Computed tomography colonography: a retrospective analysis of outcomes of 2 years experience in a district general hospital

2019 ◽  
Vol 89 (5) ◽  
pp. 541-545
Author(s):  
William Lynn ◽  
Bhamini Vadhwana ◽  
Daniel J. Bell ◽  
Rudi Borgstein ◽  
George Demetriou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
General Hospital ◽  
District General Hospital ◽  
Computed Tomography Colonography

scholarly journals The use of pre-operative computed tomography in the assessment of the acute abdomen

2012 ◽  
Vol 94 (2) ◽  
pp. 102-107 ◽  
Author(s):  
J Weir-McCall ◽  
A Shaw ◽  
A Arya ◽  
A Knight ◽  
DC Howlett
Keyword(s):  
Computed Tomography ◽  
Diagnostic Accuracy ◽  
General Hospital ◽  
Acute Abdomen ◽  
District General Hospital ◽  
Operative Intervention ◽  
Emergency Laparotomy ◽  
Senior Consultant ◽  
Original Report

INTRODUCTION While there are a lot of data on the accuracy of computed tomography (CT) in diagnosing specific causes of an acute abdomen, there is very little information on the accuracy of CT in the acute general surgical admissions workload. We look at the diagnostic accuracy of CT in patients presenting with an acute abdomen who ultimately required a laparotomy. METHODS Patients who underwent an emergency laparotomy between 2008 and 2010 at Eastbourne District General Hospital with pre-operative CT on the same admission were included in the study. The CT report was compared with the laparotomy and histology findings and, where a discrepancy existed, the original imaging was reviewed by a senior consultant blinded to the original report and laparotomy findings. RESULTS A total of 196 emergency laparotomies were performed over the 2–year period, with 112 patients undergoing pre-operative CT. Fifteen patients were excluded from the study due to missing notes. In the remaining 97 patients, 80 CT reports correlated with the final operative diagnosis, giving a diagnostic accuracy of 82%. Of these, the on-call registrar was the initial reporter in 37 scans, with a diagnostic accuracy of 78%. On review of the CT by a second consultant, this increased to 90 correlations, yielding an accuracy of 93%. Delay between CT and the operation did not significantly alter diagnostic accuracy, nor was there any statistically significant reduction in accuracy in reports issued by on-call registrars. CONCLUSIONS On first reporting, CT misses 18% of diagnoses that ultimately require operative intervention. Reducing the threshold for obtaining a second consultant radiologist review significantly improves the diagnostic accuracy to 93%.

scholarly journals Incidental findings on computed tomography coronary angiography and its impact on respiratory services in a United Kingdom district general hospital

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 988
Author(s):  
Bikash Gurung ◽  
Finnian D. Lesser ◽  
Ellis James ◽  
Kabali Nandakumar
Keyword(s):  
Computed Tomography ◽  
Coronary Angiography ◽  
General Hospital ◽  
District General Hospital ◽  
Computed Tomography Coronary Angiography ◽  
Health Records ◽  
Cardiac Pathology ◽  
Artery Disease ◽  
One Year

Background: Computed tomography coronary angiography is used to assess for coronary artery disease but can also pick up non-cardiac pathology. Previous studies have assessed the frequency of non-cardiac pathology. We investigated the non-cardiac findings and resulting follow up in a District General Hospital. Methods: All computed tomography coronary angiography scans for 1 year were retrospectively collected. Basic demographics and the non-cardiac findings were recorded from electronic health records. The significant respiratory findings and the respiratory follow up of these non-cardiac findings were recorded. Results: A total of 503 scans were carried out in one year. Of these scans, 24% had non cardiac findings present. Older patients were more likely to have non cardiac findings. The most common non cardiac findings were lung nodules, emphysema and hiatus hernias. Significant respiratory findings were present in 35 cases, which generated 24 episodes of respiratory follow up. Some patients who met criteria for follow up had not been referred. Conclusions: Non cardiac findings are common on computed tomography coronary angiography and in our hospital these findings led to significant follow up in respiratory services.

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