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Reliability and Validity Study of Clinical Ultrasound Imaging on Lateral Curvature of Adolescent Idiopathic Scoliosis

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  • Q Wang
  • M Li
  • Edmond H M Lou
  • M S Wong

Abstract

Background: Non-ionizing radiation imaging assessment has been advocated for the patients with adolescent idiopathic scoliosis (AIS). As one of the radiation-free methods, ultrasound imaging has gained growing attention in scoliosis assessment over the past decade. The center of laminae (COL) method has been proposed to measure the spinal curvature in the coronal plane of ultrasound image. However, the reliability and validity of this ultrasound method have not been validated in the clinical setting. Objectives: To evaluate the reliability and validity of clinical ultrasound imaging on lateral curvature measurements of AIS with their corresponding magnetic resonance imaging (MRI) measurements. Methods: Thirty curves (ranged 10.2°–68.2°) from sixteen patients with AIS were eligible for this study. The ultrasound scan was performed using a 3-D ultrasound unit within the same morning of MRI examination. Two researchers were involved in data collection of these two examinations. The COL method was used to measure the coronal curvature in ultrasound image, compared with the Cobb method in MRI. The intra- and inter-rater reliability of the COL method was evaluated by intra-class correlation coefficient (ICC). The validity of this method was analyzed by paired Student’s t-test, Bland–Altman statistics and Pearson correlation coefficient. The level of significance was set as 0.05. Results: The COL method showed high intra- and inter-rater reliabilities (both with ICC (2, K) >0.9, p 0.9, p

Suggested Citation

  • Q Wang & M Li & Edmond H M Lou & M S Wong, 2015. "Reliability and Validity Study of Clinical Ultrasound Imaging on Lateral Curvature of Adolescent Idiopathic Scoliosis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-16, August.
    • Handle: RePEc:plo:pone00:0135264
    DOI: 10.1371/journal.pone.0135264
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    References listed on IDEAS

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    1. Rafdzah Zaki & Awang Bulgiba & Roshidi Ismail & Noor Azina Ismail, 2012. "Statistical Methods Used to Test for Agreement of Medical Instruments Measuring Continuous Variables in Method Comparison Studies: A Systematic Review," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-7, May.
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