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Table 1 Agreement between volume sweep imaging protocol and standard of care ultrasound

From: Testing telediagnostic obstetric ultrasound in Peru: a new horizon in expanding access to prenatal ultrasound

Variablea

Volume sweep imagingb

Standard of careb

Overall agreement

Cohens kappac

Confidenced

Live Fetus

76.2% (67.8–83.3%)

100% (97.1–100%)

76.2%

…e

3 (1–3)

Number of Fetuses (% single)

100% (97.1–100%)

100% (97.1–100%)

100%

…e

3 (2–3)

Fetal Presentation (% vertex)

87.3% (77.3–94%)

91.5% (82.5–96.8%)

95.8%

0.78 (0.53–1.00, p < 0.0001)

3 (1–3)

Placental position

 Anterior Placenta

52.0% (42.9–61.0%)

50.4% (41.3–59.5%)

85.6% (94.4%f)

0.74 (0.63–0.85, p < 0.0001)

g

 Posterior Placenta

42.4% (33.6–51.6%)

40.0% (31.3–49.1%)

 Fundal Placenta

5.6% (2.3–11.2%)

9.6% (5.1–16.2%)

Placenta Previa

4.0% (1.3–9.1%)

0% (0–2.9%)

96.0%

…e

3 (1–3)

Placenta Previa (consensus read)

3.2% (0.9–8.0%)

96.8%

Amniotic Fluid Volume (% normal)

99.2% (95.7–100%)

100% (97.1–100%)

99.2%

…e

3 (1–3)

Normal Exam

92.1% (85.9–96.1%)

96.8% (92.1–99.1%)

95.2%

0.55 (0.20–0.90, p < 0.0001)

3 (1–3)

Normal Exam (consensus read)

92.9% (86.9–96.7%)

96.0%

0.60 (0.25–0.94, p < 0.0001)

Follow-up Recommendation (% normal)

99.2% (95.7–100%)

100% (97.1–100%)

99.2%

…e

3 (1–3)

  1. afor categories in which consensus reads resulted in changes, these are noted below the original variable
  2. bvalues are percentage (95% confidence interval)
  3. cvalues are kappa (95% confidence interval, p value)
  4. dconfidence is specified as median (range)
  5. enot defined, due to Peruvian radiologist labelling all identically
  6. fagreement when fundal location included as agreeing with either anterior or posterior location
  7. gnot given