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Journal of Radiography & Radiation Sciences

2008;  (v 22): 1-6

 

Value of Conventional Skull X-Rays Examination in the Evaluation of Patients with Space Occupying Lesions against Computed Tomography in Nigeria

Chiaghanam NO, Eno EB, Nzotta CC, Okeji MC, Udo C.

Copyright © 2017 The Association Of Radiographers Of Nigeria. All Rights Reserved.

This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/

Background: Today, patients would like to know about their diseases and diagnostic/treatment choices available to aid their medical care.

Purpose: To assess the value of conventional skull x-ray examination in the evaluation of patients with intracranial space occupying lesion (SOL) in comparison with Computed Tomography brain scan.

Materials and Methods: A total of three hundred and forty four (344) radiographs and seventy two (72) scanograms were used. Radiographs of the skull which queried intra-cranial space occupying lesions, with good contrast and well demonstrated structures as well as an accompanying radiologists report were assessed for contribution to diagnosis, views for detailed information, cost-effectiveness and patient care/management. Findings were compared to computed tomography images of patients with the same conditions.

Results: The result showed that the contribution of skull x-ray for patients with suspected (SOL) was 48.55% as against 68.06% for CT scan. Lateral view had 51.50% as a better view against posteroanterior
(PA) and other views showing 28.14% and 20.36% respectively.

Conclusion: This study showed that conventional skull x-ray should be supplemented by CT scan and other imaging modalities especially in developing countries like Nigeria. This is due to their nonavailability
and may be affordability by a large number of the populaces.


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