Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion

Objective: To compare the diagnostic accuracy of Computed Tomography and Ultrasonography in differentiating trans-dative and exudative pleural effusion. Study Design: Cross-sectional study. Place and Duration of Study: Radiology Department of Pakistan Institute of Medical Sciences, Islamabad...

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Main Authors: Muzammil Rasheed Bhutta, Ayesha Isani Majeed, Ibtesam Zafar, Amir Khan, Hina Azad, Shams Ud Din
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-04-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/7666
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author Muzammil Rasheed Bhutta
Ayesha Isani Majeed
Ibtesam Zafar
Amir Khan
Hina Azad
Shams Ud Din
author_facet Muzammil Rasheed Bhutta
Ayesha Isani Majeed
Ibtesam Zafar
Amir Khan
Hina Azad
Shams Ud Din
author_sort Muzammil Rasheed Bhutta
collection DOAJ
description Objective: To compare the diagnostic accuracy of Computed Tomography and Ultrasonography in differentiating trans-dative and exudative pleural effusion. Study Design: Cross-sectional study. Place and Duration of Study: Radiology Department of Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Jul to Oct 2021. Methodology: Patients suffering (n=80) from pleural effusion were involved, and all were assessed with ultrasound and computed Tomography along with diagnostic thoracocentesis. In addition, we investigated pleural thickening, pleural nodules, and loculations along with the USG signs and Computed Tomography attenuation values to detect transudate and exudate in individuals suffering from pleural effusion. Results: Participants had a mean age of 36.20±6.67 years, ranging from 25 to 49 years. Out of 80 patients, 50(62.5 %) were males, and 30(37.5%) were females. Of the eighty patients with pleural effusion, 29 were transudative 36(25%), and 51 were exudative 63(75%). Overall, USG showed better results for loculations, while CT showed better results for pleural thickeningand nodules. Conclusion: Attenuation values of Computed Tomography play an essential role in differentiating the type of pleural effusion. In addition, ultrasound is a supporting non-invasive imaging modality that helps define the characteristics of pleural effusion.
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spelling doaj.art-d42e159d4af74320946b27ab3820570c2023-05-15T09:44:29ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-04-0173210.51253/pafmj.v73i2.7666Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural EffusionMuzammil Rasheed Bhutta0Ayesha Isani Majeed1Ibtesam Zafar2Amir Khan3Hina Azad4Shams Ud Din5Pakistan Institute of Medical Sciences, Islamabad PakistanPakistan Institute of Medical Sciences, Islamabad PakistanPakistan Institute of Medical Sciences, Islamabad PakistanPakistan Institute of Medical Sciences, Islamabad PakistanPakistan Institute of Medical Sciences, Islamabad PakistanPakistan Institute of Medical Sciences, Islamabad Pakistan Objective: To compare the diagnostic accuracy of Computed Tomography and Ultrasonography in differentiating trans-dative and exudative pleural effusion. Study Design: Cross-sectional study. Place and Duration of Study: Radiology Department of Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Jul to Oct 2021. Methodology: Patients suffering (n=80) from pleural effusion were involved, and all were assessed with ultrasound and computed Tomography along with diagnostic thoracocentesis. In addition, we investigated pleural thickening, pleural nodules, and loculations along with the USG signs and Computed Tomography attenuation values to detect transudate and exudate in individuals suffering from pleural effusion. Results: Participants had a mean age of 36.20±6.67 years, ranging from 25 to 49 years. Out of 80 patients, 50(62.5 %) were males, and 30(37.5%) were females. Of the eighty patients with pleural effusion, 29 were transudative 36(25%), and 51 were exudative 63(75%). Overall, USG showed better results for loculations, while CT showed better results for pleural thickeningand nodules. Conclusion: Attenuation values of Computed Tomography play an essential role in differentiating the type of pleural effusion. In addition, ultrasound is a supporting non-invasive imaging modality that helps define the characteristics of pleural effusion. https://www.pafmj.org/index.php/PAFMJ/article/view/7666Computed TomographyExudatePleural EffusionTransudate Ultrasonography
spellingShingle Muzammil Rasheed Bhutta
Ayesha Isani Majeed
Ibtesam Zafar
Amir Khan
Hina Azad
Shams Ud Din
Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
Pakistan Armed Forces Medical Journal
Computed Tomography
Exudate
Pleural Effusion
Transudate Ultrasonography
title Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
title_full Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
title_fullStr Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
title_full_unstemmed Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
title_short Diagnostic Accuracy of Ultrasound and Computed Tomography in Differentiating Transudate from Exudate in Patients with Pleural Effusion
title_sort diagnostic accuracy of ultrasound and computed tomography in differentiating transudate from exudate in patients with pleural effusion
topic Computed Tomography
Exudate
Pleural Effusion
Transudate Ultrasonography
url https://www.pafmj.org/index.php/PAFMJ/article/view/7666
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