The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise

Objective: To analyze the reproducibility of ultrasonographic (US) findings of rectosigmoid endometriosis among examiners with different level of expertise using stored three-dimensional (3D) volumes of the posterior compartment of the pelvis as a part of SANABA (Sardinia-Navarra-Barcelona) collabor...

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Autores: Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd; Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b; Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da; Neri, M. (Manuela)|||/items/6da50584-15ed-481b-8eb4-2dfb3e663424; Pilloni, M. (Monica)|||/items/69b9d8d9-5b17-4092-b50d-c405ea91d6ce; Graupera, B. (Betlem)|||/items/6c513185-399b-4f02-abe0-b8124cf752f0; Rodriguez, I. (Ignacio)|||/items/6970b64d-d4c1-43af-9005-22e23a7d298f; Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
Tipo de documento: Artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Lenguaje:Inglés
OAI Identifier:oai:dadun.unav.edu:10171/116514
Acceso en línea:https://hdl.handle.net/10171/116514
Nivel de acceso:Acceso abierto
Palabra clave:Deep endometriosis
Rectosigmoid endometriosis
Reproducibility
Three-dimensional ultrasonography (3D)
Ultrasound
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author Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
author2 Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Neri, M. (Manuela)|||/items/6da50584-15ed-481b-8eb4-2dfb3e663424
Pilloni, M. (Monica)|||/items/69b9d8d9-5b17-4092-b50d-c405ea91d6ce
Graupera, B. (Betlem)|||/items/6c513185-399b-4f02-abe0-b8124cf752f0
Rodriguez, I. (Ignacio)|||/items/6970b64d-d4c1-43af-9005-22e23a7d298f
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
author2_role author
author
author
author
author
author
author
author_browse Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
Graupera, B. (Betlem)|||/items/6c513185-399b-4f02-abe0-b8124cf752f0
Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Neri, M. (Manuela)|||/items/6da50584-15ed-481b-8eb4-2dfb3e663424
Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Pilloni, M. (Monica)|||/items/69b9d8d9-5b17-4092-b50d-c405ea91d6ce
Rodriguez, I. (Ignacio)|||/items/6970b64d-d4c1-43af-9005-22e23a7d298f
author_facet Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Neri, M. (Manuela)|||/items/6da50584-15ed-481b-8eb4-2dfb3e663424
Pilloni, M. (Monica)|||/items/69b9d8d9-5b17-4092-b50d-c405ea91d6ce
Graupera, B. (Betlem)|||/items/6c513185-399b-4f02-abe0-b8124cf752f0
Rodriguez, I. (Ignacio)|||/items/6970b64d-d4c1-43af-9005-22e23a7d298f
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
author_role author
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
description Objective: To analyze the reproducibility of ultrasonographic (US) findings of rectosigmoid endometriosis among examiners with different level of expertise using stored three-dimensional (3D) volumes of the posterior compartment of the pelvis as a part of SANABA (Sardinia-Navarra-Barcelona) collaborative study. Materials and methods: Six examiners in 3 academic Department of Obstetrics and Gynecology, with different levels of experience and blinded to each other, evaluated 60 stored 3D volumes from the posterior compartment of the pelvis and looked for the presence or absence of features of rectosigmoid endometriotic lesions defined as an irregular hypoechoic nodule with or without hypoechoic foci at the level of the muscularis propria of the anterior wall rectum sigma. Multiplanar view and virtual navigation were used. All examiners had to assess the 3D volume of posterior compartment of the pelvis and classify it as present or absent disease. To analyze intra-observer and the inter-observer agreements, each examiner performed the assessment twice with a 2-week interval between the first and second assessments. Reproducibility was assessed by calculating the weighted Kappa index. Results: Intra-observer reproducibility was moderate to very good for all observers (Kappa index ranging from 0.49 to 0.96) associated with a good diagnostic accuracy of each reader. Inter-observer reproducibility was fair to very good (Kappa index range: 0.21-0.87). Conclusions: The typical US sign of rectosigmoid endometriosis is reasonably recognizable to observers with different level of expertise when assessed in stored 3D volumes.
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language eng
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oai_identifier_str oai:dadun.unav.edu:10171/116514
publishDate 2022
publishDateSort 2022
publisher Wiley Periodicals LLC
publisherStr Wiley Periodicals LLC
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
spelling The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da Neri, M. (Manuela)|||/items/6da50584-15ed-481b-8eb4-2dfb3e663424 Pilloni, M. (Monica)|||/items/69b9d8d9-5b17-4092-b50d-c405ea91d6ce Graupera, B. (Betlem)|||/items/6c513185-399b-4f02-abe0-b8124cf752f0 Rodriguez, I. (Ignacio)|||/items/6970b64d-d4c1-43af-9005-22e23a7d298f Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96 Deep endometriosis Rectosigmoid endometriosis Reproducibility Three-dimensional ultrasonography (3D) Ultrasound Objective: To analyze the reproducibility of ultrasonographic (US) findings of rectosigmoid endometriosis among examiners with different level of expertise using stored three-dimensional (3D) volumes of the posterior compartment of the pelvis as a part of SANABA (Sardinia-Navarra-Barcelona) collaborative study. Materials and methods: Six examiners in 3 academic Department of Obstetrics and Gynecology, with different levels of experience and blinded to each other, evaluated 60 stored 3D volumes from the posterior compartment of the pelvis and looked for the presence or absence of features of rectosigmoid endometriotic lesions defined as an irregular hypoechoic nodule with or without hypoechoic foci at the level of the muscularis propria of the anterior wall rectum sigma. Multiplanar view and virtual navigation were used. All examiners had to assess the 3D volume of posterior compartment of the pelvis and classify it as present or absent disease. To analyze intra-observer and the inter-observer agreements, each examiner performed the assessment twice with a 2-week interval between the first and second assessments. Reproducibility was assessed by calculating the weighted Kappa index. Results: Intra-observer reproducibility was moderate to very good for all observers (Kappa index ranging from 0.49 to 0.96) associated with a good diagnostic accuracy of each reader. Inter-observer reproducibility was fair to very good (Kappa index range: 0.21-0.87). Conclusions: The typical US sign of rectosigmoid endometriosis is reasonably recognizable to observers with different level of expertise when assessed in stored 3D volumes. Wiley Periodicals LLC https://hdl.handle.net/10171/116514
spellingShingle The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Deep endometriosis
Rectosigmoid endometriosis
Reproducibility
Three-dimensional ultrasonography (3D)
Ultrasound
title The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
title_full The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
title_fullStr The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
title_full_unstemmed The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
title_short The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
title_sort The reproducibility of ultrasonographic findings of rectosigmoid endometriosis among examiners with different level of expertise
topic Deep endometriosis
Rectosigmoid endometriosis
Reproducibility
Three-dimensional ultrasonography (3D)
Ultrasound
topic_facet Deep endometriosis
Rectosigmoid endometriosis
Reproducibility
Three-dimensional ultrasonography (3D)
Ultrasound
url https://hdl.handle.net/10171/116514