Limitations and strengths
Despite having employed strategies to reduce interpretational
variations, including image classification based on quality, randomized
assessment of radiographs, reviews by different professionals, and
contrasting readings with radiologists of differing years of experience;
we acknowledge certain limitations.
The study highlights a moderate to low interobserver agreement, possibly
attributed to the lack of standardized definitions for radiological
findings of pneumonia and inherent limitations in chest radiography
specificity. It is noteworthy that certain x-ray images were excluded
from the study due to variations in the quality and accessibility of
chest radiographs across different hospitals.