Validation of Inter-Rater and Intra-Rater Reliability of Remote Dielectric Sensing Measurement

Int Heart J. 2022;63(1):73-76. doi: 10.1536/ihj.21-663.

Abstract

Remote dielectric sensing (ReDS) is a recently introduced non-invasive electromagnetic-based device used to quantify lung fluid levels. Nevertheless, its inter-rater and intra-rater reliability remain uncertain. In 10 healthy volunteers, ReDS values were measured three times successively by the officially trained expert examiner to validate intra-rater reliability. Similar measures were performed by a total of three examiners to validate inter-rater reliability. Intra-class correlation (ICC) was applied to validate each reliability. Ten healthy volunteers [median 34 (32, 40) years old, 10 men, body mass index 23.0 (21.2, 23.9) ] were included. Median ReDS value was 28% (25%, 31%). For the intra-rater reliability, ICC (1, 1) and ICC (1, 3) were 0.966 and 0.988, respectively (P < 0.001). For the inter-rater reliability, ICC (2, 1) and ICC (2, 3) were 0.683 and 0.866, respectively (P < 0.001). Given almost perfect intra-rater reliability, an examiner does not need to repeat ReDS measurement. Given substantial inter-rater reliability, ReDS measurements had better be measured by multiple examiners if possible.

Keywords: Congestion; Heart failure; Hemodynamics.

MeSH terms

  • Adult
  • Cohort Studies
  • Extravascular Lung Water*
  • Humans
  • Lung*
  • Male
  • Observer Variation
  • Proof of Concept Study
  • Reference Values
  • Remote Sensing Technology / instrumentation*
  • Reproducibility of Results