Intra- and interoperator repeatability of the nuchal translucency measurement
Article first published online: 23 DEC 2002
Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology
Ultrasound in Obstetrics & Gynecology
Volume 15, Issue 4, pages 297–301, April 2000
How to Cite
Pajkrt, E., Mol, B.W.J., Boer, K., Drogtrop, A.P., Bossuyt, P.M.M. and Bilardo, C.M. (2000), Intra- and interoperator repeatability of the nuchal translucency measurement. Ultrasound Obstet Gynecol, 15: 297–301. doi: 10.1046/j.1469-0705.2000.00088.x
- Issue published online: 23 DEC 2002
- Article first published online: 23 DEC 2002
- Manuscript Accepted: 4 FEB 2000
- Manuscript Revised: 3 AUG 1999
- Manuscript Received: 12 MAR 1999
- Cited By
- nuchal translucency;
- ultrasound screening;
- intraclass correlation coefficient
The aim of this study was to assess the repeatability of nuchal translucency measurement by well-trained sonographers either experienced or inexperienced with the measurement.
The nuchal translucency was measured three times by two out of nine operators in 161 pregnant women attending two teaching hospitals. Intra-operator and inter-operator variation was assessed by calculating the standard deviation (SD). Intraclass Correlation Coefficients (ICC) with a 95% lower confidence limit (95% CL) were calculated for each operator and for pairs of operators. Intra-and inter-operator kappa statistics were calculated, after dichotomising the results into a nuchal translucency smaller or larger than 3 mm.
The SD of intra-operator difference was 0.35 mm. The intra-operator repeatability showed ICCs varying from 0.83 to 0.95 for the experienced operators and from 0.47 to 0.83 for the inexperienced. The SD of inter-operator differences was 0.56 mm, 0.46 mm and 0.44 mm, based on one, two and three measurements, respectively. The inter-operator repeatability showed a variation in ICC from 0.74 to 0.95 in pairs of experienced sonographers to 0.51 in one pair inexperienced with the measurement. The kappa value expressing the intra and inter-operator repeatability as being > 3 mm or < 3 mm was 0.88 and 0.85, respectively.
This study supports the finding that the nuchal translucency measurement is reproducible, as long as it is performed by sonographers well trained in the technique of this measurement. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology