M Saleem Akhter, M Rafi Abbas, Yasir Jamal, Shahid Rafique, M Yousaf Saleemi, Shahid Ali

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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



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