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Radiologists' Agreement When Using a 10-Point Scale to Report Abdominal Radiographic Findings of Necrotizing Enterocolitis in Neonates and Infants

¹ Department of Radiology, Duke University Medical Center, Erwin Rd., Box 3808, Durham, NC 27710.
² Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC.

View larger version (157K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —Example radiographs reviewed by each observer. Anteroposterior (A) and cross-table lateral (B) examples of score 0, normal gas pattern.

View larger version (99K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —Example radiographs reviewed by each observer. Anteroposterior (A) and cross-table lateral (B) examples of score 0, normal gas pattern.

View larger version (151K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —Example radiographs reviewed by each observer. Anteroposterior (C) and cross-table lateral (D) examples of score 1, mild bowel distention.

View larger version (94K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1D —Example radiographs reviewed by each observer. Anteroposterior (C) and cross-table lateral (D) examples of score 1, mild bowel distention.

View larger version (129K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1E —Example radiographs reviewed by each observer. Anteroposterior (E) and cross-table lateral (F) examples of score 2, moderate distention of bowel.

View larger version (90K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1F —Example radiographs reviewed by each observer. Anteroposterior (E) and cross-table lateral (F) examples of score 2, moderate distention of bowel.

View larger version (121K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1G —Example radiographs reviewed by each observer. Anteroposterior (G) and cross-table lateral (H) examples of score 3, focal moderate distention of bowel loops (arrow).

View larger version (121K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1H —Example radiographs reviewed by each observer. Anteroposterior (G) and cross-table lateral (H) examples of score 3, focal moderate distention of bowel loops (arrow).

View larger version (134K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1I —Example radiographs reviewed by each observer. Anteroposterior (I) and cross-table lateral (J) examples of score 4, separation or focal thickening of bowel loops (arrow).

View larger version (107K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1J —Example radiographs reviewed by each observer. Anteroposterior (I) and cross-table lateral (J) examples of score 4, separation or focal thickening of bowel loops (arrow).

View larger version (137K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1K —Example radiographs reviewed by each observer. Anteroposterior (K) and cross-table lateral (L) examples of score 5, featureless or multiple separated bowel loops (arrow).

View larger version (92K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1L —Example radiographs reviewed by each observer. Anteroposterior (K) and cross-table lateral (L) examples of score 5, featureless or multiple separated bowel loops (arrow).

View larger version (128K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1M —Example radiographs reviewed by each observer. Anteroposterior (M) and cross-table lateral (N) examples of score 6, possible pneumatosis (arrow, M).

View larger version (89K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1N —Example radiographs reviewed by each observer. Anteroposterior (M) and cross-table lateral (N) examples of score 6, possible pneumatosis (arrow, M).

View larger version (137K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1O —Example radiographs reviewed by each observer. Anteroposterior (O) and cross-table lateral (P) examples of score 7, fixed or persistent dilatation of bowel loops, on radiographs obtained approximately 24 hours apart.

View larger version (137K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1P —Example radiographs reviewed by each observer. Anteroposterior (O) and cross-table lateral (P) examples of score 7, fixed or persistent dilatation of bowel loops, on radiographs obtained approximately 24 hours apart.

View larger version (120K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1Q —Example radiographs reviewed by each observer. Anteroposterior (Q) and cross-table lateral (R) examples of score 8, pneumatosis highly probable or definite (arrows).

View larger version (92K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1R —Example radiographs reviewed by each observer. Anteroposterior (Q) and cross-table lateral (R) examples of score 8, pneumatosis highly probable or definite (arrows).

View larger version (128K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1S —Example radiographs reviewed by each observer. Anteroposterior (S) and cross-table lateral (T) examples of score 9, portal venous gas (arrow). Note that pneumatosis is also present.

View larger version (112K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1T —Example radiographs reviewed by each observer. Anteroposterior (S) and cross-table lateral (T) examples of score 9, portal venous gas (arrow). Note that pneumatosis is also present.

View larger version (121K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1U —Example radiographs reviewed by each observer. Anteroposterior (U) and cross-table lateral (V) examples of score 10, pneumoperitoneum (arrow).

View larger version (144K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1V —Example radiographs reviewed by each observer. Anteroposterior (U) and cross-table lateral (V) examples of score 10, pneumoperitoneum (arrow).

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