Accuracy of emergency physicians’ interpretation of computed tomography for urgent?emergent diagnoses in nontraumatic cases

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dc.contributor.authorKarakoyun, Ömer Faruk
dc.contributor.authorKozaci, Nalan
dc.contributor.authorAvci, Mustafa
dc.contributor.authorUzunay, Hüseyin
dc.date.accessioned2026-01-24T12:01:29Z
dc.date.available2026-01-24T12:01:29Z
dc.date.issued2022
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractOBJECTIVE: The aim of this study is to evaluate the accuracy levels of the emergency physicians (EPs) \rmanaging the patient in the interpretation of the urgent?emergent pathological findings in thoracic \rand abdominal computed tomography (CT) scans.\rMETHODS: The EPs interpreted the CT scans of patients who visited the emergency department \rbecause of nontraumatic causes. Then, a radiology instructor made final assessments of these CT \rscans. Based on the interpretation of the radiology instructor, the false?positive rate, false?negative \rrate, sensitivity, specificity, positive predictive value, negative predictive value, and kappa \rcoefficient (?) of the EPs’ interpretations of the CT scans were calculated.\rRESULTS: A total of 268 thoracics and 185 abdominal CT scans were assessed in our study. The \roverall sensitivity and specificity of the EPs’ interpretation of the thoracic CT scans were 90% and 89%, \rrespectively, whereas the abdominal CT interpretation was 88% and 86%, respectively. There was \rexcellent concordance between the EPs and the radiology instructor with regard to the diagnoses of \rpneumothorax, pulmonary embolism, pleural effusion, parenchymal pathology, and masses (?: 0.90, \r?: 0.87, ?: 0.71, ?: 0.79, and ?: 0.91, respectively) and to the diagnoses of intraabdominal free fluid, \rintraabdominal free gas, aortic pathology, splenic pathology, gallbladder pathology, mesenteric artery \rembolism, appendicitis, gynecological pathology, and renal pathology (?: 1, ?: 0.92, ?: 0.96, ?: 0.88, \r?: 0.80, ?: 0.79, ?: 0.89, ?: 0.88, and ?: 0.82, respectively).\rCONCLUSION: The EPs are successful in the interpretation of the urgent?emergent pathological \rfindings in thoracic and abdominal CT scans.
dc.identifier.endpage95
dc.identifier.issn2452-2473
dc.identifier.issue2
dc.identifier.startpage89
dc.identifier.trdizinid532101
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/532101
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4378
dc.identifier.volume22
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofTurkish journal of emergency medicine (Online)
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR-Dizin_20260121
dc.subjectGenel ve Dahili Tıp,Acil Tıp,Radyoloji
dc.subjectNükleer Tıp
dc.subjectTıbbi Görüntüleme
dc.titleAccuracy of emergency physicians’ interpretation of computed tomography for urgent?emergent diagnoses in nontraumatic cases
dc.typeArticle

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