Development and validation of a visual grading scale for assessing image quality of AP pelvis radiographic images.

OBJECTIVE: The aim of this article was to apply psychometric theory to develop and validate a visual grading scale for assessing the visual perception of digital image quality anteroposterior (AP) pelvis. METHODS: Psychometric theory was used to guide scale development. Seven phantom and seven cadaver images of visually and objectively predetermined quality were used to help assess scale reliability and validity. 151 volunteers scored phantom images, and 184 volunteers scored cadaver images. Factor analysis and Cronbach's alpha were used to assess scale validity and reliability. RESULTS: A 24-item scale was produced. Aggregated mean volunteer scores for each image correlated with the rank order of the visually and objectively predetermined image qualities. Scale items had good interitem correlation (≥0.2) and high factor loadings (≥0.3). Cronbach's alpha (reliability) revealed that the scale has acceptable levels of internal reliability for both phantom and cadaver images (α = 0.8 and 0.9, respectively). Factor analysis suggested that the scale is multidimensional (assessing multiple quality themes). CONCLUSION: This study represents the first full development and validation of a visual image quality scale using psychometric theory. It is likely that this scale will have clinical, training and research applications. ADVANCES IN KNOWLEDGE: This article presents data to create and validate visual grading scales for radiographic examinations. The visual grading scale, for AP pelvis examinations, can act as a validated tool for future research, teaching and clinical evaluations of image quality.

On the relative abundance of autopolyploids and allopolyploids.

The prevalence of autopolyploids in angiosperms has long been a subject of debate. Meurountzing (1936) and Darlington (1937) conclude d that autopolyploids were common and important evolutionary entities. However, Clausen et al. (1945) and Stebbins (1947) subsequently considered them rare, in part because the criteria upon which interpretations of autopolyploidy were rendered were not rigorous. This position was reiterated by Grant (1981) decades later, although evidence was mounting that autopolyploid taxa might be important in natural populations (Lewis, 1980). As cytological and genetic data have accumulated, it has become increasingly apparent that the latter view is likely to be correct (Soltis et al., 2004b, 2007, 2010). However, it still appears that the majority of polyploids are allopolyploids (Parisod et al., 2010; Soltis et al., 2010), even though Ramsey & Schemske (1998, p. 467) conclude that 'the rate of autopolyploid formation may often be higher than the rate of allopol yploid formation.' In this letter we survey the literature to assess whether allopolyploids are indeed the prevailing cytotype in nature. Using our new estimates for the incidence of autopolyploidy and allopolyploidy, we discuss some of the evolutionary dynamics that may be driving their frequencies in nature. Finally, we suggest avenues for future research on polyploidy that build on our results and other recent progress in the field.