Inter- and intra-rater reliability of blood and cerebrospinal fluid flow quantification by phase-contrast MRI

Purpose: To evaluate the intra‐ and inter‐rater reliability of the quantification of blood and CSF flow rates by phase contrast MRI. Materials and Methods: Blood and CSF flows in the upper cervical region were imaged with velocity‐encoded cine‐phase contrast using 3T scanners from different manufact...

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Veröffentlicht in:Journal of magnetic resonance imaging 2013-09, Vol.38 (3), p.655-662
Hauptverfasser: Koerte, Inga, Haberl, Caroline, Schmidt, Michael, Pomschar, Andreas, Lee, Sang, Rapp, Petra, Steffinger, Denise, Tain, Rong-Wen, Alperin, Noam, Ertl-Wagner, Birgit
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container_end_page 662
container_issue 3
container_start_page 655
container_title Journal of magnetic resonance imaging
container_volume 38
creator Koerte, Inga
Haberl, Caroline
Schmidt, Michael
Pomschar, Andreas
Lee, Sang
Rapp, Petra
Steffinger, Denise
Tain, Rong-Wen
Alperin, Noam
Ertl-Wagner, Birgit
description Purpose: To evaluate the intra‐ and inter‐rater reliability of the quantification of blood and CSF flow rates by phase contrast MRI. Materials and Methods: Blood and CSF flows in the upper cervical region were imaged with velocity‐encoded cine‐phase contrast using 3T scanners from different manufacturers at two centers. Data of 6 subjects scanned in center A and of 5 subjects in center B were analyzed by six readers at two levels of training. Each data set was analyzed three times in a randomized order for a total of 33 data sets. Intra‐class correlation coefficients (ICC) were calculated for the primary measurements of areas and flow rates through the main cervical arteries, veins and the CSF space, and for secondary parameters derived from the individual flow rates. Results: ICC ranged from 0.80 to 0.96 for the lumen area and from 0.97 to 0.99 for the volumetric flow rate. The ICC for the derived secondary measures ranged from 0.85 to 0.99. Differences due to operator level of training were not statistically significant. Conclusion: High intra‐ and inter‐rater reliability of volumetric flow rate measurements is currently achievable across manufacturers and users' skill levels with a pulsatility based automated lumen segmentation. J. Magn. Reson. Imaging 2013;38:655–662. © 2013 Wiley Periodicals, Inc.
doi_str_mv 10.1002/jmri.24013
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Materials and Methods: Blood and CSF flows in the upper cervical region were imaged with velocity‐encoded cine‐phase contrast using 3T scanners from different manufacturers at two centers. Data of 6 subjects scanned in center A and of 5 subjects in center B were analyzed by six readers at two levels of training. Each data set was analyzed three times in a randomized order for a total of 33 data sets. Intra‐class correlation coefficients (ICC) were calculated for the primary measurements of areas and flow rates through the main cervical arteries, veins and the CSF space, and for secondary parameters derived from the individual flow rates. Results: ICC ranged from 0.80 to 0.96 for the lumen area and from 0.97 to 0.99 for the volumetric flow rate. The ICC for the derived secondary measures ranged from 0.85 to 0.99. Differences due to operator level of training were not statistically significant. Conclusion: High intra‐ and inter‐rater reliability of volumetric flow rate measurements is currently achievable across manufacturers and users' skill levels with a pulsatility based automated lumen segmentation. J. Magn. Reson. Imaging 2013;38:655–662. © 2013 Wiley Periodicals, Inc.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.24013</identifier><identifier>PMID: 23371821</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Blood Flow Velocity - physiology ; Cerebrospinal Fluid - cytology ; Cerebrospinal Fluid - physiology ; Cerebrovascular Circulation - physiology ; Child ; Female ; flow quantitation ; Germany ; Humans ; inter-rater reliability ; intra-rater reliability ; Magnetic Resonance Angiography - methods ; Magnetic resonance imaging ; Male ; Middle Aged ; MR phase-contrast imaging ; Observer Variation ; pulsatility-based segmentation ; Reproducibility of Results ; Sensitivity and Specificity ; Young Adult</subject><ispartof>Journal of magnetic resonance imaging, 2013-09, Vol.38 (3), p.655-662</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc., a Wiley company</rights><rights>Copyright © 2013 Wiley Periodicals, Inc., a Wiley company.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5303-17ff4f8110bee45ecb922e1351e629bd688de639ecfe35ac38e82ab09fbbd2273</citedby><cites>FETCH-LOGICAL-c5303-17ff4f8110bee45ecb922e1351e629bd688de639ecfe35ac38e82ab09fbbd2273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.24013$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.24013$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23371821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koerte, Inga</creatorcontrib><creatorcontrib>Haberl, Caroline</creatorcontrib><creatorcontrib>Schmidt, Michael</creatorcontrib><creatorcontrib>Pomschar, Andreas</creatorcontrib><creatorcontrib>Lee, Sang</creatorcontrib><creatorcontrib>Rapp, Petra</creatorcontrib><creatorcontrib>Steffinger, Denise</creatorcontrib><creatorcontrib>Tain, Rong-Wen</creatorcontrib><creatorcontrib>Alperin, Noam</creatorcontrib><creatorcontrib>Ertl-Wagner, Birgit</creatorcontrib><title>Inter- and intra-rater reliability of blood and cerebrospinal fluid flow quantification by phase-contrast MRI</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose: To evaluate the intra‐ and inter‐rater reliability of the quantification of blood and CSF flow rates by phase contrast MRI. Materials and Methods: Blood and CSF flows in the upper cervical region were imaged with velocity‐encoded cine‐phase contrast using 3T scanners from different manufacturers at two centers. Data of 6 subjects scanned in center A and of 5 subjects in center B were analyzed by six readers at two levels of training. Each data set was analyzed three times in a randomized order for a total of 33 data sets. Intra‐class correlation coefficients (ICC) were calculated for the primary measurements of areas and flow rates through the main cervical arteries, veins and the CSF space, and for secondary parameters derived from the individual flow rates. Results: ICC ranged from 0.80 to 0.96 for the lumen area and from 0.97 to 0.99 for the volumetric flow rate. The ICC for the derived secondary measures ranged from 0.85 to 0.99. Differences due to operator level of training were not statistically significant. Conclusion: High intra‐ and inter‐rater reliability of volumetric flow rate measurements is currently achievable across manufacturers and users' skill levels with a pulsatility based automated lumen segmentation. J. Magn. Reson. Imaging 2013;38:655–662. © 2013 Wiley Periodicals, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Blood Flow Velocity - physiology</subject><subject>Cerebrospinal Fluid - cytology</subject><subject>Cerebrospinal Fluid - physiology</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Child</subject><subject>Female</subject><subject>flow quantitation</subject><subject>Germany</subject><subject>Humans</subject><subject>inter-rater reliability</subject><subject>intra-rater reliability</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>MR phase-contrast imaging</subject><subject>Observer Variation</subject><subject>pulsatility-based segmentation</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Young Adult</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkVtrHCEYhqU0NIf2pj-gCL0phUk9jDN6WUKabEgPhA29FHU-qduZcaMzpPvv4-4muehF6Y2KPN-jvC9Cbyk5pYSwT6shhVNWE8pfoCMqGKuYkM3LciaCV1SS9hAd57wihChVi1fokHHeUsnoERoW4wSpwmbscBinZKpkygVO0AdjQx-mDY4e2z7Gbgc5SGBTzOswmh77fg5dWeM9vpvNOAUfnJlCHLHd4PUvk6FycavNE_56s3iNDrzpM7x53E_Q7Zfz5dlldf39YnH2-bpygpPy5db72ktKiQWoBTirGAPKBYWGKds1UnbQcAXOAxfGcQmSGUuUt7ZjrOUn6MPeu07xboY86SFkB31vRohz1rTmxcgoqf8DZaqpOReyoO__QldxTiWGHSUlbWi9ffvjnnIlpZzA63UKg0kbTYne9qW3feldXwV-96ic7QDdM_pUUAHoHrgPPWz-odJXJd8nabWfCXmCP88zJv3WTctboX9-u9BcLRWTyx_6kj8A9YWvNQ</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Koerte, Inga</creator><creator>Haberl, Caroline</creator><creator>Schmidt, Michael</creator><creator>Pomschar, Andreas</creator><creator>Lee, Sang</creator><creator>Rapp, Petra</creator><creator>Steffinger, Denise</creator><creator>Tain, Rong-Wen</creator><creator>Alperin, Noam</creator><creator>Ertl-Wagner, Birgit</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Inter- and intra-rater reliability of blood and cerebrospinal fluid flow quantification by phase-contrast MRI</title><author>Koerte, Inga ; 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subjects Adolescent
Adult
Blood Flow Velocity - physiology
Cerebrospinal Fluid - cytology
Cerebrospinal Fluid - physiology
Cerebrovascular Circulation - physiology
Child
Female
flow quantitation
Germany
Humans
inter-rater reliability
intra-rater reliability
Magnetic Resonance Angiography - methods
Magnetic resonance imaging
Male
Middle Aged
MR phase-contrast imaging
Observer Variation
pulsatility-based segmentation
Reproducibility of Results
Sensitivity and Specificity
Young Adult
title Inter- and intra-rater reliability of blood and cerebrospinal fluid flow quantification by phase-contrast MRI
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