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1 Department of Radiology, Rikshospitalet, University of Oslo, N-0027 Oslo, Norway; 2 Department of Biostatistics, Rikshospitalet, University of Oslo, N-0027 Oslo, Norway
*Correspondence to: TM Aaløkken, Department of Radiology, Rikshospitalet, N-0027 Oslo, Norway; Email: trond.mogens.aalokken{at}rikshospitalet.no
Received 11 March 2002; revised 30 August 2002; accepted 9 September 2002
Objectives: To evaluate the value of plain film radiography in a prospective investigation of patients with clinical suspicion of acute sinusitis, using standard CT as a gold standard.
Methods: 47 consecutive patients were examined. Each patient underwent conventional X-ray and standard dose CT examinations on the same day. The sensitivity and specificity of the plain film examination were calculated.
Results: The specificity of the plain film examination was high, but the sensitivity was low except for the maxillary sinus (sensitivity 80%). Thus, for maxillary sinusitis, plain film examination was reasonably accurate. A negative finding in the other sinuses could not be relied upon.
Conclusions: The sensitivity of plain film radiography for detecting sinus opacifications was unacceptably low for the ethmoid, frontal and sphenoid sinuses. The specificity was high.
Keywords: paranasal sinus diseases; sinusitis; tomography, X-ray computed; radiography
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