Novel Computed Tomography Scoring System for Sinus Disease in Adults With Cystic Fibrosis.
Ann Otol Rhinol Laryngol
; 125(10): 838-43, 2016 Oct.
Article
em En
| MEDLINE
| ID: mdl-27357973
ABSTRACT
OBJECTIVE:
There is no easy to use scoring system for computed tomography (CT) scans of the sinuses that is specific to cystic fibrosis (CF). We propose a simple and easily implemented scoring system to quantify severity of sinus disease in adults with CF. STUDYDESIGN:
Case series with chart review.SETTING:
Academic tertiary-care referral center.SUBJECTS:
Sixty-nine adult patients with CF and 50 age-matched controls.METHODS:
We validated a scoring system for CF sinus disease. The CT scans were interpreted by 3 physicians on 2 separate sittings. Parameters include maxillary opacification, nasal obstruction, lateral nasal wall displacement, uncinate process absence/demineralization, and presence/absence of mucocele.RESULTS:
Patients with CF aged 21 to 30 years (mean = 24.7 ± 2.49). In CF cohort (n = 69), intrarater reliability for the 10 CT categories ranged from .70 to 1.00. Twenty-six (87%) were in the excellent range, and the remaining 4 (13%) were evaluated as good. In the non-CF cohort (n = 50), reliabilities ranged from .44 to 1.00. Twenty-seven (90%) were in the excellent range. For interrater reliability, in the CF cohort, 10 CT categories across the 3 raters ranged from .55 to 1.00. Excellent reliability was achieved in 15 (50%) of the observations. In the non-CF cohort, reliabilities ranged from .44 to 1.00.CONCLUSION:
A novel and easy to use CT scoring system for CF sinus disease in adults was validated with inter- and intrarater reliability. This new CF sinus disease-specific scoring system can be used by clinicians, surgeons, and radiologists.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
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Tipos_de_cancer
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Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Seios Paranasais
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Sinusite
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Obstrução Nasal
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Fibrose Cística
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Mucocele
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Estados Unidos