期刊
AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
卷 23, 期 1, 页码 33-35出版社
SAGE PUBLICATIONS INC
DOI: 10.2500/ajra.2009.23.3255
关键词
Chronic sinusitis; CT scans; disease severity; Lund and MacKay score; Outcome measures; radiology reports; retrospective data
Background: The Lund-MacKay score (LMS) is the standard for communicating radiological extent of chronic rhinosinusitis in research. However, retrospective analyses are often hindered by a substantial lack of radiological data. Calculating LMS front radiologists' reports may overcome this but has not been formally validated. Methods: Twenty South Australian and 20 Texan patients with varying degrees of sinus disease were randomly chosen to undergo analysis. CT-derived LMSs were calculated directly by two expert rhinologists at each institution and compared with scores derived solely front accompanying radiology reports by two blinded reviewers. Results: The total LMS obtained via the expert rhinologists correlated very highly with that obtained from radiology reports (Spearman rank correlation, 0.75-0.88; p < 0.001). However, when individual sinuses were specifically analyzed, the correlation was highly variable. Conclusion: The results show that in both South Australian and Texan tertiary rhinology centers, radiologists' reports can be reliably used to calculate the total LMS.
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