ArticleIndustrial health2022
Inter-observer agreement and accuracy in classifying radiographs for pneumoconiosis among Asian physicians taking AIR Pneumo certification examination.
Article in Industrial health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 5 citations in OpenAlex.
- Inter-Reader Variability in the Classification of Pneumoconiosis Using the International Labour Organization International Classification System on Chest Radiographs of Artisanal and Small-Scale Gold Miners Attending a Screening Program in Kwe Kwe District, Zimbabwe.International journal of environmental research and public health · 2026Article
- Artificial intelligence in quantitative chest imaging analysis for occupational lung disease: appraisal of its current status.Current opinion in pulmonary medicine · 2026Review
- Determining Thresholds for Computer-Aided Detection for Silicosis-An Analytic Approach.American journal of industrial medicine · 2025Article
- Asian Intensive Reader of Pneumoconiosis program: examination for certification during 2008-2020.Industrial health · 2024Article
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Authors and funding
16 authors at 9 institutions in 6 countries.
Funding
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Abstract
This study examined inter-observer agreement and diagnostic accuracy in classifying radiographs for pneumoconiosis among Asian physicians taking the AIR Pneumo examination. We compared agreement and diagnostic accuracy for parenchymal and pleural lesions across residing countries, specialty training, and work experience using data on 93 physicians. Physicians demonstrated fair to good agreement with kappa values 0.30 (95% CI: 0.20-0.40), 0.29 (95% CI: 0.23-0.36), 0.59 (95% CI: 0.52-0.67), and 0.65 (95% CI: 0.55-0.74) in classifying pleural plaques, small opacity shapes, small opacity profusion, and large opacities, respectively. Kappa values among Asian countries ranging from 0.25 to 0.55 (pleural plaques), 0.47 to 0.73 (small opacity profusion), and 0.55 to 0.69 (large opacity size). The median Youden's J index (interquartile range) for classifying pleural plaque, small opacity, and large opacity was 61.1 (25.5), 76.8 (29.3), and 88.9 (23.3), respectively. Radiologists and recent graduates showed superior performance than other groups regarding agreement and accuracy in classifying all types of lesions. In conclusion, Asian physicians taking the AIR Pneumo examination were better at classifying parenchymal lesions than pleural plaques using the ILO classification. The degree of agreement and accuracy was different among countries and was associated with background specialty training.
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