Intra- and interobserver variability in the measurements of abdominal aortic and common iliac artery diameter with computed tomography. The Tromsø study.
OBJECTIVE
to assess intra- and interobserver variability in the measurement of aortic and common iliac artery diameter by means of computed tomography (CT).


METHODS
reproducibility study.


METHODS
three radiologists performed measurements of aortic diameter at five different levels and of both common iliac arteries with CT. Fifty-nine subjects were examined, 29 with and 30 without abdominal aortic aneurysms (AAA) as assessed by ultrasound.


RESULTS
intraobserver variability varied between radiologists, measurement plane (anterior-posterior vs transverse) and measurement level. The interobserver variability was markedly higher at the bifurcation than at the suprarenal level and higher than intraobserver variability for measurements at all levels. Both intraobserver and interobserver variability increased with increasing vessel diameter and were largest in patients with AAA. The absolute intraobserver difference of the maximal infrarenal aortic diameter was 2mm or less in 94% of intraobserver pairs. The corresponding interobserver difference was 82%.


CONCLUSIONS
interobserver variability of CT measurements of aortic and common iliac artery diameter is not negligible and should be taken into account when making clinical decisions. When assessing change in aortic diameter, previous CT-scans should be reviewed simultaneously as a routine to exclude interobserver variability.
Singh
K
K
Department of Radiology, University Hospital of North-Norway, Tromsø, 9038 Tromsø, Norway.
Jacobsen
B K
BK
Solberg
S
S
Bønaa
K H
KH
Kumar
S
S
Bajic
R
R
Arnesen
E
E
D000368:Aged; D000704:Analysis of Variance; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D009664:Norway; D015588:Observer Variation; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography