OBJECTIVE: To develop ultrasound (US) definitions and a US novel scoring system for major salivary gland (SG) lesions in patients with primary Sjögren's syndrome (pSS) and to test their intrareader and inter-reader reliability using US video clips. METHODS: Twenty-five rheumatologists were subjected to a three-round, web-based Delphi process in order to agree on (1) definitions and scanning procedure of salivary gland ultrasonography (SGUS): parotid, submandibular and sublingual glands (PG, SMG and SLG); (2) definitions for the elementary SGUS lesions in patients with Sjögren's syndrome; (3) scoring system for grading changes. The experts rated the statements on a 1-5 Likert scale. In the second step, SGUS video clips of patients with pSS and non-pSS sicca cases were collected containing various spectrums of disease severity followed by an intrareader and inter-reader reliability exercise. Each video clip was evaluated according to the agreed definitions. RESULTS: Consensual definitions were developed after three Delphi rounds. Among the three selected SGs, US assessment of PGs and SMGs was agreed on. Agreement was reached to score only greyscale lesions and to focus on anechoic/hypoechoic foci in a semiquantitative matter or, if not possible on a qualitatively (present/absent) evaluation of fatty or fibrous lesions. Intrareader reliability for detecting and scoring these lesions was excellent (Cohen's kappa 0.81) and inter-reader reliability was good (Light's kappa 0.66). CONCLUSION: New definitions for developing a novel semiquantitative US score in patients with pSS were developed and tested on video clips. Inter-reader and intrareader reliabilities were good and excellent, respectively.
- MeSH
- delfská metoda MeSH
- interpretace obrazu počítačem normy MeSH
- konsensus MeSH
- lidé MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- Sjögrenův syndrom diagnostické zobrazování MeSH
- slinné žlázy diagnostické zobrazování MeSH
- ultrasonografie metody normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- audiovizuální média MeSH
- časopisecké články MeSH
- validační studie MeSH
This paper describes an evaluation framework that allows a standardized and quantitative comparison of IVUS lumen and media segmentation algorithms. This framework has been introduced at the MICCAI 2011 Computing and Visualization for (Intra)Vascular Imaging (CVII) workshop, comparing the results of eight teams that participated. We describe the available data-base comprising of multi-center, multi-vendor and multi-frequency IVUS datasets, their acquisition, the creation of the reference standard and the evaluation measures. The approaches address segmentation of the lumen, the media, or both borders; semi- or fully-automatic operation; and 2-D vs. 3-D methodology. Three performance measures for quantitative analysis have been proposed. The results of the evaluation indicate that segmentation of the vessel lumen and media is possible with an accuracy that is comparable to manual annotation when semi-automatic methods are used, as well as encouraging results can be obtained also in case of fully-automatic segmentation. The analysis performed in this paper also highlights the challenges in IVUS segmentation that remains to be solved.
- MeSH
- databáze faktografické normy MeSH
- internacionalita MeSH
- interpretace obrazu počítačem metody normy MeSH
- intervenční ultrasonografie metody normy MeSH
- lidé MeSH
- nemoci koronárních tepen ultrasonografie MeSH
- referenční hodnoty MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Research Support, U.S. Gov't, Non-P.H.S. MeSH
The contribution deals with the first step in using proper wave-equation based ultrasound propagation model in image reconstruction from the ultrasonic computed tomography data. Particularly, it compares the transducer calibration results obtained via direct measurement of the empty image field and consequential data processing based on a simple direct-propagation model with the simulation results obtained via solving the single-frequency wave equation under proper border conditions reflecting the realistic measurement geometry. The results show a reasonable qualitative agreement when a certain degree of phase-shifted coupling from the transmitting transducer elements to the neighbouring elements of the transducer field is admitted.
- MeSH
- algoritmy MeSH
- financování organizované MeSH
- interpretace obrazu počítačem metody normy MeSH
- kalibrace MeSH
- měniče MeSH
- radiační rozptyl MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- ultrasonografie normy přístrojové vybavení MeSH
- vylepšení obrazu metody normy MeSH
- Publikační typ
- hodnotící studie MeSH
- srovnávací studie MeSH
- validační studie MeSH
- Geografické názvy
- Česká republika MeSH
