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Table 2 Comparison of volume sweep imaging protocol biometry using strict criteria and standard of care ultrasound biometry

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

Variable

Volume sweep imaginga

Standard of carea

p valueb

Intraclass correlation coefficientc

Bland-altman biasc

All Exams

 Biparietal Diameter (mm)

71.1 ± 20.3 (n = 111)

65.6 ± 18.7

< 0.0001

0.89 (0.50–0.96, p < 0.0001)

6.4 (−6.9–19.7, p < 0.0001)

 Head Circumference (mm)

250.0 ± 66.3 (n = 99)

236.0 ± 68.0

< 0.0001

0.86 (0.71–0.92, p < 0.0001)

17.5 (−45.0–79.9, p < 0.0001)

 Abdominal Circumference (mm)

243.0 ± 77.8 (n = 102)

224.0 ± 74.8

< 0.0001

0.81 (0.69–0.88, p < 0.0001)

18.6 (−66.2–103, p < 0.0001)

 Femur Length (mm)

41.8 ± 16.5 (n = 56)

46.3 ± 15.8

0.17

0.93 (0.88–0.96, p < 0.0001)

1.1 (−10.4–12.6, p = 0.17)

 Estimated Gestational Age (days)

195 ± 49 (n = 109)

186.0 ± 46.0

< 0.0001

0.95 (0.69–0.98, p < 0.0001)

10.4 (−10.6–31.5, p < 0.0001)

Second Trimester Exams

 Biparietal Diameter (mm)

56.2 ± 14.0

51.6 ± 13.0

< 0.0001

0.84 (0.54–0.93, p < 0.0001)

4.6 (−7.7–16.9, p < 0.0001)

 Head Circumference (mm)

202.0 ± 45.3

189.0 ± 47.6

0.0007

0.84 (0.69–0.91, p < 0.0001)

11.4 (−35.5–58.4, p < 0.0001)

 Abdominal Circumference (mm)

187.0 ± 50.8

168.0 ± 46.7

0.001

0.67 (0.45–0.80, p < 0.0001)

16.8 (−55.0–88.5, p < 0.0001)

 Femur Length (mm)

32.7 ± 9.6

34.6 ± 10.8

0.87

0.83 (0.70–0.91, p < 0.0001)

0.2 (−10.8–11.1, p = 0.87)

 Estimated Gestational Age (days)

158.0 ± 27.2

150.0 ± 27.0

< 0.0001

0.94 (0.65–0.98, p < 0.0001)

6.5 (−6.9–19.9, p p < 0.0001)

Third Trimester Exams

 Biparietal Diameter (mm)

90.0 ± 6.79

81.9 ± 7.7

< 0.0001

0.33 (−0.10–0.64, p < 0.0001)

8.7 (−4.6–22.0, p < 0.0001)

 Head Circumference (mm)

313.0 ± 22.6

291.0 ± 42.7

0.0001

0.38 (0.06–0.62, p = 0.001)

25.3 (−50.8–101, p < 0.0001)

 Abdominal Circumference (mm)

309.0 ± 44.7

289.0 ± 39.5

0.0007

0.28 (0.02–0.52, p = 0.015)

20.7 (−77.8–119, p < 0.0001)

 Femur Length (mm)

61.4 ± 9.5

59.9 ± 7.7

0.051

0.68 (0.32–0.87, p < 0.0001)

3.0 (−8.97–15, p = 0.051)

 Estimated Gestational Age (days)

242.0 ± 23.0

229.0 ± 18.4

< 0.0001

0.64 (−0.02–0.86, p < 0.0001)

15.2 (−9.46–39.9, p < 0.0001)

  1. avalues are mean ± standard deviation
  2. bp value using paired t-test
  3. cvalues are kappa (95% confidence interval, p value)