RESUMO
Cyclic alternating pattern (CAP) is a neurophysiological pattern that can be visually scored by international criteria. The aim of this study was to verify the feasibility of visual CAP scoring using only one channel of sleep electroencephalogram (EEG) to evaluate the inter-scorer agreement in a variety of recordings, and to compare agreement between visual scoring and automatic scoring systems. Sixteen hours of single-channel European data format recordings from four different sleep laboratories with either C4-A1 or C3-A2 channels and with different sampling frequencies were used in this study. Seven independent scorers applied visual scoring according to international criteria. Two automatic blind scorings were also evaluated. Event-based inter-scorer agreement analysis was performed. The pairwise inter-scorer agreement (PWISA) was between 55.5 and 84.3%. The average PWISA was above 60% for all scorers and the global average was 69.9%. Automatic scoring systems showed similar results to those of visual scoring. The study showed that CAP could be scored using only one EEG channel. Therefore, CAP scoring might also be integrated in sleep scoring features and automatic scoring systems having similar performances to visual sleep scoring systems.
Assuntos
Humanos , Masculino , Feminino , Fases do Sono/fisiologia , Processamento Eletrônico de Dados , Polissonografia/métodos , Eletroencefalografia/métodos , Variações Dependentes do Observador , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Polissonografia/instrumentação , Eletroencefalografia/instrumentaçãoRESUMO
Aim: The aim of this in vitro study was to compare the reproducibility and accuracy of quantitative light-induced fluorescence (QLF) in relation to other technologies and conventional methods fordetecting occlusal carious lesions. Methods: Ninety-six extracted permanent molar teeth wereselected. Three examiners carried out examinations using Visual examination (VI), bitewing radiographs (RX), QLF, electrical conductance measurement (ECM), and DIAGNOdent. Twenty five percent of the teeth were re-examined for repeatability. Stereomicroscopic examination was used as the gold standard. Results: Intra- and inter-examiner agreement ranged from 0.43 to 0.89. Areas under ROC curves were 0.82, 0.54, 0.84, 0.79 and 0.88, respectively, for VI, RX,QLF, ECM and DIAGNOdent examinations, with RX significantly lower than the other methods. No significant statistical difference was found when comparing the areas under ROC curve of visual inspection and QLF. Conclusions: Although QLF and other technologies for early caries detection may offer some advantages, this study did not find significant improvement in occlusal caries detection when compared to visual examination.