使用VISA分类对甲状腺眼病的摄影评估的Interrater可靠性
Antony C Boynes1,2,3, Nicholas J Enright4, Thomas G Hardy4,5
1Orbital Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, 32, Gisborne Street, East Melbourne, VIC, 3002, Australia. antonyboynes@gmail.com.
International ophthalmology
|February 20, 2024
概括
使用VISA分类进行的甲状腺眼病 (TED) 摄影评估的interrater可靠性对于炎症和运动限制都非常出色. 一个分级图谱在评估TED炎症方面提高了实习生的表现.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 甲状腺眼病 (TED) 的评估依赖于标准化的标准.
- 签证分类是评估TED严重性的关键工具.
- 客观的摄影评估对于一致的诊断和管理至关重要.
研究的目的:
- 为了评估TED的摄影评估,VISA分类的评级者间可靠性 (IRR).
- 为了确定VISA分级地图是否提高眼科学员从照片中评估TED的能力.
主要方法:
- 展望性,国际研究62眼科医生 (顾问和实习生).
- 参与者使用VISA的炎症和运动成分评估了10张TED照片.
- 一部分实习生收到了VISA分级图谱以进行比较.
主要成果:
- 在炎症 (ICC=0.96) 和运动限制 (ICC=0.99) 方面都实现了出色的IRR.
- 在经验水平之间没有发现显著的IRR差异.
- 使用分级图谱的实习生显示炎症的IRR最高 (ICC=0.95).
结论:
- VISA分类的炎症和运动限制组件证明了优异的评分器间可靠性.
- 一个VISA分级图谱显著提高了眼科学员在从照片中分级TED炎症方面的表现.
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