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Interobserver Variability in Cardiovascular FDG PET/CT Analysis in Large Vessel Vasculitis Cover

Interobserver Variability in Cardiovascular FDG PET/CT Analysis in Large Vessel Vasculitis

Open Access
|May 2025

Figures & Tables

gh-20-1-1433-g1.png
Figure 1

Recruitment of study patients and controls. Vascular 18-F FDG PET/CT was completed in 30 patients; 29 study patients and one control patient. The 30 complete data sets were eligible for inter-observer variability assessment.

gh-20-1-1433-g2.jpg
Figure 2

Standard uptake values measurements at various levels of axial slices of the ascending aorta. The SUVmax is depicted as M and SUVmean as Av.

Table 1

Baseline Characteristics of Patients With Acute COVID-19 (N = 33).

PATIENTS
Demographics and past medical history
    Age, y51 [34–56]
    Current/exsmokers6 (18.2)
    Diabetes10 (31)
    Hypertension11 (33)
    HIV4 (13)
Clinical assessments
    Symptom duration, days4 [2–7]
    Systolic BP, mm Hg127 [120–136]
    Diastolic BP, mm Hg78 [70–85]
    Heart rate, bpm88 [80–92]
COVID-19 treatments
    Oxygen requirement19 (58)
    Remdesevir4 (13)
    Dexamethasone15 (47)
Laboratory measurements
    Creatinine, μmol/L97 [60–108]
    C-reactive protein, mg/L55 [25–101]
    NT-proBNP, pg/mL35 [28–151]
    Troponin, ng/L3.88 [2.76–7.18]

[i] Data are provided as number (percentage) or median [interquartile range]. BP indicates blood pressure; NT-proBNP, N-terminal pro–brain natriuretic peptide; and PCR, polymerase chain reaction.

Table 2

Kappa measures of agreements for the Ascending Aorta.

OBSERVER YTOTAL
ABSENTPRESENT
Observer XAbsent20020
Present1910
Total21930

[i] Kappa: 0.92 (95%CI:0.78–1.0).

Table 3

Kappa measures of agreements for the Aortic Arch.

OBSERVER YTOTAL
ABSENTPRESENT
Observer XAbsent11118
Present21012
Total191130

[i] Kappa: 0.79 (95%CI:0.56–1.0).

Table 4

Kappa measures of agreements for the Descending Aorta.

OBSERVER YTOTAL
ABSENTPRESENT
Observer XAbsent22022
Present178
Total23730

[i] Kappa: 0.91 (95%CI:0.74–1.0).

gh-20-1-1433-g3.png
Figure 3

Mean Standardized uptake values (SUVmean) for different regions.

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Figure 4

Maximum Standardized uptake values (SUVmax) for different regions.

Table 5

Kappa agreement for SUVmean and SUVmax with corresponding 95%CI.

REGIONSUVMEANSUVMAXALL
KAPPA95%CIKAPPA95%CIKAPPA95%CI
Aa0.860.24–0.950.460.037–0.710.920.78–0.99
Arch0.860.72–0.920.320.091–0.490.790.56–0.99
Da0.850.53–0.930.340.087–0.530.910.74–0.99
Table 6

Linear mixed effects model estimates for variance and residuals across all the regions.

REGIONSUV MEANSUV MAX
SUBJECT VARIANCE (SD)RESIDUAL (SD)SUBJECT VARIANCE (SD)RESIDUAL (SD)
Ascending aorta0.011 (0.0105)0.009 (0.094)0.089 (0.299)0.072 (0.268)
Aortic arch0.102 (0.319)0.013 (0.114)0.249 (0.500)0.448 (0.669)
Descending aorta0.033 (0.182)0.013 (0.116)0.519 (0.721)0.210 (0.459)
DOI: https://doi.org/10.5334/gh.1433 | Journal eISSN: 2211-8179
Language: English
Submitted on: Mar 17, 2024
|
Accepted on: May 12, 2025
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Published on: May 28, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Redemptar Kimeu, Anoop Shah, Samuel Gitau, Gemina Doolub, Jeilan Mohamed, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.