Original Article

IJMDC. 2020; 4(9): 1466-1471

The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines

Authors: Mohammed A. Basurrah, Mohammed A. Khan, Wejdan A. Alotaibi, Marwan F. Alnofaie.

ABSTRACT

Background: Rhinosinusitis is an inflammation of the nasal and paranasal sinus mucosa and is associated with the mucosal alteration. Symptoms range from inflammatory thickening to gross nasal polyp formation. This study aimed to assess the appropriateness of paranasal sinus computed tomography (CT) scans ordered in King Faisal Medical Complex, Taif, Saudi Arabia, based on the American College of Radiology (ACR) criteria for appropriate sinus imaging. We also sought to address the factors leading to repeated CT scans. Methodology: After an ethical approval was obtained, all sinus-related CT requests for patients admitted to King Faisal Medical Complex, Taif, from January 2016 to July 2016 were reviewed. The information included the initial diagnosis generating the CT order and the CT scan reports. Appropriateness was determined according to the ACR guidelines. Results: A total of 289 paranasal sinus CT scans were reviewed for 252 patients. Among these scans, 34.9% of requests were appropriate as per the ACR criteria (p < 0.001). The highest number of appropriate scans was conducted on patients with chronic rhinosinusitis (17%), followed by nasal polyps (14.9%). The majority of scans that did not match ACR criteria were requested for patients with a deviated nasal septum (30.4%). While the receipt of additional scans was associated with older patients (41.36 13.689 vs. 33.85 15.183, p = 0.005) and ACR-compliant diagnosis (24.8% vs. 5.9%, p < 0.001), gender had no demonstrable impact on repeated CT scans for the same patient (p = 0.637). Conclusion: The findings illustrated a higher percentage of inappropriate CT scan use as most examinations were conducted on patients with no relevant clinical condition. Furthermore, older patients with diagnosis matching ACR criteria were associated with repeated scans. Strategies should be suggested for physicians to improve their adherence to professional guidelines.

Keywords:
Sinusitis, paranasal sinuses, tomography, X-ray computed


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The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines


Authors
Mohammed A Basurrah
Department of Surgery, Taif University, Taif, Saudi Arabia
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Mohammed A Khan
ENT, Head and Neck and Skull Base Centre, King Abdullah Medical City, Makkah, Saudi Arabia
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Wejdan A Alotaibi
Department of Family Medicine, Taif University, Taif, Saudi Arabia
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Marwan F Alnofaie
Head and Neck Surgery Unit, King Faisal Medical Complex, Taif, Saudi Arabia
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Correspondence to:
. Mohammed A. Khan, ENT, Head and Neck and Skull Base Centre, King Abdullah Medical City, Makkah, Saudi Arabia.; qarymohammed@gmail.com

Publication history
Received 23 Jul 2020
Accepted 06 Aug 2020
Published online 18 Aug 2020
Published in print 08 Sep 2020

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Pubmed Style

Basurrah MA, Khan MA, Alotaibi WA, Alnofaie MF. The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. IJMDC. 2020; 4(9): 1466-1471. doi:10.24911/IJMDC.51-1595493525


Web Style

Basurrah MA, Khan MA, Alotaibi WA, Alnofaie MF. The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. http://www.ijmdc.com/?mno=108624 [Access: October 21, 2020]. doi:10.24911/IJMDC.51-1595493525


AMA (American Medical Association) Style

Basurrah MA, Khan MA, Alotaibi WA, Alnofaie MF. The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. IJMDC. 2020; 4(9): 1466-1471. doi:10.24911/IJMDC.51-1595493525


Vancouver/ICMJE Style

Basurrah MA, Khan MA, Alotaibi WA, Alnofaie MF. The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. IJMDC. (2020), [cited October 21, 2020]; 4(9): 1466-1471. doi:10.24911/IJMDC.51-1595493525


Harvard Style

Basurrah, M. A., Khan, . M. A., Alotaibi, . W. A. & Alnofaie, . M. F. (2020) The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. IJMDC, 4 (9), 1466-1471. doi:10.24911/IJMDC.51-1595493525


Turabian Style

Basurrah, Mohammed A., Mohammed A. Khan, Wejdan A. Alotaibi, and Marwan F. Alnofaie. 2020. The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. International Journal of Medicine in Developing Countries, 4 (9), 1466-1471. doi:10.24911/IJMDC.51-1595493525


Chicago Style

Basurrah, Mohammed A., Mohammed A. Khan, Wejdan A. Alotaibi, and Marwan F. Alnofaie. "The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines." International Journal of Medicine in Developing Countries 4 (2020), 1466-1471. doi:10.24911/IJMDC.51-1595493525


MLA (The Modern Language Association) Style

Basurrah, Mohammed A., Mohammed A. Khan, Wejdan A. Alotaibi, and Marwan F. Alnofaie. "The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines." International Journal of Medicine in Developing Countries 4.9 (2020), 1466-1471. Print. doi:10.24911/IJMDC.51-1595493525


APA (American Psychological Association) Style

Basurrah, M. A., Khan, . M. A., Alotaibi, . W. A. & Alnofaie, . M. F. (2020) The appropriateness of sinonasal CT scan orders according to the American College of Radiology Guidelines. International Journal of Medicine in Developing Countries, 4 (9), 1466-1471. doi:10.24911/IJMDC.51-1595493525


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