Intra‐operator and inter‐operator reliability of manual and semiautomated measurement of fetal nuchal translucency: a cross sectional study. (23rd October 2013)

• Record Type: Journal Article
• Authors: Bakker, M.; Mulder, P.; Birnie, E.; Bilardo, C. M.
• Is Part Of: Prenatal diagnosis. Volume 33:Number 13(2013:Dec.)
• Page Start: 1264
• Page End: 1271
• Publication Date: 2013-10-23
• Subjects: Prenatal diagnosis -- Periodicals; Fetus -- Diseases -- Diagnosis -- Periodicals; Electronic journals; 618.32075
• DOI: 10.1002/pd.4245
• Languages: English
• ISSNs: 0197-3851

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="pd4245-sec-0001" sec-type="section"> <title>Objective</title> <p>The goal of this study was to examine the intra‐operator and inter‐operator differences of the manual and semiautomated nuchal translucency (NT) measurements and to evaluate if these differences alter women's risk status.</p> </sec> <sec id="pd4245-sec-0002" sec-type="section"> <title>Methods</title> <p>A cross sectional study was performed. Two operators obtained manual and semiautomated NT measurements of 153 NT images. The maximal acceptable difference in NT measurements within and between operators was 0.15 mm. Intra and inter‐operator differences were analyzed by the paired Student's <italic>t</italic>‐test and homogeneity of variances by the Levene's test. Intra‐operator and inter‐operator agreement were quantified with Bland and Altman's limits of agreement, and changes in women's risk status were tested with the binomial test.</p> </sec> <sec id="pd4245-sec-0003" sec-type="section"> <title>Results</title> <p>Intra‐operator agreement was high for each of the measurement methods. Operator 1 had lower SDS for manual measurements. Conversely, operator 2 had lower SDS of the differences for semiautomated measurements, although the SD never reached the same level as operator 1. Inter‐operator agreement was highest for the semiautomated measurements. Changes in risk status occurred between the manual and inner‐middle method resulting in different clinical policies in up to 1 out of 20 cases.</p> </sec> <sec id="pd4245-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Well‐trained operators do not seem to benefit from the use of the semiautomated measurement methods. © 2013 John Wiley & Sons, Ltd.</p> </sec> </abstract>