Clinique ambulatoire bovine, Faculté de médecine vétérinaire, Université de Montréal, CP5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada.
J Dairy Sci. 2013 Jul;96(7):4523-8. doi: 10.3168/jds.2013-6577. Epub 2013 Apr 28.
The aim of this study was to assess inter- and intraoperator agreement when assessing lung consolidation secondary to bovine respiratory disease (BRD) by thoracic ultrasonography. Ten calves were blindly assessed by 3 operators with varying expertise in thoracic ultrasound to look for lung consolidation and the presence of comet-tail artifacts (COMT). Systematic ultrasonography of the thorax was performed using an 18-site per side assessment with a linear 8.5-MHz probe. The status of the calves [healthy (n=4) vs. treated for BRD (n=6)] was not known by the operators. The interoperator kappa agreement for detecting consolidation was moderate to almost perfect (from 0.6 to 1.0) depending on the operator's experience (diagnosis of consolidation if depth ≥1cm). The intraclass correlation coefficient for consistency was 0.71 for a single measurement and 0.88 for average measurement. The intraclass correlation coefficient for agreement was 0.73 for single measurements and 0.89 for average measurements. These values were considered good for single measurements and excellent for average measurements. Systematic ultrasonography of the thorax can be used routinely to assess lung consolidation in dairy calves and can therefore be of importance, especially for assessment of subclinical BRD.
本研究旨在评估通过胸部超声检查评估牛呼吸道疾病(BRD)继发肺实变的操作者间和操作者内的一致性。10 头小牛由 3 名具有不同胸部超声专业知识的操作者进行盲法评估,以寻找肺实变和彗尾伪像(COMT)的存在。使用线性 8.5MHz 探头对每侧 18 个部位进行系统的胸部超声检查。操作人员不知道小牛的状态(健康(n=4)与 BRD 治疗(n=6))。根据操作者的经验,检测实变的操作者间kappa 一致性为中度至几乎完美(0.6 至 1.0)(如果深度≥1cm,则诊断为实变)。单次测量的组内相关系数为 0.71,平均测量的组内相关系数为 0.88。单次测量的组内一致性系数为 0.73,平均测量的组内一致性系数为 0.89。这些值被认为是单次测量的良好值,平均测量的优秀值。胸部超声系统检查可常规用于评估奶牛小牛的肺实变,因此尤其对亚临床 BRD 的评估具有重要意义。