THE INFORMATIVENESS OF DIFFERENT RADIODIAGNOSTIC METHODS IN THE DIAGNOSIS COMBINED CHEST TRAUMA

Abstract

Research was conducted to comparatively analyze the specificity and sensitivity of diagnostic methods such as radiography, ultrasound (US), and CT during the assessment of common thoracic and lung injuries. A total of 455 (47.0%) patients with various chest trauma were included in the study. Statistical analysis was performed using SPSS-26 software package and Cohen's K measure. The specificity of x-ray examination in detecting articular pulmonary injury was 93.9%, sensitivity 60.8%. Among the 22 patients who underwent US, lung trauma was detected in 21 individuals, while 1 case remained undetermined. All cases (100.0%) with lung trauma were diagnosed accurately using US, while one patient (100.0%) without lung trauma received a false positive result. The sensitivity of CT in detecting widespread lung injury was 99,2%, specificity 86,7%. The specificity of x-ray examination in detecting rib joint injuries is 83,3%, sensitivity is 94,6%. The specificity of CT in detecting rib joint injuries was 66,7%, sensitivity 100,0%. Thus, the comparative analysis of the results of both examinations for diagnosing rib trauma indicated that the kappa coefficient was highest during CT examination, demonstrating its superior informativeness. Based on the findings, radiographic examination can be considered more effective and informative for diagnosing lung trauma due to its specificity, while CT examination is preferable for its sensitivity. Similarly, radiographic examination is more effective for diagnosing rib trauma based on specificity, while CT examination is preferred for its sensitivity.