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Reliability of intraobserver and interobserver sonographic endometrial stripe thickness measurements
S D Spandorfer1, F Arrendondo-Soberon, J R Loret de Mola
1Department of Obstetrics and Gynecology, University of Pennsylvania Medical Center, Philadelphia, USA.
Objective:
To determine the intraobserver and interobserver reliability of endometrial stripe thickness measurements in women undergoing controlled ovarian hyperstimulation.
Design:
Prospective blinded study.
Setting:
Tertiary care, university hospital.
Patient(S):
Sixty-three patients undergoing controlled ovarian hyperstimulation and being monitored with transvaginal ultrasound were studied.
Intervention(S):
None.
Main Outcome Measure(S):
Intraobserver and interobserver variability of endometrial stripe thickness measurements between 2 blinded observers, with 2 observations made by each observer.
Result(S):
A statistically significant correlation was detected between the 2 measurements of each observer. The mean (+/-SD) interobserver difference between the average of the 2 measurements performed by both observers was 1.02 +/- 0.82 mm. A statistically significant correlation between the measurements of the 2 observers was detected. For both observers A and B, who used < or =6 mm as an abnormal endometrial thickness, an excellent level of agreement was detected between the 2 measurements made on each patient. When comparing the average values obtained by the 2 observers for each of the patients, an excellent level of agreement was detected.
Conclusion(S):
There is an excellent correlation between intraobserver and interobserver measurements of endometrial stripe thickness.