VARIABILITY IN GRADING DIABETIC-RETINOPATHY FROM STEREO FUNDUS PHOTOGRAPHS - COMPARISON OF PHYSICIAN AND LAY READERS
VARIABILITY IN GRADING DIABETIC-RETINOPATHY FROM STEREO FUNDUS PHOTOGRAPHS - COMPARISON OF PHYSICIAN AND LAY READERS
复制标题
DOI：
10.1136/bjo.61.3.192
复制
发表时间：
1977-01-01
影响因子：
4.1
通讯作者：
LYNK, RH
中科院分区：
文献类型：
--
作者：
MILTON, RC;GANLEY, JP;LYNK, RH
两名医生和2名非专业阅片员根据详细的方案接受了培训，根据改良的Airlie House分类，通过评价立体眼底照片对糖尿病视网膜病变中发现的17处病变进行分级。通过2种方法评估这些阅片者的观察者内和观察者间变异性：加权Kappa和1级内一致率。一般来说，医师阅片者在重复读数上的变量小于非专业阅片者，并且彼此之间的一致性略好于非专业阅片者。医生和非专业阅片人之间个体病变变异性的方向和幅度差异的生理意义通常不确定。评估个人读者对分歧的贡献是可能的，并允许未来的培训，旨在减少分歧到可接受的值。
Two physicians and 2 lay readers were trained according to a detailed protocol in the grading of 17 lesions found in diabetic retinopathy by evaluation of stero fundus photographs according to a modified Airlie House classification. Intraobserver and interobserver variability of these readers was assessed by 2 methods: weighted kappa and frequency of agreement within 1 grade. In general, physician readers were less variable on replicate readings than were lay readers, and had slightly better agreement with each other than with the lay readers. The physiological significance of the direction and magnitude of the difference between physician and lay reader variability for individual lesions was often uncertain. Assessment of contribution to disagreement by individual readers was possible and permits future training directed at reducing disagreement to acceptable values.