Intraobserver and Interobserver Variability of Transesophageal Echocardiography in Aortic Arch Atheroma Measurement

3D MRI provides improved visualization and detection of aortic arch plaques compared to transesophageal echocardiography

“…The accuracy of MRI measurements is supported by the high inter‐ and intraobserver agreement regarding wall thickness measurements that is similar to results that were reported concerning TEE in a previous study (17). A limitation of our analysis is related to the short time interval to test intraobserver agreement.…”

“…From these data, the limits of agreements (LOA) = đ −2ζ d and +2ζ d [1] were calculated (18). In addition and comparable to a previous TEE study (17), we determined inter‐ and intraobserver agreement regarding the classification of plaques as <4 mm versus ≥4 mm thick and calculated agreement rates and Cohen's kappa (κ). Analysis was performed with the SPSS statistical package (v. 16.0, Chicago, IL).…”

Ischemic Stroke: Etiologic Work-up with Multidetector CT of Heart and Extra- and Intracranial Arteries

“…Then, the transducer was gradually withdrawn so that serial shortaxis views of the descending aorta and aortic arch could be obtained. Aortic arch atheroma was evaluated according to previously published criteria ( 17,18 ).…”

Comparison of Computed Tomography Angiography and Transesophageal Echocardiography for Evaluating Aortic Arch Disease

“…23,29,30 Furthermore, TEE is a user-dependent technique, prone to intraoperator and interoperator variability. 31,32 Many less-invasive techniques for detecting AA atheroma have been investigated, 33,34 including computed tomography angiography (CTA). CTA is used regularly to evaluate the extracranial and intracranial vasculature in patients with acute stroke and TIA on initial presentation to the emergency department in numerous stroke centers.…”