title: The definition of radiological signs in gastric ulcer and assessment of their validity by inter-observer variation study.
abstract: The initial aim was to program a computer with information on the frequency of radiological signs in benign and malignant gastric ulcers in order to obtain a percentage probability of benignancy or malignancy in succeeding ulcers in clinical practice. However, only four of the many signs described in gastric ulcer were confirmed to be of validity (i.e. reliable existence) by an inter-observer variation study using two observers and the films from 69 barium meal examinations. These were projection or non-projection of the in-profile ulcer, presence or absence of adjacent mucosal folds, good or poor definition of the in-face ulcer's edge, and extension of radiating folds to the in-face ulcer's edge. A few more remained unassessed due to insufficient numbers of relevant cases. It is condluced that: as defined in the literature the majority of radiological signs in this field are of uncertain existence; and the four that were found to be valid do not fully describe the important appearances that may be seen in benign and malignant ulcers and would be inadequate to differentiate them to a sufficiently high degree of probability.
mesh_terms: D003936:Diagnosis, Computer-Assisted; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005753:Gastric Mucosa; D006801:Humans; D010437:Peptic Ulcer / Q000473:pathology; D011336:Probability; D011859:Radiography; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging; D013276:Stomach Ulcer / Q000000981:diagnostic imaging*