ArticlePloS one2014
Accuracy of the interpretation of chest radiographs for the diagnosis of paediatric pneumonia.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Diagnostic accuracy of various imaging modalities for children with pneumonia: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025Pooled it
- Working group summary of the 2023 full update of the Finnish national guidelines for paediatric lower respiratory tract infections.Acta paediatrica (Oslo, Norway : 1992) · 2025Guideline
- Diagnostic performance of lung ultrasound for transient tachypnea of the newborn: A meta-analysis.PloS one · 2021Pooled it
- The influence of chest X-ray results on antibiotic prescription for childhood pneumonia in the emergency department.European journal of pediatrics · 2021Trial
- Lung ultrasound for the diagnosis of pneumonia in children with acute bronchiolitis.BMC pulmonary medicine · 2018Trial
- Trial
- Integrating Local and Global Representation Learning for Pediatric Pneumonia Detection: A Hybrid CNN-Transformer Ensemble Framework.Diagnostics (Basel, Switzerland) · 2026Article
- Lung ultrasound combined with C-reactive protein for identifying a bacterial component in children hospitalized with acute lower respiratory tract infections: a prospective observational study.European journal of pediatrics · 2026Observational
- An Adaptive Deep Learning Framework for Multi-Label Chest X-Ray Diagnosis Using a Hybrid CNN-Transformer Architecture and Class-Wise Ensemble Fusion.Diagnostics (Basel, Switzerland) · 2026Article
- Independent risk factors and predictive model for high hospitalization costs in children with Mycoplasma pneumoniae pneumonia.BMC pediatrics · 2026Article
- Automatic Childhood Pneumonia Diagnosis Based on Multi-Model Feature Fusion Using Chi-Square Feature Selection.Journal of imaging · 2026Article
- C-reactive protein and serum amyloid A protein as complementary biomarkers in differentiating viral and bacterial community-acquired pneumonia in children.BMC pediatrics · 2025Article
- Quantitative evaluation model of variable diagnosis for chest X-ray images using deep learning.PLOS digital health · 2024Article
- Article
- Three-dimensional ultrashort echo time magnetic resonance imaging in pediatric patients with pneumonia: a comparative study.BMC medical imaging · 2023Article
- Association of Radiology Findings with Etiology of Community Acquired Pneumonia among Children.The Journal of pediatrics · 2023Article
- Metabolomics in pediatric lower respiratory tract infections and sepsis: a literature review.Pediatric research · 2023Review
- Article
- An Evaluation of the Quality of Plain Radiograph Interpretations by Radiology Trainees: A Single Institution Experience.Diagnostics (Basel, Switzerland) · 2022Article
- Validation of Prediction Models for Pneumonia Among Children in the Emergency Department.Pediatrics · 2022Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWorld Health Organization (WHO) radiological classification remains an important entry criterion in epidemiological studies of pneumonia in children. We report inter-observer variability in the interpretation of 169 chest radiographs in children suspected of having pneumonia.
methodsAn 18-month prospective aetiological study of pneumonia was undertaken in Northern England. Chest radiographs were performed on eligible children aged ≤16 years with clinical features of pneumonia. The initial radiology report was compared with a subsequent assessment by a consultant cardiothoracic radiologist. Chest radiographic changes were categorised according to the WHO classification.
resultsThere was significant disagreement (22%) between the first and second reports (kappa = 0.70, P<0.001), notably in those aged <5 years (26%, kappa = 0.66, P<0.001). The most frequent sources of disagreement were the reporting of patchy and perihilar changes.
conclusionThis substantial inter-observer variability highlights the need for experts from different countries to create a consensus to review the radiological definition of pneumonia in children.
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