Influence of operator’s professional experience and visual function in the myocardial perfusion scan semiautomatic processing: intra and inter operator variability in quantitative parameters estimation

Saúde & Tecnologia

Ana Sofia Reimão¹  Joana Pereira¹  Matina Nobre²  Fábio Nascimento²  Elisabete Carolino³  Lina Vieira⁴  Ilda Poças⁵ 

[1] Licenciatura em Medicina Nuclear, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa;Licenciatura em Ortóptica, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa;Área Científica de Matemática, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa;Área Científica de Medicina Nuclear, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa;Área Científica de Ortóptica, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa;

关键词: cintigrafia de perfusão do miocárdio, parâmetros quantitativos, técnicos de medicina nuclear, experiência profissional, função visual;   

DOI  :  10.25758/s&t.v0i14.1234

来源: DOAJ

【 摘 要 】

Introduction – Myocardial perfusion scan (MPS) has an important role in the diagnosis, evaluation and follow-up of patients with coronary artery disease being the semiautomatic processing widely used for routine clinical practice. Since the nuclear medicine technologists (NMT) performance might be affected by individual and environmental factors, different professionals that process the same data will provide different estimations of quantitative parameters (QP). Aim – Evaluate the influence of NMT professional experience and visual function on the MPS semiautomatic processing. Analysis of the intra and inter variability considering the function and perfusion QP measured. Methodology – Twenty subjects were selected and categorized in two groups according to their experience on the Quantitative Gated SPECTTM software: Group A (GA) – NMT ≥600h and Group B (GB) – NMT without experience. All NMT underwent an orthoptic evaluation and processed 21 MPS five times in a non-consecutive mode. It was assumed to be an altered vision when at least one visual function parameter was found abnormal. Coefficient of variation, %, was calculated to evaluate repeatability and reproducibility. Friedman’s and Wilcoxon tests were applied to compare QP between operators and to analyze GA and GB performance, respectively, considering the processing of the same MPS. To compare the NMT with normal and altered vision it was used the Mann-Whitney Test, and to evaluate the visual function influence in each QP was performed the ETA association coefficient. It was assumed statistically significant differences at a significance level of 5%. Results and Discussion – Low intra (<6.59%) and inter (<5.07%) operator variability was achieved. A greater discrepancy in GB was noted, being merely the septal wall (SW) statistical different (zw=-2.051, p=0.040), when compared with GA. Regarding the influence of visual function it was observed significant statistical differences only in left ventricle ejection fraction (LVEF) (U=11.5, p=0.012) between NMT with normal and altered vision, contributing the vision 33.99% for its variation. It was denoted more differences between NMT that have a greater incidence of ocular symptomology and a diminished Binocular Vision. LVEF was the most consistent QP (1.86%) between operators. Conclusion – MPS is presented as a repeatable and reproducible technique, operator independent. It was verified professional experience and visual function influence, on MPS semiautomatic processing, in the SW and LVEF QP, respectively

【 授权许可】

Unknown