심장초음파 검사자 간의 폐동맥고혈압 진단 측정값 일치도 분석 연구
Study on the Agreement Values of Pulmonary Arterial Hypertension Measured by Cardiac Sonographers
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Echocardiography is a non-invasive method that is useful for diagnosing pulmonary arterial hypertension. It is known that echocardiography depends on the experience, education, and knowledge level of the cardiac sonographer. This study aimed to compare the agreement values between cardiac sonographer with different practical experiences in the diagnosis of pulmonary arterial hypertension using echocardiography. Three readers re-evaluated the echocardiography images of 148 patients who were diagnosed with pulmonary arterial hypertension at the S Medical Center from January 1, 2020, to December 31, 2020. The echocardiography values measured by each reader were compared and analyzed. The results of the analysis of discrete variables revealed that the agreement values of the cardiac sonographers showed excellent consistency for both reader 3 and the cardiologist group, indicating that more experience leads to better predictive accuracy for diagnosis of the condition. Furthermore, in terms of continuous variables, all the cardiac sonographer demonstrated good agreement in the measured values of the right atrium, which was easier to assess and clearer than the structurally complex measurements of the right ventricle. This study represents the first analysis in Korea of the agreement values measured by medical technologists who are cardiac sonographers.
Abstract
Echocardiography is a non-invasive method that is useful for diagnosing pulmonary arterial hypertension. It is known that echocardiography depends on the experience, education, and knowledge level of the cardiac sonographer. This study aimed to compare the agreement values between cardiac sonographer with different practical experiences in the diagnosis of pulmonary arterial hypertension using echocardiography. Three readers re-evaluated the echocardiography images of 148 patients who were diagnosed with pulmonary arterial hypertension at the S Medical Center from January 1, 2020, to December 31, 2020. The echocardiography values measured by each reader were compared and analyzed. The results of the analysis of discrete variables revealed that the agreement values of the cardiac sonographers showed excellent consistency for both reader 3 and the cardiologist group, indicating that more experience leads to better predictive accuracy for diagnosis of the condition. Furthermore, in terms of continuous variables, all the cardiac sonographer demonstrated good agreement in the measured values of the right atrium, which was easier to assess and clearer than the structurally complex measurements of the right ventricle. This study represents the first analysis in Korea of the agreement values measured by medical technologists who are cardiac sonographers.
참고문헌 (20)
- Feigenbaum H, "Evolution of echocardiography", Circulation, 93, pp.1321~1327 (1996)[DOI]
- Matulevicius SA, "Appropriate use and clinical impact of transthoracic echocardiography", JAMA Intern Med, 173, pp.1600~1607 (2013)[DOI]
- Steeds RP, "EACVI appropriateness criteria for the use of transthoracic echocardiography in adults : a report of literature and current practice review", Eur Heart J Cardiovasc Imaging, 18, pp.1191~1204 (2017)[DOI]
- Waggoner AD, "The profession of cardiac sonography and the status of professionalization of cardiac sonographers", J Am Soc Echocardiogr, 12, pp.335~342 (1999)[DOI]
- Nicastro I, "Professional education, training and role of the cardiac sonographer in different countries", J Cardiovasc Echogr, 23, pp.18~23 (2013)[DOI]
- Bierig SM, "American Society of Echocardiography minimum standards for the cardiac sonographer : a position paper", J Am Soc Echocardiogr, 19, pp.471~474 (2006)[DOI]
- Mitchell C, "Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults : recommendations from the American Society of Echocardiography", J Am Soc Echocardiogr, 32, pp.1~64 (2019)[DOI]
- Hyuk-Jae Chang, "2020 KSC", KATRD Guideline for the Diagnosis and Treatment of Pulmonary Hypertension: Executive Summary, 2022, pp.85(1), 1~10[DOI]
- 서혜선, "폐동맥고혈압의 진단과 평가", 대한내과학회지, 78(1), pp.5~13 (2010), 대한내과학회
- Bossone E, "Echocardiography in pulmonary arterial hypertension : from diagnosis to prognosis", J Am Soc Echocardiogr, 26, pp.1~14 (2013)[DOI]
- Bossone E, "Pulmonary arterial hypertension : the key role of echocardiography", Chest, 127, pp.1836~1843 (2005)[DOI]
- Rudski LG, "Guidelines for the echocardiographic assessment of the right heart in adults : a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography", J Am Soc Echocardiogr, 23, pp.685~713 (2010)[DOI]
- Main ML, "Digital echocardiography", Curr Opin Cardiol, 13, pp.404~408 (1998)[DOI]
- Ehler D, "Guidelines for cardiac sonographer education : recommendations of the American Society of Echocardiography Sonographer Training and Education Committee", J Am Soc Echocardiogr, 14, pp.77~84 (2001)[DOI]
- Gardner CJ, "Guidelines for cardiac sonographer education : report of the American Society of Echocardiography Sonographer Education and Training Committee", J Am Soc Echocardiogr, 5, pp.635~639 (1992)[DOI]
- Pellikka PA, "American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography", J Am Soc Echocardiogr, 20, pp.1021~1041 (2007)[DOI]
- Alan S. Pearlman, "Guidelines for optimal physician training in echocardiography Recommendations of the American Society of Echocardiography Committee for Physician training in Echocardiography", The American Journal of Cardiology, 60(1), pp.158~163 (1987), Elsevier BV[DOI]
- "Registered diagnostic cardiac sonographer® (RDCS®)"[URL]
- Marriner M, "Sonographer quality management", J Echocardiogr, 18, pp.44~46 (2020)[DOI]
- Mitchell C, "Advanced Cardiovascular Sonographer : a proposal of the American Society of Echocardiography Advanced Practice Sonographer Task Force", J Am Soc Echocardiogr, 22, pp.1409~1413 (2009)[DOI]