Intrastomal 3D ultrasound: an inter- and intra-observer evaluation
2013 (English)In: International Journal of Colorectal Disease, ISSN 0179-1958, E-ISSN 1432-1262, Vol. 28, no 1, 43-47 p.Article in journal (Refereed) Published
The aim of this study was to determine intra- and interobserver reliability in 3D intrastomal ultrasound imaging of parastomal hernia and protrusion. A total of 40 patients were investigated. Two or three physicians evaluated the images twice, 1 month apart. Inter-observer agreement was 72 % with a kappa value 0.59. For the last 10 patients there was an agreement of 80 % with a kappa value of 0.70. Intraobserver agreement was 80 % for one observer and 95 % for the other. The learning curve levelled out at around 30 patients. Considering the learning curve of 30 patients, 3D intrastomal ultrasound is a reliable investigation method. 3D intrastomal ultrasonography has the potential to be the investigation of choice to differentiate between a bulge, a hernia, or a protrusion.
Place, publisher, year, edition, pages
Springer-Verlag New York, 2013. Vol. 28, no 1, 43-47 p.
Intrastomal, Intraobserver, Interobserver, 3D ultrasound, Evaluation
IdentifiersURN: urn:nbn:se:umu:diva-66414DOI: 10.1007/s00384-012-1526-3ISI: 000313442400006OAI: oai:DiVA.org:umu-66414DiVA: diva2:607422