Variation in duplex peak systolic velocity measurement in a multi-site vascular service.

作者: P Normahani , M Aslam , G Martin , NJ Standfield , U Jaffer

DOI: 10.1177/0267659115573280

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摘要: Objective:Duplex US (DUS) is increasingly utilised as a first-line investigation for the assessment of carotid disease. For clinical decision-making, DUS must be accurate and reproducible to ensure reliability. We aimed investigate variability in peak systolic velocity (PSV) measurement multi-site vascular network.Methods:DUS measurements PSV were taken from continuous pulsatile flow, generated by high fidelity phantom, 12 experienced scientists across four hospitals. Participants blinded actual value (50 cm/s).Results:We observed an average error 13.2% (± 8.3) 11.6% 7.5) waveforms, respectively. Measurements using waveform demonstrated statistically significant variation all hospitals; ((hospital/mean) A 43.9 cm/s, B 61.7 C 57.4 D 47.7 p=0.001). Further analysis 4 instrumentation-rela...

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