OBJECTIVE: To determine whether a single Waters view (occipito-mental) radiograph could be substituted for a four-view sinus series to diagnose sinusitis, and to determine the inter- and intraobserver variabilities for sinus radiography. DESIGN: Radiographs were interpreted by radiologists blinded to the clinical history, and results were recorded on a standardized form. SETTING: Veterans Affairs Medical Center. PARTICIPANTS: Staff attending radiologists, an attending radiologist with special training in skull radiology, and a senior radiology resident. MEASUREMENTS AND MAIN RESULTS: The agreement between the Waters view and the four-view sinus series was moderate to substantial (simple agreement = 75-84%, kappa = 0.5-0.68). However, agreement varied by sinus and, after correction for chance agreement, was substantial only for the maxillary sinuses (kappa = 0.72-0.87). Intraobserver agreement (kappa = 0.72-0.84) was superior to interobserver agreement (kappa = 0.49-0.59) for the four-view sinus series. CONCLUSIONS: Substituting a single Waters view for a four-view sinus series may be an acceptable strategy for diagnosing maxillary sinusitis.
OBJECTIVE: To determine whether a single Waters view (occipito-mental) radiograph could be substituted for a four-view sinus series to diagnose sinusitis, and to determine the inter- and intraobserver variabilities for sinus radiography. DESIGN: Radiographs were interpreted by radiologists blinded to the clinical history, and results were recorded on a standardized form. SETTING: Veterans Affairs Medical Center. PARTICIPANTS: Staff attending radiologists, an attending radiologist with special training in skull radiology, and a senior radiology resident. MEASUREMENTS AND MAIN RESULTS: The agreement between the Waters view and the four-view sinus series was moderate to substantial (simple agreement = 75-84%, kappa = 0.5-0.68). However, agreement varied by sinus and, after correction for chance agreement, was substantial only for the maxillary sinuses (kappa = 0.72-0.87). Intraobserver agreement (kappa = 0.72-0.84) was superior to interobserver agreement (kappa = 0.49-0.59) for the four-view sinus series. CONCLUSIONS: Substituting a single Waters view for a four-view sinus series may be an acceptable strategy for diagnosing maxillary sinusitis.
Authors: F O Evans; J B Sydnor; W E Moore; G R Moore; J L Manwaring; A H Brill; R T Jackson; S Hanna; J S Skaar; L V Holdeman; S Fitz-Hugh; M A Sande; J M Gwaltney Journal: N Engl J Med Date: 1975-10-09 Impact factor: 91.245
Authors: Vivek Sharma; R K Saxena; Shalini Sharma; Geetanjali Sharma; D C Dhasmana; K C Mishra Journal: Indian J Otolaryngol Head Neck Surg Date: 2011-07-07
Authors: E R Brankston; H S Conter; R Corriveau; J M Martel; C Laroche; R Roy; C Savard; D Roy; R Kelly; P Forget; M Rivard; F Boulerice Journal: Clin Drug Investig Date: 1998 Impact factor: 2.859
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