• Title/Summary/Keyword: Observer agreement

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Diagnostic accuracy of digital images for detection of artificial chemical proximal caries (화학적 인공 인접면 치아우식증의 디지털 영상 진단능 평가)

  • Park Geum-Mee;Nah Kyung-Soo
    • Imaging Science in Dentistry
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    • v.33 no.2
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    • pp.91-95
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    • 2003
  • Purpose : To compare the diagnostic accuracy of proximal caries detection between Kodak Insight film and the Biomedisys CDX2000HQ digital (CCD) sensor. Materials and Methods: 156 proximal surfaces of extracted teeth, 78 of which had chemical artificial caries, were used in this study. Four observers interpreted the radiographs using a five-point confidence rating scale to record their diagnoses. The results were analyzed by receiver operating characteristic curves, ANOVA and Kappa values. Result: Analysis using receiver operating characteristic curves revealed the areas under each curve which indicated a diagnostic accuracy of 0.951 in Insight and 0.952 in CDX2000HQ digital sensor. ANOVA revealed no significant differences between the two images with respect to caries detection. Kappa values indicated that the mean intra-observer agreement was 0.85 and inter-observer agreement 0.71 in conventional radiography. In digital radiography, the mean intra-observer agreement was 0.84 and inter-observer agreement 0.72. Conclusion: The results suggest that no significant difference exists between the two modalities for artificial caries detection and that CDX2000HQ was as good as Insight film for this purpose.

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Reliability of the Sundsvall Method for Femoral Offset Evaluation

  • Patrick Kelly;Caitlin Grant;Niall Cochrane;Jonathan Florance;Michael Bolognesi;Sean Ryan
    • Hip & pelvis
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    • v.36 no.3
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    • pp.218-222
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    • 2024
  • Purpose: Acetabular and femoral offset (FO) play an important role in total hip arthroplasty (THA). The Sundsvall method has been proposed to account for both FO and cup offset in one global hip offset measurement. In this study, we examine the agreement and inter-observer reliability of the Sundsvall method of hip offset measurement. Materials and Methods: Four hundred and ninety-nine THA patients at a single tertiary academic institution were retrospectively reviewed. Preoperative hip offset was measured on anteroposterior radiographs of the pelvis on the operative and contralateral side. Hip offset was also measured postoperatively on the operative side. Hip offset was measured using the Sundsvall method as the distance between the femoral axis and midline of the pelvis at the height of the lateral most point of the greater trochanter. All measurements were completed by two raters. Intra-class correlation coefficients (ICC) and Pearson's correlation coefficients were used to evaluate agreement and inter-observer reliability between two raters. Results: There was excellent agreement between raters for preoperative hip offset measurement with an ICC of 0.91 (confidence interval [CI] 0.90-0.93, P<0.01) and R=0.92. There was excellent agreement between raters for postoperative hip offset with an ICC of 0.93 (CI 0.92-0.94, P<0.01) and R=0.93. Conclusion: This study confirms the inter-observer agreement and reliability of the Sundsvall method of hip offset measurement. With its high agreement and reliability, the Sundsvall method is an easy and reliable way to measure hip offset that can be applied in future clinical and research settings.

On Assessing Inter-observer Agreement Independent of Variables' Measuring Units

  • Um, Yong-Hwan
    • Journal of the Korean Data and Information Science Society
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    • v.17 no.2
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    • pp.529-536
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    • 2006
  • Investigators use either Euclidean distance or volume of a simplex defined composed of data points as agreement index to measure chance-corrected agreement among observers for multivariate interval data. The agreement coefficient proposed by Um(2004) is based on a volume of a simplex and does not depend on the variables' measuring units. We consider a comparison of Um(2004)'s agreement coefficient with others based on two unit-free distance measures, Pearson distance and Mahalanobis distance. Comparison among them is made using hypothetical data set.

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Optimal Phase of Dynamic Computed Tomography for Reliable Size Measurement of Metastatic Neuroendocrine Tumors of the Liver: Comparison between Pre- and Post-Contrast Phases

  • Huh, Jimi;Park, Jisuk;Kim, Kyung Won;Kim, Hyoung Jung;Lee, Jong Seok;Lee, Jong Hwa;Jeong, Yoong Ki;Shinagare, Atul B.;Ramaiya, Nikhil H.
    • Korean Journal of Radiology
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    • v.19 no.6
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    • pp.1066-1076
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    • 2018
  • Objective: The reliability of size measurements of liver metastases from neuroendocrine tumors (NETs) on contrast-enhanced computed tomography (CT) phases made by different readers may be hampered due to transient, variable rim enhancement in arterial phase (AP) or portal venous phase (PVP) images. We aimed to assess the reliability of tumor size measurements in pre- and post-contrast scans. Materials and Methods: The study coordinator selected target lesions according to Response Evaluation Criteria in Solid Tumors 1.1 guidelines in 44 consecutive patients with pathologically confirmed NET liver metastases. Two blinded readers measured the longest diameters of target lesions on pre-contrast, AP, and PVP images twice with a 4-week interval. Inter- and intra-observer agreements were evaluated using Bland-Altman plots and 95% limit of agreement (LOA) calculations. Results: Of the 79 target lesions (approximate mean size of 3 cm), 45 showed rim enhancement. Inter-observer agreement assessed based on LOA was highest in pre-contrast CT images (-6.1-5.7 mm), followed by PVP (-7.9-7.1 mm) and AP (-8.5-7.4 mm) images. Intra-observer agreement showed the same trend: -2.8-2.9 mm and -2.9-2.9 mm for readers 1 and 2, respectively, on pre-contrast CT, -2.8-2.9 mm and -3.0-3.2 mm, respectively, on PVP, and -3.2-4.2 mm and -3.4-3.2 mm, respectively, on AP images. Mean tumor diameters differed significantly among the phases in the following increasing order: pre-contrast CT, PVP, and AP images. Conclusion: There was better inter- and intra-observer agreement in size measurements of NET liver metastases on pre-contrast scans than on AP and PVP scans. Pre-contrast CT may be the optimal for measuring NET liver metastases if its accuracy is proven.

Effect of LCD monitor type and observer experience on diagnostic performance in soft-copy interpretations of the maxillary sinus on panoramic radiographs

  • Kim, Tae-Young;Choi, Jin-Woo;Lee, Sam-Sun;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.11-16
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    • 2011
  • Purpose : The aim of this study was to evaluate the effect of liquid crystal display (LCD) monitor type and observer experience on the diagnostic performance in soft-copy interpretations of maxillary sinus inflammatory lesions on panoramic radiographs. Materials and Methods : Ninety maxillary sinuses on panoramic images were grouped into negative and positive groups according to the presence of inflammatory lesions, using CT for confirmation. Monochrome and color LCDs were used. Six observers participated and ROC analysis was performed to evaluate the diagnostic performance. The reading time, fatigue score, and inter-/intra-observer agreements were assessed. Results : The interpretation of maxillary sinus inflammatory lesions was affected by the LCD monitor type used and by the experience of the observer. The reading time was not significantly different, however the fatigue score was significantly different between two LCD monitors. Inter-observer agreement was relatively good in experienced observers, while the intra-observer agreement for all observers was good with monochrome LCD but not with color LCD. Conclusion : The less experienced observers showed lowered diagnostic ability with a general color LCD.

Observer Design of an Injector for Fuel Control in DI Diesel Engines with an Electronically Controlled Injector (전자제어식 직접분사 디젤엔진의 연료제어를 위한 인젝터 관측기 설계)

  • Kim Sunwoo;Lee Kangyoon;Chung Namhoon;Sunwoo Myoungho
    • Journal of Institute of Control, Robotics and Systems
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    • v.10 no.12
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    • pp.1305-1311
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    • 2004
  • This study presents a mathematical model and a sliding mode observer of the injection system for common rail diesel engines. The injector model consists of three subsystems: the actuator subsystem, the mechanical subsystem, and the hydraulic subsystem. In the actuator subsystem, the constitutive relations of piezoelectricity are used to model the actuator made up of piezoelectric material. Based on the proposed model, the observer estimates the injection rate and injection timing, and can play a vital role of sensorless control of fuel injection in the near future. The sliding mode theory is applied to the observer design in order to overcome model uncertainties. The injector model and observer are evaluated through the injector experiments. The simulation results of the injector model are in good agreement with the experimental data. The sliding mode observer can effectively estimate the injection timing and the injection rate of the injector.

High-resolution magnetic resonance imaging of teeth and periodontal tissues using a microscopy coil

  • Shinya Kotaki;Hiroshi Watanabe;Junichiro Sakamoto;Ami Kuribayashi;Marino Araragi;Hironori Akiyama;Yoshiko Ariji
    • Imaging Science in Dentistry
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    • v.54 no.3
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    • pp.276-282
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    • 2024
  • Purpose: This study aimed to assess the performance of 2-dimensional (2D) imaging with microscopy coils in delineating teeth and periodontal tissues compared with conventional 3-dimensional(3D) imaging on a 3 T magnetic resonance imaging (MRI) unit. Materials and Methods: Twelve healthy participants (4 men and 8 women; mean age: 25.6 years; range: 20-52 years) with no dental symptoms were included. The left mandibular first molars and surrounding periodontal tissues were examined using the following 2 sequences: 2D proton density-weighted (PDw) images and 3D enhanced T1 high-resolution isotropic volume excitation (eTHRIVE) images. Two-dimensional MRI images were taken using a 3 T MRI unit and a 47 mm microscopy coil, while 3D MRI imaging used a 3 T MRI unit and head-neck coil. Oral radiologists assessed dental and periodontal structures using a 4-point Likert scale. Inter- and intra-observer agreement was determined using the weighted kappa coefficient. The Wilcoxon signed-rank test was used to compare 2D-PDw and 3D-eTHRIVE images. Results: Qualitative analysis showed significantly better visualization scores for 2D-PDw imaging than for 3D-eTHRIVE imaging (Wilcoxon signed-rank test). 2D-PDw images provided improved visibility of the tooth, root dental pulp, periodontal ligament, lamina dura, coronal dental pulp, gingiva, and nutrient tract. Inter-observer reliability ranged from moderate agreement to almost perfect agreement, and intra-observer agreement was in a similar range. Conclusion: Two-dimensional-PDw images acquired using a 3 T MRI unit and microscopy coil effectively visualized nearly all aspects of teeth and periodontal tissues.

ACCURACY AND INTEROBSERVER- INTRAOBSERVER AGREEMENT IN THE RADIOLOGIC DIAGNOSIS OF AMELOBLASTOMA AND ODONTOGENIC KERATOCYST (법랑모세포종과 치성각화낭의 방사선학적 진단의 정확도 및 판독자간과 판독자내 일치)

  • Choi Soon-Chul;Lee Jean;Park In-Woo;Lee Young-Ho
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.26 no.2
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    • pp.147-152
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    • 1996
  • Six observers with different amount of experience in the field of Oral and Maxillofacial Radiology interpreted the radiographs of 13 cases of ameloblastoma and 8 cases of odontogenic keratocyct which were confirmed histopathologically and showed pseudo-multilocular appearance and scalloped border radiographically. The authors examined the accuracy of radiologic diagnoses, interobserver agrement and intraobserver agreement. The obtained results were as follows; 1. The accuracy of radiologic diagnosis ranged from 0.48 to 0.81. The average value was 0.61. 2. The accuracy of radiologic diagnosis for ameloblastoma(0.55) was lower than that for odontogenic keratocyst(0.70) (P<0.05). 3. The overall agreement among the 6 observers was 14.3% at the first interpretation and 19.0% at the second interpretation. 4. The intraobserver agreement of each observer expressed in kappa index ranged from -0.14 to 0.64. The overall intraobserver agreement was 0.29. 5. The intraobserver agreement of each observer for ameloblastoma and odontogenic keratocyst ranged from -0.07 to 0.65 and from -0.25 to 1.00, respectively. The overall intraobserver agreement for ameloblatoma and odontogenic keratocyst were 0.27 and 0.26, respectively. 6. The diagnostic accuracy highly correlated to the intraobserver agreement(r=0.6370).

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Optical Disk Drive Servo System using Modified Disturbance Observer (수정된 외란관측기를 이용한 광디스크 드라이브 서보 시스템)

  • Jeong, Jong-Il;Chung, Chung-Choo;Pyo, Hyeon-Bong;Park, Yong-Woo
    • Proceedings of the KIEE Conference
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    • 2003.11c
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    • pp.372-375
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    • 2003
  • Using disturbance observer is effective to enhance tracking performance of system in the presence of disturbances. Various types of disturbance observers have been proposed to improve sensitivity of systems, but they tend to bring poor transient response due to cross coupling of inter-loops. In this paper, we propose dual disturbance observer(Dual DOB) which is designed to reduce the cross coupling. Dual DOB is consist of an internal DOB and an external DOB, that are designed for different object. The Dual DOB is applied to Optical Disk Drive tracking system. It is shown that the Dual DOB has improved performance over conventional DOB via experimental result. There is good agreement between simulation and experimental results.

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