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Measurement precision and biological variation of cranial arteries using automated analysis of 3 T magnetic resonance angiography

Background Non-invasive magnetic resonance angiography (MRA) has facilitated repeated measurements of human cranial arteries in several headache and migraine studies. To ensure comparability across studies the same automated analysis software has been used, but the intra- and interobserver, day-to-d...

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Published in:Journal of headache and pain 2014-05, Vol.15 (1), p.25-25, Article 25
Main Authors: Amin, Faisal Mohammad, Lundholm, Elisabet, Hougaard, Anders, Arngrim, Nanna, Wiinberg, Linda, de Koning, Patrick JH, Larsson, Henrik BW, Ashina, Messoud
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creator Amin, Faisal Mohammad
Lundholm, Elisabet
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description Background Non-invasive magnetic resonance angiography (MRA) has facilitated repeated measurements of human cranial arteries in several headache and migraine studies. To ensure comparability across studies the same automated analysis software has been used, but the intra- and interobserver, day-to-day and side-to-side variations have not yet been published. We hypothesised that the observer related, side-to-side, and day-to-day variations would be less than 10%. Methods Ten female participants were studied using high-resolution MRA on two study days separated by at least one week. Using the automated LKEB-MRA vessel wall analysis software arterial circumferences were measured by blinded observers. Each artery was analysed twice by each of the two different observers. The primary endpoints were to determine the intraclass correlation coefficient (ICC) and intra- an inter-observer, the day-to-day, and side-to-side variations of the circumference of the middle meningeal (MMA) and middle cerebral (MCA) arteries. Results We found an excellent intra- and interobserver agreement for the MMA (ICC: 0.909-0.987) and for the MCA (ICC: 0.876-0.949). The coefficient of variance within observers was ≤1.8% for MMA and ≤3.1% for MCA; between observers ≤3.4% (MMA) and ≤4.1% (MCA); between days ≤6.0% (MMA) and ≤8.0% (MCA); between sides ≤9.4% (MMA) and ≤6.5% (MCA). Conclusion The present study demonstrates a low (
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To ensure comparability across studies the same automated analysis software has been used, but the intra- and interobserver, day-to-day and side-to-side variations have not yet been published. We hypothesised that the observer related, side-to-side, and day-to-day variations would be less than 10%. Methods Ten female participants were studied using high-resolution MRA on two study days separated by at least one week. Using the automated LKEB-MRA vessel wall analysis software arterial circumferences were measured by blinded observers. Each artery was analysed twice by each of the two different observers. The primary endpoints were to determine the intraclass correlation coefficient (ICC) and intra- an inter-observer, the day-to-day, and side-to-side variations of the circumference of the middle meningeal (MMA) and middle cerebral (MCA) arteries. Results We found an excellent intra- and interobserver agreement for the MMA (ICC: 0.909-0.987) and for the MCA (ICC: 0.876-0.949). The coefficient of variance within observers was ≤1.8% for MMA and ≤3.1% for MCA; between observers ≤3.4% (MMA) and ≤4.1% (MCA); between days ≤6.0% (MMA) and ≤8.0% (MCA); between sides ≤9.4% (MMA) and ≤6.5% (MCA). Conclusion The present study demonstrates a low (&lt;5%) inter- and intraobserver variation using the automated LKEB-MRA vessel wall analysis software. Furthermore, the study also suggests that the day-to-day and side-to-side variations of the MMA and MCA circumferences are less than 10%.</description><identifier>ISSN: 1129-2369</identifier><identifier>ISSN: 1129-2377</identifier><identifier>EISSN: 1129-2377</identifier><identifier>DOI: 10.1186/1129-2377-15-25</identifier><identifier>PMID: 24886137</identifier><identifier>CODEN: JHPOAT</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Adult ; Cerebral Arteries - diagnostic imaging ; Cerebral Arteries - physiopathology ; Female ; Humans ; Internal Medicine ; Magnetic Resonance Angiography - methods ; Magnetic Resonance Angiography - standards ; Medicine ; Medicine &amp; Public Health ; Migraine Disorders - diagnostic imaging ; Migraine Disorders - epidemiology ; Migraine Disorders - physiopathology ; Neurology ; Observer Variation ; Pain Medicine ; Radiography ; Research Article ; Young Adult</subject><ispartof>Journal of headache and pain, 2014-05, Vol.15 (1), p.25-25, Article 25</ispartof><rights>Amin et al.; licensee Springer. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.</rights><rights>The Journal of Headache and Pain is a copyright of Springer, 2014.</rights><rights>Copyright © 2014 Amin et al.; licensee Springer. 2014 Amin et al.; licensee Springer.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b521t-ad8a7da36039571ba3fc4579c5a3dbe650f93821986ddf0d69f641923d7038623</citedby><cites>FETCH-LOGICAL-b521t-ad8a7da36039571ba3fc4579c5a3dbe650f93821986ddf0d69f641923d7038623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1847987609/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1847987609?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24886137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amin, Faisal Mohammad</creatorcontrib><creatorcontrib>Lundholm, Elisabet</creatorcontrib><creatorcontrib>Hougaard, Anders</creatorcontrib><creatorcontrib>Arngrim, Nanna</creatorcontrib><creatorcontrib>Wiinberg, Linda</creatorcontrib><creatorcontrib>de Koning, Patrick JH</creatorcontrib><creatorcontrib>Larsson, Henrik BW</creatorcontrib><creatorcontrib>Ashina, Messoud</creatorcontrib><title>Measurement precision and biological variation of cranial arteries using automated analysis of 3 T magnetic resonance angiography</title><title>Journal of headache and pain</title><addtitle>J Headache Pain</addtitle><addtitle>J Headache Pain</addtitle><description>Background Non-invasive magnetic resonance angiography (MRA) has facilitated repeated measurements of human cranial arteries in several headache and migraine studies. To ensure comparability across studies the same automated analysis software has been used, but the intra- and interobserver, day-to-day and side-to-side variations have not yet been published. We hypothesised that the observer related, side-to-side, and day-to-day variations would be less than 10%. Methods Ten female participants were studied using high-resolution MRA on two study days separated by at least one week. Using the automated LKEB-MRA vessel wall analysis software arterial circumferences were measured by blinded observers. Each artery was analysed twice by each of the two different observers. The primary endpoints were to determine the intraclass correlation coefficient (ICC) and intra- an inter-observer, the day-to-day, and side-to-side variations of the circumference of the middle meningeal (MMA) and middle cerebral (MCA) arteries. Results We found an excellent intra- and interobserver agreement for the MMA (ICC: 0.909-0.987) and for the MCA (ICC: 0.876-0.949). The coefficient of variance within observers was ≤1.8% for MMA and ≤3.1% for MCA; between observers ≤3.4% (MMA) and ≤4.1% (MCA); between days ≤6.0% (MMA) and ≤8.0% (MCA); between sides ≤9.4% (MMA) and ≤6.5% (MCA). Conclusion The present study demonstrates a low (&lt;5%) inter- and intraobserver variation using the automated LKEB-MRA vessel wall analysis software. 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To ensure comparability across studies the same automated analysis software has been used, but the intra- and interobserver, day-to-day and side-to-side variations have not yet been published. We hypothesised that the observer related, side-to-side, and day-to-day variations would be less than 10%. Methods Ten female participants were studied using high-resolution MRA on two study days separated by at least one week. Using the automated LKEB-MRA vessel wall analysis software arterial circumferences were measured by blinded observers. Each artery was analysed twice by each of the two different observers. The primary endpoints were to determine the intraclass correlation coefficient (ICC) and intra- an inter-observer, the day-to-day, and side-to-side variations of the circumference of the middle meningeal (MMA) and middle cerebral (MCA) arteries. Results We found an excellent intra- and interobserver agreement for the MMA (ICC: 0.909-0.987) and for the MCA (ICC: 0.876-0.949). The coefficient of variance within observers was ≤1.8% for MMA and ≤3.1% for MCA; between observers ≤3.4% (MMA) and ≤4.1% (MCA); between days ≤6.0% (MMA) and ≤8.0% (MCA); between sides ≤9.4% (MMA) and ≤6.5% (MCA). Conclusion The present study demonstrates a low (&lt;5%) inter- and intraobserver variation using the automated LKEB-MRA vessel wall analysis software. Furthermore, the study also suggests that the day-to-day and side-to-side variations of the MMA and MCA circumferences are less than 10%.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>24886137</pmid><doi>10.1186/1129-2377-15-25</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Cerebral Arteries - diagnostic imaging
Cerebral Arteries - physiopathology
Female
Humans
Internal Medicine
Magnetic Resonance Angiography - methods
Magnetic Resonance Angiography - standards
Medicine
Medicine & Public Health
Migraine Disorders - diagnostic imaging
Migraine Disorders - epidemiology
Migraine Disorders - physiopathology
Neurology
Observer Variation
Pain Medicine
Radiography
Research Article
Young Adult
title Measurement precision and biological variation of cranial arteries using automated analysis of 3 T magnetic resonance angiography
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