Online citations, reference lists, and bibliographies.
← Back to Search

Interobserver Variability In Coronary Angiography

L. Zir, S. Miller, R. Dinsmore, J. Gilbert, J. W. Harthorne
Published 1976 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy Visualize in Litmaps
Share
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
Get Citationsy
Four experienced coronary angiographers (two radiologists and two cardiologists) independently assessed the location and degree of coronary artery stenosis, and the location and degree of left ventricular wall motion abnormalities in 20 coronary angiograms. Marked interobserver variability was noted in quantifying percent coronary artery stenosis and degree of left ventricular wall motion abnormalities. For example, in only 13/20 (65%) of the coronary angiograms did all observers agree about the significance of a stenosis (defined as greater than 50% in diameter luminal narrowing) in the proximal or mid left anterior descending coronary artery. In 3/20 (15%) angiograms there was disagreement by at least one observer about the significance of lesions noted in the main left coronary artery.The ventricle was divided into five segments and the degree of wall motion abnormality graded into six categories of increasing severity from normal to dyskinesis. There was a 42% mean disagreement among all four observers where a disagreement between observers was defined as any difference in grading wall motion abnormalities.Interobserver variability reveals a significant limitation of coronary angiography.
This paper references
10.1001/JAMA.1947.02880060001001
Tuberculosis case finding; a comparison of the effectiveness of various roentgenographic and photofluorographic methods.
C. C. Birkelo (1947)
10.2307/2343899
The Measurement of Observer Disagreement in the Recording of Signs
P. Armitage (1966)
10.1016/0033-0620(71)90023-5
Pathology of coronary atherosclerosis.
Z. Vlodaver (1971)
10.1016/S0003-4975(10)65805-5
An expanded indication for coronary surgery.
W. Johnson (1973)
10.1016/0002-9149(73)90003-9
Geometric and functional abnormalities of the left ventricle with a chronic localized noncontractile area.
S. Kitamura (1973)
Left ventricular wall motion assessed by using fixed external reference system
JH Kay (1973)
Left ventricular wall motion assessed by using fixed external reference system
BR Chaitman (1973)
Rahimtoola SH: Left ventricular wall motion assessed by using fixed external reference system
BR Chaitman (1973)
10.1161/01.CIR.49.4.703
Discrepancies Between Cineangiographic and Postmortem Findings in Patients with Coronary Artery Disease and Recent Myocardial Revascularization
C. Grondin (1974)
A comparison of the diagnostic value of 70 mm camera and 16 mm cine camera recordings in coronary angiography
L Bjork (1974)
A comparison of the diagnostic value of 70 mm camera and 16 mm cine camera recordings in coronary angiography. (abstr)
L Bjork (1974)
10.1161/01.CIR.53.4.632
Intervention Ventriculography: Comparative Value of Nitroglycerin, Post‐extrasystolic Potentiation and Nitroglycerin Plus Post‐extrasystolic Potentiation
V. S. Banka (1976)



This paper is referenced by
10.1177/15569845211008162
Cutting-Edge Coronary Imaging Guiding CABG
J. Shahinian (2021)
CathAI: Fully Automated Interpretation of Coronary Angiograms Using Neural Networks
R. Avram (2021)
10.1016/j.cjca.2021.06.004
The Impact of Virtual Fractional Flow Reserve and Virtual Coronary Intervention Upon Treatment Decisions in the Cardiac Catheter Laboratory.
Dr Rebecca C Gosling (2021)
10.3390/cells10040865
Atherothrombosis in Acute Coronary Syndromes—From Mechanistic Insights to Targeted Therapies
C. Khandkar (2021)
10.1155/2021/5522539
Coronary Artery Disease: Association Study of 5 Loci with Angiographic Indices of Disease Severity
N. Bogari (2021)
10.1007/978-3-030-68538-6_9
Fundamentals of Intracoronary Imaging
R. Malhotra (2021)
10.1007/s12928-020-00653-7
Clinical expert consensus document on quantitative coronary angiography from the Japanese Association of Cardiovascular Intervention and Therapeutics
Nobuaki Suzuki (2020)
10.1007/s12410-020-09538-y
A Brief History of Intracoronary Imaging
A. Twing (2020)
10.1088/2516-1091/ab8af8
Catheter-based optical approaches for cardiovascular medicine: progress, challenges and new directions
Chao Huang (2020)
10.1016/j.amjcard.2020.02.026
Comparison of Computed Tomography Angiography Versus Invasive Angiography to Assess Medina Classification in Coronary Bifurcations.
K. Grodecki (2020)
10.1002/mp.14066
Automated Left Ventricular Myocardium Segmentation Using 3D Deeply Supervised Attention U-Net for Coronary Computed Tomography Angiography.
Bang Jun Guo (2020)
10.21037/cdt-20-189
The role of intravascular ultrasound in percutaneous coronary intervention of complex coronary lesions.
Y. Malaiapan (2020)
10.3346/jkms.2020.35.e3
Long-Term Outcomes in Patients Undergoing Percutaneous Coronary Intervention with or without Preprocedural Exercise Stress Test
Jihoon Kim (2020)
Role of Invasive and Noninvasive Techniques
J. Candell-Riera (2019)
10.1016/j.ihj.2019.10.005
Coronary artery size in North Indian population – Intravascular ultrasound-based study
S. Reddy (2019)
10.1007/s10554-019-01672-z
Impact of two formulas to calculate percentage diameter stenosis of coronary lesions: from stenosis models (phantom lesion model) to actual clinical lesions
Alexandre Hideo-Kajita (2019)
10.1186/s43044-019-0031-1
Myocardial perfusion imaging by single-photon emission tomography (MPI SPECT) versus Instantaneous wave-free ratio (IFR) for assessment of functional significance of intermediate coronary artery lesions
O. Amin (2019)
10.24875/ACM.M19000037
Economic benefits of fractional flow reserve utilization on intermediate lesions and its clinical impact after one year-follow up.
Horacio A Medina-de Chazal (2019)
10.1117/12.2511988
A comparative study of graph search algorithms for segmenting coronary arteries from cine angiography
Benjamin Veasey (2019)
10.1016/J.RCCAR.2019.04.010
Utilidad de técnicas de imagen en la valoración de la enfermedad coronaria - Tomografía de coherencia óptica
N. P. Echeverri (2019)
10.1080/14779072.2018.1540303
Functional assessment of coronary stenosis: an overview of available techniques. Is quantitative flow ratio a step to the future?
A. Cesaro (2018)
10.1007/s10554-018-1362-9
Clinical outcomes of complete revascularization using either angiography-guided or fractional flow reserve-guided drug-eluting stent implantation in non-culprit vessels in ST elevation myocardial infarction patients: insights from a study based on a systematic review and meta-analysis
Alexandre Hideo-Kajita (2018)
10.1016/j.carrev.2017.06.007
Assessing the left main stem in the cardiac catheterization laboratory. What is "significant"? Function, imaging or both?
G. Kassimis (2018)
10.1097/HCO.0000000000000549
Should functional assessment of lesion severity be used to guide coronary bypass?
B. Yanagawa (2018)
10.1080/14779072.2018.1473034
Imaging-guided pre-dilatation, stenting, post-dilatation: a protocolized approach highlighting the importance of intravascular imaging for implantation of bioresorbable scaffolds
Z. Ali (2018)
10.1016/j.carrev.2018.10.024
Validation of a novel system for co-registration of coronary angiographic and intravascular ultrasound imaging.
Khalil Houissa (2018)
10.1007/s00330-018-5348-8
Automated estimation of image quality for coronary computed tomographic angiography using machine learning
R. Nakanishi (2018)
10.1007/978-3-319-55994-0_8
Image Reading and Interpretation
E. Krupinski (2018)
10.1007/978-3-319-64638-1_4
Extravascular Contrast Agents
M. Mischi (2018)
10.1001/jamainternmed.2017.7821
Comparison of Physician Visual Assessment With Quantitative Coronary Angiography in Assessment of Stenosis Severity in China
H. Zhang (2018)
10.1002/ccd.27243
Visual estimation versus different quantitative coronary angiography methods to assess lesion severity in bifurcation lesions
M. Grundeken (2018)
10.4330/wjc.v10.i12.267
Instantaneous wave-free ratio (iFR®) to determine hemodynamically significant coronary stenosis: A comprehensive review
S. Baumann (2018)
See more
Semantic Scholar Logo Some data provided by SemanticScholar