Tereza Štěpánková, Adéla Quittková, Zdeněk Čech, Stanislav Machač
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Three raters participated in this study: the first with 6 years of US imaging experience, other two were newly trained. The measurement of fascial parameters was conducted in two phases with special consultation between them resulting in an agreement of the research team on the more precise way of measurement.</p><p><strong>Results: </strong>Results revealed the value of inter-rater reliability ICC<sub>3,1</sub> = 0.454 for deep fascia thickness and ICC<sub>3,1</sub> = 0.265 for LCT thickness in the first phase and any significant difference in the second phase. This poor inter-rater reliability led to a search for possible causes of discrepancies, which authors subsequently highlighted.</p><p><strong>Conclusion: </strong>The findings of the study show the main pitfalls of deep fascia measurement that should contribute to the unification of evaluation.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sonographic measurement of deep fascia parameters - Interrater reliability.\",\"authors\":\"Tereza Štěpánková, Adéla Quittková, Zdeněk Čech, Stanislav Machač\",\"doi\":\"10.1007/s00276-024-03423-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The deep fascia has recently been a current topic in many medical fields, including rehabilitation. 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引用次数: 0
摘要
目的：近来，深筋膜已成为包括康复在内的许多医学领域的热门话题。一些研究已将重点放在评估深筋膜上，但个别作者在某些方面的结果存在差异。本研究重点关注超声波（US）测量深筋膜和疏松结缔组织（LCT）厚度的评分者间可靠性。目的是确定造成测量结果差异的原因，从而有助于统一对筋膜的评估管理：方法：对 20 名健康人进行了观察研究，通过 US 成像检查大腿前侧的筋膜，然后用 Image J 软件进行测量。三名评定员参与了这项研究：第一名评定员有 6 年的 US 成像经验，另外两名评定员是新培训的。筋膜参数的测量分两个阶段进行，他们之间进行了特别磋商，最终研究小组就更精确的测量方法达成了一致：结果显示，在第一阶段，深筋膜厚度的评分者间信度值 ICC3,1 = 0.454，LCT 厚度的评分者间信度值 ICC3,1 = 0.265，而在第二阶段，评分者间信度值存在显著差异。评分者之间的可靠性较差，因此需要寻找造成差异的可能原因，作者随后强调了这一点：研究结果表明了深筋膜测量的主要缺陷，有助于统一评估方法。
Sonographic measurement of deep fascia parameters - Interrater reliability.
Purpose: The deep fascia has recently been a current topic in many medical fields, including rehabilitation. Some research has already focused on assessing deep fascia, however results of individual authors differ in certain aspects. This study focuses on the inter-rater reliability of ultrasound (US) measurement of the thickness of deep fascia and loose connective tissue (LCT). The aim was to define the causes of any discrepancies in measurement that could contribute to the unification of management of evaluating fascia.
Methods: An observational study was performed including 20 healthy individuals in whom fascia lata of the anterior thigh was examined by US imaging and then measured in Image J software. Three raters participated in this study: the first with 6 years of US imaging experience, other two were newly trained. The measurement of fascial parameters was conducted in two phases with special consultation between them resulting in an agreement of the research team on the more precise way of measurement.
Results: Results revealed the value of inter-rater reliability ICC3,1 = 0.454 for deep fascia thickness and ICC3,1 = 0.265 for LCT thickness in the first phase and any significant difference in the second phase. This poor inter-rater reliability led to a search for possible causes of discrepancies, which authors subsequently highlighted.
Conclusion: The findings of the study show the main pitfalls of deep fascia measurement that should contribute to the unification of evaluation.
期刊介绍：
Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit.
Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest.
Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems.
Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.
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