%. The objective of this study was to determine the interobserver agreement (IOA) of modified scoring criteria for diagnosing biliary lesions/strictures. Methods. 27 SPY SOC video clips were reviewed and scored by 9 interventional endoscopists based on published criteria that included the presence and severity of surface structure, vasculature visualization, lesions, and findings. Results. Overall IOA was “slight” for all variables. The K statistics are as follows: surface (K = 0.12, SE = 0.02); vessels (K = 0.14, SE = 0.02); lesions (K = 0.11, SE = 0.02); findings (K = 0.08, SE = 0.03); and final diagnosis (K = 0.08, SE = 0.02). The IOA for “findings” and “final diagnosis” was also only “slight.” The final diagnosis was malignant (11), benign (11), and indeterminate (5). Conclusion. IOA using the modified criteria of SOC images was slight to almost poor. The average accuracy was less than 50%. These findings reaffirm that imaging criteria for benign and malignant biliary pathology need to be formally established and validated.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220579

DOI: 10.1155/2014/730731
PubMed: 25400494
PubMed Central: 4220579

Affiliations:

Le document en format XML

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<author><name sortKey="Shah, Raj J" sort="Shah, Raj J" uniqKey="Shah R" first="Raj J." last="Shah">Raj J. Shah</name>
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<wicri:regionArea>Department of Internal Medicine/Division of Gastroenterology, Washington University School of Medicine, Saint Louis, MO 63110</wicri:regionArea>
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<region type="région">Région de Kantō</region>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Gress, Frank G" sort="Gress, Frank G" uniqKey="Gress F" first="Frank G." last="Gress">Frank G. Gress</name>
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<author><name sortKey="Gaidhane, Monica" sort="Gaidhane, Monica" uniqKey="Gaidhane M" first="Monica" last="Gaidhane">Monica Gaidhane</name>
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<country xml:lang="fr">États-Unis</country>
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</placeName>
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<author><name sortKey="Kahaleh, Michel" sort="Kahaleh, Michel" uniqKey="Kahaleh M" first="Michel" last="Kahaleh">Michel Kahaleh</name>
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<front><div type="abstract" xml:lang="en"><p><italic>Background</italic>
. The SpyGlass Direct Visualization System (Boston Scientific, Natick, MA) is routinely used during single operator choledochoscopy (SOC) to identify biliary lesions or strictures with a diagnostic accuracy up to 88%. The objective of this study was to determine the interobserver agreement (IOA) of modified scoring criteria for diagnosing biliary lesions/strictures. <italic>Methods</italic>
. 27 SPY SOC video clips were reviewed and scored by 9 interventional endoscopists based on published criteria that included the presence and severity of surface structure, vasculature visualization, lesions, and findings. <italic>Results</italic>
. Overall IOA was “slight” for all variables. The <italic>K</italic>
 statistics are as follows: surface (<italic>K</italic>
 = 0.12, SE = 0.02); vessels (<italic>K</italic>
 = 0.14, SE = 0.02); lesions (<italic>K</italic>
 = 0.11, SE = 0.02); findings (<italic>K</italic>
 = 0.08, SE = 0.03); and final diagnosis (<italic>K</italic>
 = 0.08, SE = 0.02). The IOA for “findings” and “final diagnosis” was also only “slight.” The final diagnosis was malignant (11), benign (11), and indeterminate (5). <italic>Conclusion</italic>
. IOA using the modified criteria of SOC images was slight to almost poor. The average accuracy was less than 50%. These findings reaffirm that imaging criteria for benign and malignant biliary pathology need to be formally established and validated.</p>
</div>
</front>
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<biblStruct><analytic><author><name sortKey="Nishikawa, T" uniqKey="Nishikawa T">T Nishikawa</name>
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<author><name sortKey="Oh, Sh" uniqKey="Oh S">SH Oh</name>
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<author><name sortKey="Tsuyuguchi, T" uniqKey="Tsuyuguchi T">T Tsuyuguchi</name>
</author>
<author><name sortKey="Sakai, Y" uniqKey="Sakai Y">Y Sakai</name>
</author>
<author><name sortKey="Tsuchiya, S" uniqKey="Tsuchiya S">S Tsuchiya</name>
</author>
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<li>Missouri (État)</li>
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<settlement><li>Saint-Louis (Missouri)</li>
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<orgName><li>École de médecine (Université Washington de Saint-Louis)</li>
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<name sortKey="Gaidhane, Monica" sort="Gaidhane, Monica" uniqKey="Gaidhane M" first="Monica" last="Gaidhane">Monica Gaidhane</name>
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<name sortKey="Kahaleh, Michel" sort="Kahaleh, Michel" uniqKey="Kahaleh M" first="Michel" last="Kahaleh">Michel Kahaleh</name>
<name sortKey="Petersen, Bret T" sort="Petersen, Bret T" uniqKey="Petersen B" first="Bret T." last="Petersen">Bret T. Petersen</name>
<name sortKey="Pleskow, Douglas K" sort="Pleskow, Douglas K" uniqKey="Pleskow D" first="Douglas K." last="Pleskow">Douglas K. Pleskow</name>
<name sortKey="Sejpal, Divyesh V" sort="Sejpal, Divyesh V" uniqKey="Sejpal D" first="Divyesh V." last="Sejpal">Divyesh V. Sejpal</name>
<name sortKey="Shah, Raj J" sort="Shah, Raj J" uniqKey="Shah R" first="Raj J." last="Shah">Raj J. Shah</name>
<name sortKey="Slivka, Adam" sort="Slivka, Adam" uniqKey="Slivka A" first="Adam" last="Slivka">Adam Slivka</name>
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<country name="Japon"><region name="Région de Kantō"><name sortKey="Itoi, Takao" sort="Itoi, Takao" uniqKey="Itoi T" first="Takao" last="Itoi">Takao Itoi</name>
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</record>

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Interobserver Agreement for Single Operator Choledochoscopy Imaging: Can We Do Better?

Interobserver Agreement for Single Operator Choledochoscopy Imaging: Can We Do Better?

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