Interobserver reliability between pediatric radiologists and residents in ultrasound evaluation of intraventricular hemorrhage in premature infants  

作　　者：Muhammad Danish Barakzai Ayimen Khalid Zara Za Sheer Faheemullah Khan Naila Nadeem Noman Khan Kiran Hilal 

机构地区：[1]Department of Radiology,The Hospital for Sick Children,Toronto 555,Canada [2]Department of Radiology,Aga Khan University Hospital,Karachi 74800,Pakistan [3]Community Health Sciences,Aga Khan University Hospital,Karachi 74800,Pakistan

出　　处：《World Journal of Radiology》2022年第11期367-374,共8页世界放射学杂志（英文版）（电子版）

摘　　要：BACKGROUND Germinal matrix intraventricular hemorrhage(IVH)may contribute to significant morbidity and mortality in premature infants.Timely identification and grading of IVH affect decision-making and clinical outcomes.There is possibility of misinterpretation of the ultrasound appearances,and the interobserver variability has not been investigated between radiology resident and board-certified radiologist.AIM To assess interobserver reliability between senior radiology residents performing bedside cranial ultrasound during on-call hours and pediatric radiologists.METHODS From June 2018 to June 2020,neonatal cranial ultrasound examinations were performed in neonatal intensive care unit.Ultrasound findings were recorded by the residents performing the ultrasound and the pediatric attending radiologists.RESULTS In total,200 neonates were included in the study,with a mean gestational age of 30.9 wk.Interobserver agreement for higher grade(Grade III&IV)IVH was excellent.There was substantial agreement for lower grade(Grade I&II)IVH.CONCLUSION There is strong agreement between radiology residents and pediatric radiologists,which is higher for high grade IVHs.

关 键 词：Ultrasound head Neonatal cranial ultrasound Cranial ultrasound Intraventricular hemorrhage Neonatal intraventricular hemorrhage 

分 类 号：R722.6[医药卫生—儿科] R445.1[医药卫生—临床医学]