Karakoyun, Ömer FarukKozaci, NalanAvci, MustafaUzunay, Hüseyin2026-01-242026-01-2420222452-2473https://search.trdizin.gov.tr/tr/yayin/detay/532101https://hdl.handle.net/20.500.12868/4378OBJECTIVE: 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.eninfo:eu-repo/semantics/openAccessGenel ve Dahili Tıp,Acil Tıp,RadyolojiNükleer TıpTıbbi GörüntülemeArticle2228995532101