Inter-observer variability of portal hemodynamics measured by Doppler ultrasound on three different locations of portal vein.
Doppler ultrasound is a noninvasive modality for portal hemodynamic study. However, inter-observer variability has been observed. This study has investigated ways to produce less inter-observer variability. Doppler ultrasound portal vein hemodynamic studies were carried out by three well-trained specialists on 20 healthy hospital staff members. The intra-hepatic, first branch, right portal vein, the hilar portal vein, and the extra-hepatic portal vein were chosen for study. With respect to the diameter of portal veins, a significant inter-observer variability was found for the first branch right portal vein and the extra-hepatic portal vein, but not for the hilar portal vein. For maximal portal vein velocity studies, inter-observer variability was not found at any location. A significant failure rate was noted for the measurement of extra-hepatic portal vein velocity. Only 8 volunteers had complete data from all of the three investigators. A significant variability was also noted for the average velocity of extra-hepatic portal vein. We conclude that Doppler ultrasound hemodynamic studies of the hilar portal vein has the most acceptable inter-observer variability and thus should be used for longitudinal portal hemodynamic studies.
Tai
D I
DI
Liver unit, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, Republic of China.
Chuah
S K
SK
Chen
C L
CL
Lo
S K
SK
Changchien
C S
CS
Li
I T
IT
D000328:Adult; D001783:Blood Flow Velocity; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D011169:Portal Vein / Q000000981:diagnostic imaging* / Q000502:physiology; D018608:Ultrasonography, Doppler