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A new scheme for grading the quality of scientific reports that evaluate imaging modalities for cerebrovascular diseases

机译:一种用于评估评估脑血管疾病成像方式的科学报告质量的新方案

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Imaging of head and neck vasculature continues to improve with the application of new technology. To judge the value of new technologies reported in the literature, it is imperative to develop objective standards optimized against bias and favoring statistical power and clinical relevance.A review of the existing literature identified the following items as lending scientific value to a report on imaging technology: prospective design, comparison with an accepted modality, unbiased patient selection, standardized image acquisition, blinded interpretation, and measurement of reliability. These were incorporated into a new grading scheme. Two physicians tested the new scheme and an established scheme to grade reports published in the medical literature. Inter-observer reliability for both methods was calculated using the kappa coefficient.A total of 22 reports evaluating imaging modalities for cervical internal carotid artery stenosis were identified from a literature search and graded by both schemes. Agreement between the two physicians in grading the level of scientific evidence using the new scheme was excellent (kappa coefficient: 0.93, p
机译:随着新技术的应用,头颈部血管的成像持续改善。为了判断文献中报道的新技术的价值,必须制定针对偏倚而优化的客观标准,并有利于统计能力和临床相关性。对现有文献的回顾确定了以下项目对影像技术报告具有科学价值。 :前瞻性设计,与公认的方式进行比较,无偏见的患者选择,标准化的图像采集,盲目解释和可靠性测量。这些已合并到新的分级方案中。两位医生对新方案和已建立的方案进行了测试,以对医学文献中发表的报告进行分级。使用kappa系数计算两种方法的观察者间可靠性。从文献检索中总共鉴定了22篇评估颈内动脉狭窄的成像方式的报告,并对这两种方案进行了分级。在使用新方案对科学证据进行分级时,两位医生之间的一致性非常好(kappa系数:0.93,p

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