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上肢浅筋膜和深筋膜厚度超声测量的评分者间及评分者内信度

Inter- and Intra-Rater Reliability of Ultrasound Measurements of Superficial and Deep Fasciae Thickness in Upper Limb.

作者信息

Pirri Carmelo, Pirri Nina, Porzionato Andrea, Boscolo-Berto Rafael, De Caro Raffaele, Stecco Carla

机构信息

Department of Neurosciences, Institute of Human Anatomy, University of Padua, 35121 Padova, Italy.

Department of Medicine-DIMED, School of Radiology, Radiology Institute, University of Padua, 35128 Padova, Italy.

出版信息

Diagnostics (Basel). 2022 Sep 9;12(9):2195. doi: 10.3390/diagnostics12092195.

Abstract

Ultrasound (US) imaging is increasingly the most used tool to measure the thickness of superficial and deep fasciae, but there are still some doubts about its reliability in this type of measurement. The current study sets out to assess the inter-rater and intra-rater reliability of US measurements of superficial and deep fasciae thicknesses in the arm and forearm. The study involved two raters: the first (R1) is an expert in skeletal-muscle US imaging and, in particular, the US assessment of fasciae; the second (R2) is a radiologist resident with 1 year's experience in skeletal-muscle US imaging. R2, not having specific competence in the US imaging of fasciae, was trained by R1. R1 took US images following the protocol by Pirri et al. 2021, and the US-recorded images were analyzed separately by the two raters in different sessions. Each rater measured both types of fasciae at different regions and levels of the arm and forearm. Intra- and inter-rater reliability was excellent for the deep fascia and good and excellent for the superficial fascia according to the different regions/levels (for example for the anterior region of the arm: deep fascia: Ant 1: ICC = 0.95; 95% CI = 0.81-0.98; superficial fascia: Ant 1: ICC = 0.85, 95% CI = 0.79-0.88). These findings confirm that US imaging is a reliable and cost-effective tool for evaluating both fasciae, superficial and deep.

摘要

超声(US)成像越来越成为测量浅筋膜和深筋膜厚度最常用的工具,但对于其在这类测量中的可靠性仍存在一些疑问。本研究旨在评估超声测量手臂和前臂浅筋膜和深筋膜厚度时的评分者间信度和评分者内信度。该研究涉及两名评分者:第一位(R1)是骨骼肌超声成像专家,尤其擅长超声评估筋膜;第二位(R2)是一名有1年骨骼肌超声成像经验的放射科住院医师。R2在筋膜超声成像方面没有特定资质,由R1进行培训。R1按照Pirri等人2021年的方案采集超声图像,两名评分者在不同时间段分别对记录的超声图像进行分析。每位评分者在手臂和前臂的不同区域和水平测量两种类型的筋膜。根据不同区域/水平,深筋膜的评分者内信度和评分者间信度均为优秀,浅筋膜的评分者内信度和评分者间信度为良好和优秀(例如,对于手臂前部区域:深筋膜:Ant 1:组内相关系数(ICC)=0.95;95%置信区间(CI)=0.81 - 0.98;浅筋膜:Ant 1:ICC = 0.85,95% CI = 0.79 - 0.88)。这些发现证实,超声成像对于评估浅筋膜和深筋膜而言是一种可靠且经济高效的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c779/9497800/39fc5abdeedf/diagnostics-12-02195-g001a.jpg

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