Single- vs Repeated-Scan Reliability Sample Clauses

Single- vs Repeated-Scan Reliability. We designed the 3D imaging system to derive measurements based on a single scan session. In this study we found that single-scan was less reliable than single manual measurements, but that averaging two measurements from two scan sessions (repeated- scan) improved TEM and achieved reliability comparable to repeated manual measurements. Repeated-scan achieved excellent reliability and single-scan was less reliable, but the difference between single and repeated scan reliability was not large (indicated by difference between inter- and intra-observer TEMs in table S3). Furthermore, the differences in z-score SDs and percentages below or above SD cutoffs for single- and repeated-scan were small and statistically insignificant. Additional research that is adequately powered to detect small differences in prevalence is needed to determine if the protocol for deriving measurements from 3D imaging should be changed from using a single-scan to repeated-scan. We believe the use of repeated scans is feasible and would not be overly burdensome for the anthropometrist or child because repeating scans would only add ~one minute to measurement time. We will be able to quantify the effect of a change in protocol on the time required for collecting child anthropometry in a time-motion study that is underway to compare 3D imaging with manual measurements. We did not have maximum allowable difference triggers to improve reliability of 3D imaging because scan-derived measurements are not immediately available, and so did not use triggered, third manual measurements for calculating inter-observer TEM in this study. However, we compared inter-observer TEM results from this study to a previous publication where we did use the third manual measurements (23) and we found that triggers did little to improve our manual measurement reliability; the reliability of repeated-scan is similar to manual measurements with or without the use of maximum allowable difference triggers for manual measurements.
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