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Open access: www.balimedicaljournal.org and ojs.unud.ac.id/index.php/bmj Diagnostic test of thorax computed tomography scanning in lung tumors against cytopathological results at Zainoel Abidin Hospital, Banda Aceh, Indonesia period June August 2018 Indrita Iqbalawati1*, Muhammad Yani2, Nurul Machillah1, Fajriah3, Asnawi Abdullah4, Teuku Muhammad Ilzana4, Cut Rizka Rahmi4, Teuku Muhammad Khaled1, Dara Purnamasari5 Introduction: Lung cancer which is a major cause of cancer deaths provides a perspective on the importance of the diagnosis of cancer since there is suspicion that influences the clinical diagnosis of lung cancer. Imaging modalities such as the use of contrast CTScan are very helpful in giving initial imaging before confirming cytopathological examination. The purpose of this study was to determine the value of the diagnostic tests possessed by CT-Scan compared to the gold standard cytopathological examination in patients with clinical diagnosis of lung cancer. Methods: This study used a diagnostic study design with a retrospective approach at Zainoel Abidin General Hospital, Banda Aceh-Indonesia during the period June August 2018. Analysis of diagnostic tests using cross-tabulation then calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive calculations value (NPV), positive likelihood ratio (LR +), negative likelihood ratio (LR-), and accuracy were performed. Results: Most CT-scan findings were pulmonary mass (59.3%) and the most cytopathological findings were squamous cell carcinoma (47.5%). The CT-Scan diagnostic test value compared with the gold standard cytopathological examination in the form of sensitivity, specificity, PPV, NPV, LR +, LR-, and accuracy was 75%, 30.4%, 64.4%, 50%, 0.054, 0.822 and 61% respectively. Conclusion: Lung cancer could manifest as a wide spectrum of radiological presentations. CT-Scan provide a high sensitivity and accuracy of diagnostic in person with clinical presentation of lung cancer.

bali medical journal

Diagnostic test of thorax computed tomography scanning in lung tumors against cytopathological results at Zainoel Abidin Hospital, Banda Aceh, Indonesia period June - August 2018