Interobserver and Intraobserver Reliability of Venous Transcranial Color-Coded Flow Velocity Measurements

ABSTRACT Background and Purpose. Venous transcranial color‐coded duplex sonography is a new technique for noninvasive evaluation of the intracranial venous system. However, the interobserver and intraobserver reliability of this method is unclear. Methods. In 23 healthy volunteers (30 ± 7.3 years of...

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Veröffentlicht in:Journal of neuroimaging 2001-10, Vol.11 (4), p.385-392
Hauptverfasser: Stolz, E., Babacan, S. S., Bödeker, R.-H., Gerriets, T., Kaps, M.
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Babacan, S. S.
Bödeker, R.-H.
Gerriets, T.
Kaps, M.
description ABSTRACT Background and Purpose. Venous transcranial color‐coded duplex sonography is a new technique for noninvasive evaluation of the intracranial venous system. However, the interobserver and intraobserver reliability of this method is unclear. Methods. In 23 healthy volunteers (30 ± 7.3 years of age), the deep middle cerebral vein (dMCV), basal vein (BV), vein of Galen (VG), and straight (SRS), transverse (TS), and superior sagittal (SSS) sinuses in addition to the arterial segments of the circle of Willis were insonated through the temporal bone window on 2 consecutive days by 2 experienced examiners. The examiners were blinded to each other's results. The interobserver and intraobserver reliability was calculated using a method described by Bland and Altman, resulting in 2‐SD confidence intervals. Results. Non‐angle‐corrected and angle‐corrected systolic and end diastolic venous flow velocities (FV) were in good accordance with published normal values, ranging between 8.6 and 19.2 cm/s. The interobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±1.8, 2.4, 2.6, 3.3, and 4.6 cm/s; for angle‐corrected systolic FVs, the interobserver reliabilities were ±2.5, 3.1, 13.9, 11.6, and 7.7 cm/s. The intraobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±2.9, 3.2, 2.6, 3.2, and 6.1 cm/s; for angle‐corrected systolic FVs, the intraobserver reliabilities were 3.2, 3.7, 13.9, 11.6, and 7.5 cm/s. Angle correction was not attempted for the SSS. The interobserver and intraobserver reliabilities for systolic FVs in the SSS were ±3.3 and ±3.3 cm/s, respectively. Conclusions. Intracranial venous FV can be measured with a high interobserver and intraobserver reliability in healthy human subjects. Intraobserver reliability was higher for cerebral veins than for dural sinuses, predisposing them for follow‐up examinations; however, angle correction for venous FV in the VG and the SRS is not advisable.
doi_str_mv 10.1111/j.1552-6569.2001.tb00067.x
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S. ; Bödeker, R.-H. ; Gerriets, T. ; Kaps, M.</creator><creatorcontrib>Stolz, E. ; Babacan, S. S. ; Bödeker, R.-H. ; Gerriets, T. ; Kaps, M.</creatorcontrib><description>ABSTRACT Background and Purpose. Venous transcranial color‐coded duplex sonography is a new technique for noninvasive evaluation of the intracranial venous system. However, the interobserver and intraobserver reliability of this method is unclear. Methods. In 23 healthy volunteers (30 ± 7.3 years of age), the deep middle cerebral vein (dMCV), basal vein (BV), vein of Galen (VG), and straight (SRS), transverse (TS), and superior sagittal (SSS) sinuses in addition to the arterial segments of the circle of Willis were insonated through the temporal bone window on 2 consecutive days by 2 experienced examiners. The examiners were blinded to each other's results. The interobserver and intraobserver reliability was calculated using a method described by Bland and Altman, resulting in 2‐SD confidence intervals. Results. Non‐angle‐corrected and angle‐corrected systolic and end diastolic venous flow velocities (FV) were in good accordance with published normal values, ranging between 8.6 and 19.2 cm/s. The interobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±1.8, 2.4, 2.6, 3.3, and 4.6 cm/s; for angle‐corrected systolic FVs, the interobserver reliabilities were ±2.5, 3.1, 13.9, 11.6, and 7.7 cm/s. The intraobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±2.9, 3.2, 2.6, 3.2, and 6.1 cm/s; for angle‐corrected systolic FVs, the intraobserver reliabilities were 3.2, 3.7, 13.9, 11.6, and 7.5 cm/s. Angle correction was not attempted for the SSS. The interobserver and intraobserver reliabilities for systolic FVs in the SSS were ±3.3 and ±3.3 cm/s, respectively. Conclusions. Intracranial venous FV can be measured with a high interobserver and intraobserver reliability in healthy human subjects. Intraobserver reliability was higher for cerebral veins than for dural sinuses, predisposing them for follow‐up examinations; however, angle correction for venous FV in the VG and the SRS is not advisable.</description><identifier>ISSN: 1051-2284</identifier><identifier>EISSN: 1552-6569</identifier><identifier>DOI: 10.1111/j.1552-6569.2001.tb00067.x</identifier><identifier>PMID: 11677878</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Blood Flow Velocity - physiology ; Cerebral Veins - diagnostic imaging ; Cerebrovascular Circulation ; dural sinuses ; Female ; Hemodynamics ; Humans ; interobserver reliability ; intracranial veins ; intraobserver reliability ; Male ; Observer Variation ; Regional Blood Flow - physiology ; Statistics, Nonparametric ; Supine Position ; transcranial color-coded sonography ; Ultrasonography, Doppler, Color ; Ultrasonography, Doppler, Transcranial</subject><ispartof>Journal of neuroimaging, 2001-10, Vol.11 (4), p.385-392</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4085-be55704b813e1d47075d861472d236b117c79c42cca339f977b56c0e7b98f2e83</citedby><cites>FETCH-LOGICAL-c4085-be55704b813e1d47075d861472d236b117c79c42cca339f977b56c0e7b98f2e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1552-6569.2001.tb00067.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1552-6569.2001.tb00067.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11677878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stolz, E.</creatorcontrib><creatorcontrib>Babacan, S. S.</creatorcontrib><creatorcontrib>Bödeker, R.-H.</creatorcontrib><creatorcontrib>Gerriets, T.</creatorcontrib><creatorcontrib>Kaps, M.</creatorcontrib><title>Interobserver and Intraobserver Reliability of Venous Transcranial Color-Coded Flow Velocity Measurements</title><title>Journal of neuroimaging</title><addtitle>J Neuroimaging</addtitle><description>ABSTRACT Background and Purpose. Venous transcranial color‐coded duplex sonography is a new technique for noninvasive evaluation of the intracranial venous system. However, the interobserver and intraobserver reliability of this method is unclear. Methods. In 23 healthy volunteers (30 ± 7.3 years of age), the deep middle cerebral vein (dMCV), basal vein (BV), vein of Galen (VG), and straight (SRS), transverse (TS), and superior sagittal (SSS) sinuses in addition to the arterial segments of the circle of Willis were insonated through the temporal bone window on 2 consecutive days by 2 experienced examiners. The examiners were blinded to each other's results. The interobserver and intraobserver reliability was calculated using a method described by Bland and Altman, resulting in 2‐SD confidence intervals. Results. Non‐angle‐corrected and angle‐corrected systolic and end diastolic venous flow velocities (FV) were in good accordance with published normal values, ranging between 8.6 and 19.2 cm/s. The interobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±1.8, 2.4, 2.6, 3.3, and 4.6 cm/s; for angle‐corrected systolic FVs, the interobserver reliabilities were ±2.5, 3.1, 13.9, 11.6, and 7.7 cm/s. The intraobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±2.9, 3.2, 2.6, 3.2, and 6.1 cm/s; for angle‐corrected systolic FVs, the intraobserver reliabilities were 3.2, 3.7, 13.9, 11.6, and 7.5 cm/s. Angle correction was not attempted for the SSS. The interobserver and intraobserver reliabilities for systolic FVs in the SSS were ±3.3 and ±3.3 cm/s, respectively. Conclusions. Intracranial venous FV can be measured with a high interobserver and intraobserver reliability in healthy human subjects. Intraobserver reliability was higher for cerebral veins than for dural sinuses, predisposing them for follow‐up examinations; however, angle correction for venous FV in the VG and the SRS is not advisable.</description><subject>Adult</subject><subject>Blood Flow Velocity - physiology</subject><subject>Cerebral Veins - diagnostic imaging</subject><subject>Cerebrovascular Circulation</subject><subject>dural sinuses</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>interobserver reliability</subject><subject>intracranial veins</subject><subject>intraobserver reliability</subject><subject>Male</subject><subject>Observer Variation</subject><subject>Regional Blood Flow - physiology</subject><subject>Statistics, Nonparametric</subject><subject>Supine Position</subject><subject>transcranial color-coded sonography</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasonography, Doppler, Transcranial</subject><issn>1051-2284</issn><issn>1552-6569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE9v1DAQxS0EoqXwFVDEgVuC_8SxwwEJBbq0WlqEyiJxsWxnInnxxq2dpbvfHke7Ws74MB7NvPds_RB6Q3BF8nm3rgjntGx401YUY1JNBmPciGr3BJ2fVk9zjzkpKZX1GXqR0hpjSmrKnqMzQhohpJDnyF2NE8RgEsQ_EAs99kWeRH2afAfvtHHeTfsiDMUKxrBNxV3UY7K5OO2LLvgQyy700BeXPjxmkQ92NnwFnbYRNjBO6SV6Nmif4NXxvkA_Lj_fdV_K5e3iqvu4LG2NJS8NcC5wbSRhQPpaYMF72ZBa0J6yxhAirGhtTa3VjLVDK4ThjcUgTCsHCpJdoLeH3PsYHraQJrVxyYL3eoT8dSVoJkJ4nYXvD0IbQ0oRBnUf3UbHvSJYzaDVWs001UxTzaDVEbTaZfPr4ytbs4H-n_VINgs-HASPzsP-P6LV9e0NkzwHlIcAlybYnQJ0_K0awQRXP28WanH96ddy9W2lOvYXOTyeSg</recordid><startdate>200110</startdate><enddate>200110</enddate><creator>Stolz, E.</creator><creator>Babacan, S. S.</creator><creator>Bödeker, R.-H.</creator><creator>Gerriets, T.</creator><creator>Kaps, M.</creator><general>Blackwell Publishing Ltd</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>7X8</scope></search><sort><creationdate>200110</creationdate><title>Interobserver and Intraobserver Reliability of Venous Transcranial Color-Coded Flow Velocity Measurements</title><author>Stolz, E. ; Babacan, S. S. ; Bödeker, R.-H. ; Gerriets, T. ; Kaps, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4085-be55704b813e1d47075d861472d236b117c79c42cca339f977b56c0e7b98f2e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Blood Flow Velocity - physiology</topic><topic>Cerebral Veins - diagnostic imaging</topic><topic>Cerebrovascular Circulation</topic><topic>dural sinuses</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>interobserver reliability</topic><topic>intracranial veins</topic><topic>intraobserver reliability</topic><topic>Male</topic><topic>Observer Variation</topic><topic>Regional Blood Flow - physiology</topic><topic>Statistics, Nonparametric</topic><topic>Supine Position</topic><topic>transcranial color-coded sonography</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasonography, Doppler, Transcranial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stolz, E.</creatorcontrib><creatorcontrib>Babacan, S. S.</creatorcontrib><creatorcontrib>Bödeker, R.-H.</creatorcontrib><creatorcontrib>Gerriets, T.</creatorcontrib><creatorcontrib>Kaps, M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroimaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stolz, E.</au><au>Babacan, S. S.</au><au>Bödeker, R.-H.</au><au>Gerriets, T.</au><au>Kaps, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interobserver and Intraobserver Reliability of Venous Transcranial Color-Coded Flow Velocity Measurements</atitle><jtitle>Journal of neuroimaging</jtitle><addtitle>J Neuroimaging</addtitle><date>2001-10</date><risdate>2001</risdate><volume>11</volume><issue>4</issue><spage>385</spage><epage>392</epage><pages>385-392</pages><issn>1051-2284</issn><eissn>1552-6569</eissn><abstract>ABSTRACT Background and Purpose. Venous transcranial color‐coded duplex sonography is a new technique for noninvasive evaluation of the intracranial venous system. However, the interobserver and intraobserver reliability of this method is unclear. Methods. In 23 healthy volunteers (30 ± 7.3 years of age), the deep middle cerebral vein (dMCV), basal vein (BV), vein of Galen (VG), and straight (SRS), transverse (TS), and superior sagittal (SSS) sinuses in addition to the arterial segments of the circle of Willis were insonated through the temporal bone window on 2 consecutive days by 2 experienced examiners. The examiners were blinded to each other's results. The interobserver and intraobserver reliability was calculated using a method described by Bland and Altman, resulting in 2‐SD confidence intervals. Results. Non‐angle‐corrected and angle‐corrected systolic and end diastolic venous flow velocities (FV) were in good accordance with published normal values, ranging between 8.6 and 19.2 cm/s. The interobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±1.8, 2.4, 2.6, 3.3, and 4.6 cm/s; for angle‐corrected systolic FVs, the interobserver reliabilities were ±2.5, 3.1, 13.9, 11.6, and 7.7 cm/s. The intraobserver reliabilities for non‐angle‐corrected systolic FVs in the dMCV, BV, VG, SRS, and TS were ±2.9, 3.2, 2.6, 3.2, and 6.1 cm/s; for angle‐corrected systolic FVs, the intraobserver reliabilities were 3.2, 3.7, 13.9, 11.6, and 7.5 cm/s. Angle correction was not attempted for the SSS. The interobserver and intraobserver reliabilities for systolic FVs in the SSS were ±3.3 and ±3.3 cm/s, respectively. Conclusions. Intracranial venous FV can be measured with a high interobserver and intraobserver reliability in healthy human subjects. Intraobserver reliability was higher for cerebral veins than for dural sinuses, predisposing them for follow‐up examinations; however, angle correction for venous FV in the VG and the SRS is not advisable.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>11677878</pmid><doi>10.1111/j.1552-6569.2001.tb00067.x</doi><tpages>8</tpages></addata></record>
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subjects Adult
Blood Flow Velocity - physiology
Cerebral Veins - diagnostic imaging
Cerebrovascular Circulation
dural sinuses
Female
Hemodynamics
Humans
interobserver reliability
intracranial veins
intraobserver reliability
Male
Observer Variation
Regional Blood Flow - physiology
Statistics, Nonparametric
Supine Position
transcranial color-coded sonography
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Transcranial
title Interobserver and Intraobserver Reliability of Venous Transcranial Color-Coded Flow Velocity Measurements
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