ArticleEuropean journal of radiology2018
Inter- and intra-observer repeatability of aortic annulus measurements on screening CT for transcatheter aortic valve replacement (TAVR): Implications for appropriate device sizing.
Article in European journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Practical approach to measuring vessels and reporting z-scores in children.Pediatric radiology · 2025Review
- Automatic Aortic Valve Extraction Using Deep Learning with Contrast-Enhanced Cardiac CT Images.Journal of cardiovascular development and disease · 2024Article
- Enhancing cardiology imaging: usability and implications of aortic annulus sizing software in transcatheter aortic valve replacement planning.Journal of cardiovascular imaging · 2024Article
- The Current Landscape of Artificial Intelligence in Imaging for Transcatheter Aortic Valve Replacement.Current radiology reports · 2024Article
- Artificial Intelligence in the Screening, Diagnosis, and Management of Aortic Stenosis.Reviews in cardiovascular medicine · 2024Review
- Impact of observer experience on multi-detector computed tomography aortic valve morphology assessment and valve size selection for transcatheter aortic valve replacement.Scientific reports · 2022Article
- Discrepancy of echocardiography and computed tomography in initial assessment and 2-year follow-up for monitoring Marfan syndrome and related disorders.Scientific reports · 2022Article
- Preoperative TAVR Planning: How to Do It.Journal of clinical medicine · 2022Review
- Fully automated measurement of aortic root anatomy using Philips HeartNavigator computed tomography software: fast, accurate, or both?European heart journal supplements : journal of the European Society of Cardiology · 2022Article
- Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-CJC open · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectivesTo investigate intra- and inter-observer repeatability of aortic annulus CT measurements for transcatheter aortic valve replacement (TAVR) by readers with different levels of experience and evaluate the impact of different multi-reader paradigms to improve prosthesis sizing.
methods82 TAVR screening CTAs were evaluated twice by three raters with six (R1 = radiologist), three (R2 = 3D-laboratory technician) or zero (R3 = medical student) years of experience. Results were translated into hypothetical TAVR size recommendations. Intra- and inter-observer repeatability between single readers and three different multi-reader paradigms ([A]: two readers, [B]: three readers, or [C]: two readers + an optional third reader) were evaluated.
resultsIntra-observer variability did not differ significantly (range: 50.1-67.8mm2). However, we found significant differences in mean inter-observer variance (p = 0.001). Multi-reader paradigms led to significantly increased precision (lower variability) for scenarios [B] and [C] (p = 0.03, p < 0.05). Compared to single readers, all multi-reader strategies clearly lowered the rate of discrepant device size categorization between repeated measurements (22-26% to 5-10%).
conclusionsAortic annulus CT measurements for TAVR are highly reproducible. Multi-reader strategies provide higher precision than evaluations from single readers with different levels of experience and could effectively be implemented with two readers and an optional third reader (Paradigm C) in a clinical setting.
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