Diagnostic Accuracy of X-ray in Clinically Suspected Acute Sinusitis taking Computed Tomography Scan as Gold Standard
M Saleem Akhter, M Rafi Abbas, Yasir Jamal, Shahid Rafique, M Yousaf Saleemi, Shahid Ali
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ABSTRACT
Aim: To determine the diagnostic accuracy of X-Ray in
clinically suspected acute sinusitis taking CT Scan as gold standard
Study Design: Cross-sectional
Place and duration of study: Department of
Radiology, Sahiwal Medical College Sahiwal from 1st March 2019 to 31st
August 2019.
Methods: Forty patients of both genders with ages
between 18 and 70 years clinically diagnosed to have acute sinusitis were enrolled
in this study. Patients’ detailed demographics including age, sex and symptoms
were recorded after taking informed written consent. All the patients underwent
X rays and CT scans.
Results: Twenty three (57.5%) patients were female
while 17 (42.5%) patients were male. 18 (45%) patient were of ages <30 years
followed by 15 (37.5%) patients with ages between 30 to 40 years. Nasal
obstruction was the most common symptom found in 25 (62.5%) patients followed
by nasal discharge in 20 (50%) patients. 32 (80%) patients showed positive and
8 (20%) showed negative findings for acute sinusitis by X-ray. Sensitivity,
specificity, positive predictive value and negative predictive value of X-ray
were 90.63%, 75%, 93.55% and 66.67% respectively.
Conclusion: X ray provided accurate enough diagnosis of
acute sinusitis as compared to CT scan
Keywords: X-rays, Computed tomography scan, Acute
sinusitis, Paranasal sinuses
ABSTRACT
Aim: To determine the diagnostic accuracy of X-Ray in
clinically suspected acute sinusitis taking CT Scan as gold standard
Study Design: Cross-sectional
Place and duration of study: Department of
Radiology, Sahiwal Medical College Sahiwal from 1st March 2019 to 31st
August 2019.
Methods: Forty patients of both genders with ages
between 18 and 70 years clinically diagnosed to have acute sinusitis were enrolled
in this study. Patients’ detailed demographics including age, sex and symptoms
were recorded after taking informed written consent. All the patients underwent
X rays and CT scans.
Results: Twenty three (57.5%) patients were female
while 17 (42.5%) patients were male. 18 (45%) patient were of ages <30 years
followed by 15 (37.5%) patients with ages between 30 to 40 years. Nasal
obstruction was the most common symptom found in 25 (62.5%) patients followed
by nasal discharge in 20 (50%) patients. 32 (80%) patients showed positive and
8 (20%) showed negative findings for acute sinusitis by X-ray. Sensitivity,
specificity, positive predictive value and negative predictive value of X-ray
were 90.63%, 75%, 93.55% and 66.67% respectively.
Conclusion: X ray provided accurate enough diagnosis of
acute sinusitis as compared to CT scan
Keywords: X-rays, Computed tomography scan, Acute
sinusitis, Paranasal sinuses