Evidence map›Paper›PMID 35681613›Full record

ArticleCancers2022

Intra- and Interobserver Variability of Shear Wave Elastography in Rectal Cancer.

Martina Kastrup Loft, Malene Roland Vils Pedersen, Peter Grimm, Andreas Hoffmann Lauritzen, Claus Dam, Søren Rafael Rafaelsen

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Martina Kastrup LoftDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.ORCID 0000-0003-3463-8574
Malene Roland Vils PedersenDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.ORCID 0000-0001-5167-7968
Peter GrimmDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.ORCID 0000-0003-0927-4609
Andreas Hoffmann LauritzenDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.
Claus DamDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.
Søren Rafael RafaelsenDepartment of Radiology, Lillebaelt Hospital, Clinical Cancer Centre, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.ORCID 0000-0001-5182-5545
Lillebaelt Hospital · DKUniversity of Southern Denmark · DK

Funding

Aage og Johanne Louis-Hansens Fond 20-2B-6754
6 · The paper itself

Abstract

backgroundEndorectal ultrasound (ERUS) is an important tool when evaluating complex rectal adenomas and rectal cancer, and the accuracy is improved by adding elastography measurements. A high interobserver agreement is imperative in clinical practice. Therefore, the aim of this study was to evaluate interobserver agreement assessed on real-time images. Additionally, we investigated the intra- and interobserver agreement between experienced and inexperienced observers. MATERIALS AND

methodsWe prospectively included patients referred to an ERUS at the Department of Radiology with a complex rectal polyp or suspected rectal malignancy. Two operators independently scanned each patient in turn. Furthermore, four observers assessed previously obtained images using three different methods for placing the region of interest (ROI). Three months later, the four observers reassessed the images to assess intraobserver variability.

resultsA total of 19 patients were included for live assessment. Agreement of tumor classification was substantial for T stage (kappa: 0.86) and fair for N stage (kappa: 0.73), with an absolute agreement for T and N stages of 84% and 89%, respectively. Agreement of SWE was good for Emean (ICC 0.94, 95% CI 0.86-0.98) and fair for Emax (ICC 0.85, 95% CI 0.66-0.94). Intra- and interobserver agreement between inexperienced and experienced observers showed good to excellent agreement with all ROI methods.

conclusionInterobserver agreement is high in SWE when performed in a clinical setting. We found the best agreement using the mean value of several ROIs. Intra- and interobserver agreement was high regardless of operator experience.

Indexed as

interobserverrectal neoplasmsreproducibilityshear wave elastographyultrasound

Identifiers

PMID35681613
PMCPMC9179262
OpenAlexW4281553515

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.