Comparison Between Dobutamine Echocardiography and Single-Photon Emission Computed Tomography for Interpretive Reproducibility(349 views) Ferro A, Pellegrino T, Spinelli L, Acampa W, Petretta M, Cuocolo A
Am J Cardiol (ISSN: 0002-9149), 2007 Oct 15; 100(8): 1239-1244.
Department of Biomorphological and Functional Sciences, University Federico II, Napoli, Italy
Institute of Diagnostic and Nuclear Development, SDN Foundation, Napoli, Italy
Department of Clinical Medicine, Cardiovascular and Immunological Sciences, University Federico II, Napoli, Italy
Institute of Biostructure and Bioimages, National Council of Research, Napoli, Italy
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Cerqueira, M. D., Weissman, N. J., Dilsizian, V., Jacobs, A. K., Kaul, S., Laskey, W. K., Pennell, D. J., Verani, M. S., Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart. A Statement of Healthcare Professional from the Cardiac Imaging Committee of the Council on Clinical cardiology of the American Heart Association (2002) Circulation, 105, pp. 539-542
Fleiss, J. L., (1981) Statistical methods for rates and proportions. 2nd ed., pp. 217-225. , Wesley and Sons, New York
Shrout, P. E., Fleiss, J. L., Intraclass correlations: uses in assessing rater reliability (1979) Psychol Bull, 86, pp. 420-428
Kvitting, J. P., Wigstrom, L., Strotmann, J. M., Sutherland, G. R., How accurate is visual assessment of synchronicity in myocardial motion? An in vitro study with computer-simulated regional delay in myocardial motion: clinical implications for rest and stress echocardiography studies (1999) J Am Soc Echocardiogr, 12, pp. 698-705
Armstrong, W. F., O'Donnell, J., Ryan, T., Feigenbaum, H., Effect of prior myocardial infarction and extent and location of coronary disease on accuracy of exercise echocardiography (1987) J Am Coll Cardiol, 10, pp. 531-538
Borges, A. C., Pingitore, A., Cordovil, A., Sicari, R., Baumann, G., Picano, E., Heterogeneity of left ventricular regional wall thickening following dobutamine infusion in normal human subjects (1995) Eur Heart J, 16, pp. 1726-1730
Bach, D. S., Muller, D., Bernard, J. G., Armstrong, W., False positive dobutamine stress echocardiograpms: characterization of clinical, echocardiographic and angiographic findings (1994) J Am Coll Cardiol, 24, pp. 928-933
Danias, P. G., Ahlberg, A. W., Travin, M. I., Mahr, N. C., Abreu, J. E., Marini, D., Mann, A., Heller, G. V., Visual assessment of left ventricular perfusion and function with electrocardiography-gated SPECT has high intraobserver and interobserver reproducibility among experienced nuclear cardiologists and cardiology trainees (2002) J Nucl Cardiol, 9, pp. 263-270
Comparison Between Dobutamine Echocardiography and Single-Photon Emission Computed Tomography for Interpretive Reproducibility
Interpretive variability of dobutamine stress echocardiography (DSE) and stress single-photon emission computed tomography (SPECT) has been previously investigated. However, no study has directly compared the variability of these techniques in the same patient population. We directly compared the interpretive reproducibility of DSE and stress SPECT in patients undergoing both types of pharmacologic stress imaging. Before discharge, simultaneous DSE and SPECT was performed in 56 patients early after a first acute myocardial infarction. Intra- and interobserver concordances were evaluated by exact agreement and κ statistic. Intraclass coefficient of correlation was used to assess intra- and interobserver reproducibilities of segmental score analysis. Intraobserver agreement percentages in the identification of patients with ischemia were 98% for SPECT and 91% for DSE (p = NS) and κ values were excellent (>0.80) for both techniques. Interobserver agreement was higher (p
Comparison Between Dobutamine Echocardiography and Single-Photon Emission Computed Tomography for Interpretive Reproducibility
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