B/M-mode sonographic measurements of common carotid artery diameters demonstrated good inter-reader reliability (ICC 0.96 for systolic and 0.95 for diastolic diameter).
Observational (n=118)
Independent readers
What is the inter-reader reliability of B/M-mode sonographic measurements of common carotid artery diameters and derived carotid distensibility metrics?
While B/M-mode sonography provides highly reproducible measurements of carotid artery diameters, derived metrics of arterial stiffness may lack the precision required for clinical application.
Effect estimate: ICC 0.96 for systolic diameter and 0.95 for diastolic diameter
OBJECTIVE: Carotid distensibility (CD) is a measure of carotid artery elasticity that has been introduced as a risk factor for cardiovascular disease. Information regarding reproducibility of sonographic CD measures is limited. The objective of this study was to evaluate the inter-reader reliability of sonographic measurements of common carotid artery (CCA) diameters and derived metrics of CD. METHODS: Two independent readers (R1 and R2) measured the systolic diameter (SD) and diastolic diameter (DD) for the right CCA from the B/M-mode sonographic registrations among 118 subjects. The derived CD metrics (strain, elastic modulus E, stiffness beta, and CD) were calculated. The inter-reader type 3 intraclass correlation coefficients (ICC3,1) for carotid diameters were calculated. RESULTS: The mean SDs +/- standard deviation were 7.15 +/- 1.43 mm for R1 and 7.24 +/- 1.43 mm for R2. The mean DDs were 6.71 +/- 1.36 mm for R1 and 6.68 +/- 1.41 mm for R2. The mean differences of SD and DD between R1 and R2 were 0.08 +/- 0.40 mm (paired t test, P = .04) and 0.03 +/- 0.43 mm (paired t test, P = .46), respectively. Inter-reader type 3 intraclass correlation coefficients were 0.96 for SD and 0.95 for DD. We observed a significant association of demographics with carotid diameters but not with derived CD metrics or risk factors. CONCLUSIONS: Our results suggest good reproducibility of CCA diameters measured with B/M-mode sonography. However, very small changes in linear measurements of carotid diameters can have big effects on estimates of arterial mechanical properties such as strain and Young's modulus. The standard boundary identification methods may not be precise and reproducible enough for use in a clinical setting.
Cuadrado‐Godia et al. (Sat,) reported a observational. B/M-mode sonographic measurements of common carotid artery diameters vs. Between two independent readers was evaluated on Inter-reader type 3 intraclass correlation coefficients (ICC) for carotid diameters (ICC 0.96 for systolic diameter and 0.95 for diastolic diameter). B/M-mode sonographic measurements of common carotid artery diameters demonstrated good inter-reader reliability (ICC 0.96 for systolic and 0.95 for diastolic diameter).
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