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Inter-rater agreement and reliability of thoracic ultrasonographic findings in feedlot calves, with or without naturally occurring bronchopneumonia.


ABSTRACT:

Background

Thoracic ultrasonography (TUS) can be used to assess the extent and severity of lung lesions associated with bronchopneumonia (BP) in feedlot cattle.

Hypothesis/objectives

To assess inter-rater agreement and reliability of TUS findings in feedlot cattle, with or without naturally occurring BP.

Animals

Feedlot steers with (n?=?210) or without (n?=?107) clinical signs of BP that were assessed by TUS in a previous case-control study.

Methods

A random sample of 50 TUS videos (16-s duration) were scored by 6 raters with various levels of TUS expertise. Lung consolidation, comet tail artifacts, pleural irregularity and effusion were scored. Inter-rater agreement was assessed using raw percentage of agreement (Pa), Cohen's and Fleiss' Kappa (?), and Gwet agreement coefficient (AC1). Intra-class correlation (ICC) was determined for variables with continuous measurements (mixed factorial design).

Results

Median (interquartile range [IQR]) Pa were 0.84 (0.80-0.89), 0.82 (0.80-0.87), 0.62 (0.53-0.67), and 0.82 (0.75-0.86) for presence of lung consolidation, comet tails, pleural irregularity, and pleural effusion, respectively. For the same lesions, Fleiss ? (95% confidence intervals [CI]) were 0.67 (0.49-0.86), 0.56 (0.33-0.80), 0.20 (-0.05 to 0.44), and 0.36 (0.10-0.61), respectively. AC1 were 0.68 (0.51-0.86), 0.73 (0.58-0.89), 0.21 (-0.01 to 0.44), and 0.71 (0.51-0.92), respectively. Moderate reliability was found among raters for all quantitative variables (ICC ranged from 0.52 to 0.70).

Conclusions and clinical importance

Inter-rater agreement was good for presence of lung consolidation, comet tails and pleural effusion (based on Pa and AC1) but was slight to poor for pleural irregularity.

SUBMITTER: Buczinski S 

PROVIDER: S-EPMC6189347 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Publications

Inter-rater agreement and reliability of thoracic ultrasonographic findings in feedlot calves, with or without naturally occurring bronchopneumonia.

Buczinski S S   Buathier C C   Bélanger A M AM   Michaux H H   Tison N N   Timsit E E  

Journal of veterinary internal medicine 20180822 5


<h4>Background</h4>Thoracic ultrasonography (TUS) can be used to assess the extent and severity of lung lesions associated with bronchopneumonia (BP) in feedlot cattle.<h4>Hypothesis/objectives</h4>To assess inter-rater agreement and reliability of TUS findings in feedlot cattle, with or without naturally occurring BP.<h4>Animals</h4>Feedlot steers with (n = 210) or without (n = 107) clinical signs of BP that were assessed by TUS in a previous case-control study.<h4>Methods</h4>A random sample o  ...[more]

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