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Intraobserver and interobserver reliability of visible light spectroscopy during upper gastrointestinal endoscopy
Louisa J D van Dijk1,2, Twan van der Wel1, Desirée van Noord1,3
1a Department of Gastroenterology and Hepatology , Erasmus MC University Medical Center , Rotterdam , The Netherlands.
Visible light spectroscopy (VLS) shows fair to good observer reliability for detecting gastrointestinal ischemia. Intraobserver reliability is better than interobserver reliability, supporting VLS use in clinical practice.
Area of Science:
- Gastroenterology
- Medical instrumentation
- Endoscopy
Background:
- Visible light spectroscopy (VLS) measures mucosal oxygen saturation during upper endoscopy.
- This technique aids in the diagnosis of gastrointestinal ischemia.
Purpose of the Study:
- To evaluate the observer variability of VLS measurements.
- Assessing both intraobserver and interobserver reliability.
Main Methods:
- Prospective study with 24 patients undergoing upper endoscopy.
- Intraobserver variability tested by duplicate measurements by one endoscopist.
- Interobserver variability assessed by independent measurements from two endoscopists.
- Intraclass correlation coefficient (ICC) and clinical disagreement used for analysis.
Main Results:
- Excellent intraobserver reliability (ICC 0.77-0.84) with minimal clinical disagreement.
- Good interobserver reliability for the duodenal bulb (ICC 0.70).
- Fair interobserver reliability for the antrum (ICC 0.56) and duodenum (ICC 0.49) with higher disagreement rates.
Conclusions:
- VLS demonstrates fair to good observer reliability.
- Intraobserver reliability surpasses interobserver reliability.
- Findings support the clinical utility of VLS for identifying gastrointestinal ischemia.
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