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新西兰两名观察者之间使用数码照片识别牛趾间皮炎的观察者间一致性。

Inter-observer agreement between two observers for bovine digital dermatitis identification in New Zealand using digital photographs.

作者信息

Yang D A, Laven R A

机构信息

a School of Veterinary Science , Massey University , Palmerston North , New Zealand.

出版信息

N Z Vet J. 2019 May;67(3):143-147. doi: 10.1080/00480169.2019.1582369. Epub 2019 Mar 7.

Abstract

AIMS

To assess the inter-observer agreement for detecting bovine digital dermatitis (BDD) lesions in digital colour photographs of the hind feet of cows, which had been taken while the animals were standing to be milked, between two trained observers.

METHODS

Thirty-six photographs were selected from a total of 184 photographs held by the first author (R1), who had classified them as negative (n=11) or positive (n=25) for BDD. They were delivered to a technician (R2) who had previously visually inspected cattle for BDD lesions, and who then recorded the photographs as being either BDD-positive or BDD-negative. The percentage agreement between R1 and R2, and two other inter-observer agreement statistics, Cohen's κ and Gwet's first-order chance correction agreement coefficient (AC1), were calculated. The cumulative membership probabilities of Cohen's κ and Gwet's AC1 were then calculated for different benchmark ranges of κ.

RESULTS

The percentage agreement between R1 and R2 was 33/36 (92%), Cohen's κ was 0.80 (95% CI=0.57-1.0) and Gwet's AC1 was 0.86 (95% CI=0.69-1.0). Based on the cumulative membership probabilities for Gwet's AC1, there was 75% probability that the two observers had almost perfect agreement (κ≥0.81). For both Cohen's κ and Gwet's AC1, there was >95% probability that the two observers had at least substantial agreement (κ≥0.61).

CONCLUSIONS

The two trained observers had at least substantial agreement in identifying from a digital photograph as to whether BDD lesions were present or absent. Therefore results from the two could be used interchangeably.

CLINICAL RELEVANCE

Visual assessment for BDD lesions in the milking parlour can be subjective. However a high agreement between these two trained BDD inspectors means BDD prevalence reported from different regions in New Zealand by these two can be directly compared.

摘要

目的

评估两名经过培训的观察者在奶牛后蹄数字彩色照片中检测牛趾间皮炎(BDD)病变的观察者间一致性,这些照片是在奶牛站立挤奶时拍摄的。

方法

从第一作者(R1)持有的总共184张照片中选出36张,R1已将其分类为BDD阴性(n = 11)或阳性(n = 25)。将这些照片交给一名技术人员(R2),该技术人员之前曾对牛进行过BDD病变的目视检查,然后将照片记录为BDD阳性或BDD阴性。计算R1和R2之间的一致性百分比,以及另外两个观察者间一致性统计量,即科恩κ系数和格韦特一阶机遇校正一致性系数(AC1)。然后针对κ的不同基准范围计算科恩κ系数和格韦特AC1的累积成员概率。

结果

R1和R2之间的一致性百分比为33/36(92%),科恩κ系数为0.80(95%CI = 0.57 - 1.0),格韦特AC1为0.86(95%CI = 0.69 - 1.0)。根据格韦特AC1的累积成员概率,两名观察者几乎完全一致(κ≥0.81)的概率为75%。对于科恩κ系数和格韦特AC1,两名观察者至少有实质性一致(κ≥0.61)的概率均>95%。

结论

两名经过培训的观察者在通过数字照片识别是否存在BDD病变方面至少有实质性一致。因此,两人的结果可以互换使用。

临床意义

在挤奶厅对BDD病变进行目视评估可能具有主观性。然而,这两名经过培训的BDD检查员之间的高度一致性意味着,这两人在新西兰不同地区报告的BDD患病率可以直接比较。

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