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Subject

Evaluation of ultrasound point shear wave elastography reliability in an elasticity phantom
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논문 기본 정보

Type
Academic journal
Author
Salahaden R.Sultan (Department of Diagnostic Radiology King Abdulaziz University) Amer Alghamdi (Department of Diagnostic Radiology King Fahad Hospital) Rawan Abdeen (Department of Diagnostic Radiology King Abdulaziz University) Fahad Almutairi (Department of Diagnostic Radiology King Abdulaziz University)
Journal
대한초음파의학회 ULTRASONOGRAPHY ULTRASONOGRAPHY Vol.41 No.2 KCI Accredited Journals
Published
2022.4
Pages
291 - 297 (7page)
DOI
10.14366/usg.21114

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Evaluation of ultrasound point shear wave elastography reliability in an elasticity phantom
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Purpose: To date, limited studies have specifically addressed the reliability of ultrasound point shear-wave elastography (pSWE). Therefore, the aim of the present study was to assess the reproducibility of ultrasound pSWE within and between operators using two ultrasound scanners.Methods: iU22 and EPIQ7 ultrasound scanners were used to assess the reliability of pSWE measurements of four inclusions [L I (8 kPa), L II (14 kPa), L III (48 kPa), and L IV (80 kPa)] at a depth of 3.5 cm in an elasticity phantom using a curvilinear 5-1 MHz transducer. The intraoperator, inter-operator, and inter-scanner reproducibility of pSWE was assessed using intraclass correlation coefficients (ICCs). Bland-Altman plots were used to establish bias and limits of agreement (LoA) between measurements. The accuracy of pSWE from manufacturer values was determined using the one-sample t-test.Results: Intra-operator agreement was excellent, with an ICC >0.90. The bias in measurements for operator A was -0.36±3.13 kPa (LoA, -6.47 to 5.75), and for operator B it was 1.97±6.29 kPa (LoA, -10.25 to 14.21). Inter-operator agreement was excellent, with an ICC of 0.95. The bias in measurements between operators was -0.42±5.00 kPa (LoA, -10.24 to 9.38). The inter-scanner agreement between EPIQ7 and iU22 was excellent, with an ICC of 0.96. The bias in measurements between scanners was 1.74±4.44 kPa (LoA, -6.95 to 10.45). There was significant overestimation for L I (17.75%) and L II (31.14%) and underestimation for L III (-15.28%) and L VI (-98.00%) relative to the manufacturer-reported values.Conclusion: Phantom ultrasound pSWE was reproducible within and between operators, and between Philips ultrasound scanners; further studies using different ultrasound systems and transducers are required.

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