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亚毫希沃特辐射剂量下冠状动脉CT血管造影半自动冠状动脉斑块定量的可重复性;常见错误

Reproducibility of semi-automatic coronary plaque quantification in coronary CT angiography with sub-mSv radiation dose; common mistakes.

作者信息

Sabour Siamak

机构信息

Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran; Department of Clinical Epidemiology, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.

出版信息

J Cardiovasc Comput Tomogr. 2016 Sep-Oct;10(5):e21-2. doi: 10.1016/j.jcct.2016.07.002. Epub 2016 Jul 9.

Abstract

Reliability (repeatability or reproducibility) is being assessed by different statistical tests including Pearson r or Spearman rho which is one of the common mistakes in reliability analysis. Briefly, for quantitative variable Intra Class Correlation Coefficient (ICCC) single measure should be used. Reporting inter- and intra-observer mean percentage differences is another mistake in reliability analysis because individual approach should be considered instead of global average. As a take home message, for reliability analysis, appropriate tests should be applied by researchers. Otherwise, misdiagnosis and mismanagement of the patients cannot be avoided.

摘要

可靠性(重复性或再现性)正通过不同的统计检验进行评估,包括皮尔逊相关系数r或斯皮尔曼等级相关系数rho,这是可靠性分析中常见的错误之一。简而言之,对于定量变量,应使用组内相关系数(ICCC)单一测量方法。报告观察者间和观察者内的平均百分比差异是可靠性分析中的另一个错误,因为应考虑个体方法而非全局平均值。作为一个重要提示,对于可靠性分析,研究人员应应用适当的检验方法。否则,无法避免对患者的误诊和管理不当。

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