Diagnostic accuracy of double density sign on CT scan of para-nasal sinuses for fungal sinusitis taking microbiology culture as gold standard.
J Pak Med Assoc
; 74(7): 1261-1264, 2024 Jul.
Article
de En
| MEDLINE
| ID: mdl-39028051
ABSTRACT
Objectives:
To compare double-density sign on non-contrast computed tomography scan of paranasal sinuses with fungal sinusitis on histopathology.METHODS:
This prospective study was conducted at the Shifa International Hospital, Islamabad, Pakistan, from July 1, 2021, to June 30, 2023, and comprised patients of either gender aged 20-60 years who were set to undergo functional endoscopic sinus surgery. Demographic characteristics and non-contrast computed tomography scan findings were recorded preoperatively, while microbiological and histopathology results were recorded post-operatively. The microbiological finding was taken as the gold standard. Data was analysed using SPSS 23.RESULTS:
Of the 201 patients, 123(61.2%) were males and 78(38.8%) were females. The overall mean age was 41.62±8.52 years. The diagnostic accuracy of a double-density sign on computed tomography scan showed sensitivity 90%, specificity 90.8%, positive predictive value 84%, and negative predictive value 94.4%.CONCLUSIONS:
A higher rate of sensitivity and specificity indicated that non-contrast computed tomography scan was an effective modality that could be used for the diagnosis of fungal sinusitis.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Sinus de la face
/
Sinusite
/
Tomodensitométrie
/
Sensibilité et spécificité
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
J Pak Med Assoc
Année:
2024
Type de document:
Article
Pays d'affiliation:
Pakistan