Louvel J P, Czernichow P, Kervarrec Y, Robert T, Watelet J, Benozio M, Testart J
J Radiol. 1984 Oct;65(10):673-6.
This study attempts to measure inter-observer variability in reading 14 carotid angiograms and 8 aortograms. 24 surgeons and radiographs with training in arterial diseases participated in the study from different hospitals. The results were analysed with the Kappa statistical method which incorporate a correction for the extend of agreement expected by chance alone, in the evaluation of the reliability of diagnostic procedures. From a topographic point of view, the interpretation of the proximal arterial segments is more reliable than the distal segments, with the exception of the aorto-iliac bifurcation and the profunda femoral arteries. Inter-observer agreement is the most important for the occlusive lesions and the identification of stenosis is of poor reliability.
本研究旨在测量14例颈动脉血管造影和8例主动脉造影阅片时观察者间的变异性。24名来自不同医院、接受过动脉疾病培训的外科医生和放射科医生参与了该研究。采用Kappa统计方法分析结果,该方法在评估诊断程序的可靠性时,对仅由偶然因素导致的一致程度进行了校正。从地形学角度来看,除了主动脉-髂动脉分叉处和股深动脉外,近端动脉段的解读比远端动脉段更可靠。观察者间的一致性对于闭塞性病变最为重要,而狭窄的识别可靠性较差。