Accuracy and interobserver reliability of three-dimensional rotational angiography versus mathematical models for volumetric measurement of intracranial aneurysms.
We aimed to compare the inter-rater reliability relating to the volumetric measurement of intracranial aneurysms obtained with three-dimensional rotational angiography (3D-RA) compared with two commonly used mathematical models. Ten randomly selected aneurysms were measured by 3 independent assessors using 3D-RA and 2 mathematical models for the calculation of an ellipsoid: Equation (1), Vab=4/3pi x (a/2)x(b/2)x(a + b/4); and Equation (2), Vabc=(4/3)pi x (a/2)x(b/2)x(c/2). The inter-rater reliability for each method was: 3D-RA, 0.99; Vabc, 0.90; and Vab, 0.89. The 95% confidence interval for the mean difference between 3D-RA and Vabc was not significantly different, whereas there was a significant difference between 3D-RA and Vab. Vab gave consistently higher estimates than 3D-RA. This was especially true for aneurysms with larger volumes. The use of 3D-RA to undertake volumetric measurements of intra-cranial aneurysms is both valid and reproducible for different assessors.
Dimmick
S
S
Radiology Department, Royal North Shore Hospital, Pacific Highway, St Leonards, New South Wales 2065, Australia. sdimmick@gmp.usyd.edu.au
Jones
M
M
Steinfort
B
B
Pines
C
C
Faulder
K
K
D000465:Algorithms; D002533:Cerebral Angiography; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D015233:Models, Statistical; D015588:Observer Variation; D015203:Reproducibility of Results; D012189:Retrospective Studies