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Reliability, repeatability, and reproducibility of pulmonary transit time assessment by contrast enhanced echocardiography

Overview of attention for article published in Cardiovascular Ultrasound, January 2016
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Title
Reliability, repeatability, and reproducibility of pulmonary transit time assessment by contrast enhanced echocardiography
Published in
Cardiovascular Ultrasound, January 2016
DOI 10.1186/s12947-015-0044-1
Pubmed ID
Authors

Ingeborg H. F. Herold, Salvatore Saporito, R. Arthur Bouwman, Patrick Houthuizen, Hans C. van Assen, Massimo Mischi, Hendrikus H. M. Korsten

Abstract

The aim of this study is to investigate the inter and intra-rater reliability, repeatability, and reproducibility of pulmonary transit time (PTT) measurement in patients using contrast enhanced ultrasound (CEUS), as an indirect measure of preload and left ventricular function. Mean transit times (MTT) were measured by drawing a region of interest (ROI) in right and left cardiac ventricle in the CEUS loops. Acoustic intensity dilution curves were obtained from the ROIs. MTTs were calculated by applying model-based fitting on the dilution curves. PTT was calculated as the difference of the MTTs. Eight raters with different levels of experience measured the PTT (time moment 1) and repeated the measurement within a week (time moment 2). Reliability and agreement were assessed using intra-class correlations (ICC) and Bland-Altman analysis. Repeatability was tested by estimating the variance of means (ANOVA) of three injections in each patient at different doses. Reproducibility was tested by the ICC of the two time moments. Fifteen patients with heart failure were included. The mean PTT was 11.8 ± 3.1 s at time moment 1 and 11.7 ± 2.9 s at time moment 2. The inter-rater reliability for PTT was excellent (ICC = 0.94). The intra-rater reliability per rater was between 0.81-0.99. Bland-Altman analysis revealed a bias of 0.10 s within the rater groups. Reproducibility for PTT showed an ICC = 0.94 between the two time moments. ANOVA showed no significant difference between the means of the three different doses F = 0.048 (P = 0.95). The mean and standard deviation for PTT estimates at three different doses was 11.6 ± 3.3 s. PTT estimation using CEUS shows a high inter- and intra-rater reliability, repeatability at three different doses, and reproducibility by ROI drawing. This makes the minimally invasive PTT measurement using contrast echocardiography ready for clinical evaluation in patients with heart failure and for preload estimation.

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Mendeley readers

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The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Netherlands 1 3%
Unknown 30 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 4 13%
Student > Bachelor 4 13%
Researcher 4 13%
Student > Master 4 13%
Other 2 6%
Other 6 19%
Unknown 7 23%
Readers by discipline Count As %
Medicine and Dentistry 13 42%
Veterinary Science and Veterinary Medicine 3 10%
Nursing and Health Professions 2 6%
Engineering 2 6%
Computer Science 1 3%
Other 2 6%
Unknown 8 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 January 2016.
All research outputs
#19,945,185
of 25,374,917 outputs
Outputs from Cardiovascular Ultrasound
#245
of 328 outputs
Outputs of similar age
#278,481
of 400,006 outputs
Outputs of similar age from Cardiovascular Ultrasound
#7
of 10 outputs
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So far Altmetric has tracked 328 research outputs from this source. They receive a mean Attention Score of 4.7. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
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