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A Proposed Method to Quantify Vitreous Hemorrhage by Ultrasound.
Salcedo-Villanueva, Guillermo; Trujillo-Alvarez, Manuel; Becerra-Revollo, Catalina; Ibarra-Elizalde, Estefanía; Mayorquín-Ruiz, Mariana; Velez-Montoya, Raul; García-Aguirre, Gerardo; Gonzalez-Salinas, Roberto; Morales-Cantón, Virgilio; Quiroz-Mercado, Hugo; Moragrega-Adame, Eduardo.
Afiliação
  • Salcedo-Villanueva G; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Trujillo-Alvarez M; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Becerra-Revollo C; Ocular Ultrasound Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Ibarra-Elizalde E; Ocular Ultrasound Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Mayorquín-Ruiz M; Ocular Ultrasound Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Velez-Montoya R; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • García-Aguirre G; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Gonzalez-Salinas R; Research Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Morales-Cantón V; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Quiroz-Mercado H; Retina Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
  • Moragrega-Adame E; Ocular Ultrasound Department, Asociación Para Evitar La Ceguera En México, Mexico City, Mexico.
Clin Ophthalmol ; 13: 2377-2384, 2019.
Article em En | MEDLINE | ID: mdl-31819363
ABSTRACT

PURPOSE:

To propose a method for quantification of vitreous hemorrhages (VH) termed minimum image gain (MIG). Therefore, to obtain MIG measurements in patients with VH and to compare them to normal controls; to compare results between graders; and to obtain and compare MIG from two different ultrasound systems.

METHODS:

Retrospective and cross-sectional, observational, and comparative study performed in two parts Part 1) Retrospective comparison of MIG in VH vs controls by two experienced graders, with intra/inter-observer variability MIG technique is described. MIG is performed retrospectively in two groups, VH patients and normal controls. Groups are compared with independent samples t-test. Intra- and interobserver variability between graders was obtained. Part 2) Cross-sectional analysis of variability from nonexperienced graders and with different ultrasound systems MIG is performed in cross-sectional measurements of VH patients, by two unexperienced graders, and with two ultrasound systems. Interobserver variability and Bland-Altman plot with levels of agreement (LoA) were obtained.

RESULTS:

Part 1 50 patients with VH resulted in mean MIG 52.8 dB; 34 controls resulted in mean MIG 77.97 dB. Independent samples t-test resulted in a statistical significant difference. Intra- and inter-observer variability resulted in an almost perfect agreement between experienced graders. Part 2 63 patients with VH, mean MIG 56.19 dB. Inter-observer variability resulted in a very high agreement between unexperienced observers. LoA resulted in a statistical difference between the two ultrasound systems.

CONCLUSION:

MIG may provide an objective and reproducible way to quantify vitreous hemorrhage density and potentially any vitreous humor opacity. Agreement is high even with unexperienced graders. However, the two ultrasound systems analyzed may not be interchangeable.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2019 Tipo de documento: Article