{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:12:35Z","timestamp":1780323155850,"version":"3.54.1"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to investigate the reproducibility of a standardized method to assess the ultrasound liver\u2010to\u2010thoracic area ratio in fetuses with congenital diaphragmatic hernia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We selected 24 images of 9 fetuses diagnosed with left\u2010sided at our institution between January 2010 and December 2017. Eight operators (1 maternal\u2010fetal medicine specialist and 7 sonographers) reviewed the selected images and assessed the ultrasound liver\u2010to\u2010thoracic area ratio according to a standardized protocol. We evaluated the correlation between operators using the intraclass correlation coefficient and compared agreement between the sonographers and a physician with experience in measuring the ultrasound liver\u2010to\u2010thoracic area ratio using a Bland\u2010Altman analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Good intraoperator reproducibility was observed for the standardized ultrasound liver\u2010to\u2010thoracic area ratio (intraclass correlation coefficient, 0.78). Good agreement among sonographers and the physician was also observed for the standardized measurements (bias, 0.01; precision, 0.03; limits of agreement, \u20130.05 to\u2009+\u20090.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We demonstrated that good intraoperator and interoperator reproducibility of ultrasound liver\u2010to\u2010thoracic area ratio assessment is feasible after standardizing the method in our center.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14826","type":"journal-article","created":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T12:34:00Z","timestamp":1537706040000},"page":"1477-1482","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reproducibility of Liver\u2010to\u2010Thorax Area Ratio Ultrasound Measurements in Congenital Diaphragmatic Hernia"],"prefix":"10.1002","volume":"38","author":[{"given":"Victoria Arruga","family":"Novoa y 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