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Table 5 Inter-rater agreement for single video data, subgroup analyses

From: Validation of machine learning models for estimation of left ventricular ejection fraction on point-of-care ultrasound: insights on features that impact performance

Effect of BMI on LVEF estimation. BMI ≥ 30 or BMI < 30

Observation

Rater 1 of LVEF

Rater 2 of LVEF

ICC (95% CI) BMI ≥ 30 (n = 80)

ICC (95% CI) BMI < 30 (n = 260)

1

ML model

Level III expert visual LVEF on randomized single videos

0.813 (0.247, 1.000)

0.749 (0.740, 1.000)

2

ML model

Level III expert segmentation LVEF on randomized single videos

0.829 (0.165, 1.000)

0.709 (0.098, 1.000)

3

ML model

Level III expert visual LVEF, accounting for all videos for a participant

0.822 (0.129, 0.999)

0.771 (0.551, 1.000)

4

ML model

Level III expert segmentation LVEF, accounting for all videos for a participant

0.909 (0.481, 1.000)

0.802 (0.243, 1.000)

5

ML model

Derived LVEF from echo reports

0.870 (0.610, 1.000)

0.741 (0.071, 1.000)

Effect of sex on LVEF estimation: male or female

Observation

Rater 1 of LVEF

Rater 2 of LVEF

ICC (95% CI) male (n = 293)

ICC (95% CI) female (n = 49)

1

ML model

Level III expert visual LVEF on randomized single videos

0.693 (0.089, 1.000)

0.901 (0.520, 1.000)

2

ML model

Level III expert segmentation LVEF on randomized single videos

0.705 (0.073, 1.000)

0.869 (0.293, 1.000)

3

ML model

Level III expert visual LVEF, accounting for all videos for a participant

0.740 (0.067, 0.999)

0.877 (0.503, 1.000)

4

ML model

Level III expert segmentation LVEF, accounting for all videos for a participant

0.796 (0.176, 1.000)

0.901 (0.477, 1.000)

5

ML model

Derived LVEF from echo reports

0.758 (0.131, 1.000)

0.859 (0.279, 1.000)

Effect of atrial fibrillation (AF) or atrial flutter (AFL) on LVEF estimation

Observation

Rater 1 of LVEF

Rater 2 of LVEF

ICC (95% CI) AF or AFL (n = 108)

ICC (95% CI) Non-AF or non-AFL (n = 234)

1

ML Model

Level III expert visual LVEF on randomized single videos

0.684 (-0.143, 1.000)

0.809 (0.346, 1.000)

2

ML Model

Level III expert segmentation LVEF on randomized single videos

0.596 (-0.067, 0.999)

0.829 (0.135, 0.999)

3

ML Model

Level III expert visual LVEF, accounting for all videos for a participant

0.708 (0.182, 1.000)

0.831 (0.210, 1.000)

4

ML model

Level III expert segmentation LVEF, accounting for all videos for a participant

0.823 (0.350, 1.000)

0.860 (0.428, 1.000)

5

ML Model

Derived LVEF from echo reports

0.673 (-0.043, 1.000)

0.841 (0.271, 1.000)

Effect of scanner on LVEF estimation: physician (MD) vs Nurse Practitioner (N)

Observation

Rater 1 of LVEF

Rater 2 of LVEF

ICC (95% CI) MD (n = 95)

ICC (95% CI) N (247)

1

ML model

Level III expert visual LVEF on randomized single videos

0.582 (−0.015, 0.997)

0.800 (0.154, 1.000)

2

ML model

Level III expert segmentation LVEF on randomized single videos

0.649 (−0.028, 0.999)

0.810 (0.373, 1.000)

3

ML model

Level III expert visual LVEF, accounting for all videos for a participant

0.550 (−0.020, 0.997)

0.845 (0.784, 1.000)

4

ML model

Level III expert segmentation LVEF, accounting for all videos for a participant

0.569 (−0.015, 0.995)

0.884 (0.490, 1.000)

5

ML model

Derived LVEF from echo reports

0.657 (−0.003, 0.998)

0.840 (0.715, 1.000)