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[超声心动图检查期间获得的超声心动图测量值与数字化图像测量值之间的相关性和一致性——横向研究]

[Correlation and concordance between echocardiographic measurements obtained during echocardiography and digitized image measurements--transversal study].

作者信息

Hatem Maria Amélia Bulhões, Castro Iran, Hatem Domingos M, Zuccolotto Marcos, Schuck Júnior Adalberto, Pellanda Lucia C, Pandolfo Fernanda, Feier Flávia

机构信息

Instituto de Cardiologia, Rio Grande do Sul.

出版信息

Arq Bras Cardiol. 2006 Apr;86(4):283-8. doi: 10.1590/s0066-782x2006000400008. Epub 2006 Apr 25.

Abstract

OBJECTIVE

To evaluate the correlation and concordance between the measurements of echocardiographic analysis of cardiac dimensions obtained through the Echo off-line applicative (software for obtaining digitized image measurements in a dedicated workstation) available to public domain, and those obtained through the conventional method.

METHOD

Transversal contemporary study, of 56 randomized patients whose images were obtained during examinations. The measurements of the M mode and 2D, were done in the ventricles, left atrium, and aorta by the Echo off-line program. These measurements were compared to those obtained by another professional, through Pearson's correlation test (r), alpha = 0.05 and by concordance analysis (Bland and Altman).

RESULT

The measurements carried out by the Echo off-line system showed r that varied from 0.85 to 0.98. The analysis of concordance showed that for most measurements, the mean difference between the methods was approximately zero. The variation of absolute values did not show, in average, a clinical significance. The Echo off-line applicative allows a reduction of approximately 30% in the time spent to obtain the measurements.

CONCLUSION

This study demonstrated the accuracy of the Echo off-line program to measure cardiac dimensions in a dedicated workstation, showing that it can be routinely used in echocardiography labs.

摘要

目的

评估通过可公开获取的离线回声应用程序(用于在专用工作站获取数字化图像测量值的软件)获得的心脏尺寸超声心动图分析测量值与通过传统方法获得的测量值之间的相关性和一致性。

方法

对56例随机患者进行横向同期研究,这些患者的图像是在检查期间获取的。通过离线回声程序对心室、左心房和主动脉进行M型和二维测量。通过Pearson相关检验(r)、α = 0.05以及一致性分析(Bland和Altman)将这些测量值与另一位专业人员获得的测量值进行比较。

结果

离线回声系统进行的测量显示r值在0.85至0.98之间变化。一致性分析表明,对于大多数测量,两种方法之间的平均差异约为零。绝对值的变化平均而言没有临床意义。离线回声应用程序可使获取测量值所花费的时间减少约30%。

结论

本研究证明了离线回声程序在专用工作站测量心脏尺寸的准确性,表明它可在超声心动图实验室常规使用。

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