COMPARISON BETWEEN IMAGING TECHNOLOGIES (X-RAY WITH COMPUTE TOMOGRAPHY SCAN) OF PARANASAL SINUSES (PNS) IN SINUSITIS PATIENTS

Background: Imaging technologies like x-ray and computed tomography used in study of paranasal sinuses plays an important role in managing multiple pathologies. Modern imaging technologies such as X-ray, CT-scan and MRI play a vital role to diagnose paranasal disorders more accurately than the normal conventional x-rays. This comparative study was conducted at PIMS Hospital Islamabad during from 3rd Jan 2018 to May 15 2018 to examine the diagnostic accuracy of x-ray and CT-Scan of paranasal sinuses. Objective: The aim of this study is to evaluate the accuracy between modern imaging technologies (X-rays and CTScan) of paranasal sinuses in clinically observed sinusitis patients. Materials and Methods: In this comparative/observational study, 55 patients of both genders who have resulted acute and chronic sinusitis disorder through clinically examination were included according to inclusion criteria and those patients were excluded from this study who had previously getting any nasal passage surgery or having normal and sinus problems and infections. All patients were referred to department of radiology at Pakistan Institute of Medical Science, Islamabad (PIMS) for examine the diagnostic accuracy of paranasal sinuses under x-ray and CTscan. Radiological results of x-ray were associated with CT-scan in both chronic and acute sinusitis resulted patients. Results: In this research 55 patients who had ages of 20 to 55 years were included. 33 (60%) patients were male while rest 22 (40%) were female. 12 (21.82%) patients were aged between 20 to 29 years, 13 (23.64%) patients had ages of 30 to 39 years, 18 (32.72%) patients were aged between 40 to 49 years and 12 (21.82%) patients were ages >49 years. From all 55 patients 26 (47.27%) had found acute sinusitis while 29 (52.73%) had found chronic sinusitis by clinically normal x-ray observation, when these patients were diagnosed by CT-Scan, from 26 acute sinusitis patients, 18 (69.23%) patients had found acute sinusitis while 8 (30.77%) had found no positive result. From 29 chronic patients, 22 (75.86%) had found positive results while 7 (24.14%) had not found chronic sinusitis. Conclusion: It is concluded that, In past researches X-rays plays an important role for diagnosing of paranasal sinuses, but now a days, modern and advanced CT-Scan and MRI provide an accurate findings for diagnosing paranasal sinuses of sinusitis patients.