{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T15:37:03Z","timestamp":1766331423131},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,10,24]],"date-time":"2014-10-24T00:00:00Z","timestamp":1414108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The objective of this study was to report patients' knowledge and comfort level with computed tomography (CT) imaging for sinus disease and evaluate patient willingness to undergo empiric medical therapy (EMT) versus CT\u2010directed therapy (CTDT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective survey study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 22\u2010item survey was administered to patients with nasal\/sinus symptoms in a tertiary care rhinology clinic. Questions elicited patient demographics, imaging history, and knowledge\/comfort regarding imaging\u2010related radiation exposure. Patients were presented with the theoretical choice of EMT versus CTDT, given the expected positive predictive value, in chronic rhinosinusitis (CRS) management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred patients (52% female, age range 18\u201383 years) participated. Of these, 85% had symptoms for over 3 months. Only 91 patients (45.5%) were aware that CT imaging involved radiation exposure. Prior CT experience and past sinus surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05), but not sex or education level, were associated with increased comfort with CT imaging. Most patients (78%) preferred CTDT over EMT. If a CT sinus was recommended, 77 patients (38.5%) had concerns, of which 26% identified radiation exposure as the leading concern. The majority (70%) were unsure about the relative radiation dose of a conventional CT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with CRS symptoms prefer CTDT over EMT if a diagnosis cannot be established definitively using exam findings. Although most patients deferred to the physician regarding the decision to utilize CT imaging, there is low awareness of CT\u2010related radiation exposure, and a significant minority of patients have radiation\u2010related concerns with regard to medical imaging for nasal and sinus symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 125:791\u2013795, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24992","type":"journal-article","created":{"date-parts":[[2014,10,24]],"date-time":"2014-10-24T08:41:41Z","timestamp":1414140101000},"page":"791-795","source":"Crossref","is-referenced-by-count":12,"title":["Patient knowledge and perception of computed tomography scan in the management of chronic rhinosinusitis symptoms"],"prefix":"10.1002","volume":"125","author":[{"given":"Opeyemi O.","family":"Daramola","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alcina K.","family":"Lidder","sequence":"additional","affiliation":[{"name":"University of Rochester School of Medicine Rochester New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramiza","family":"Ramli","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Universiti Sains Malaysia Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh K.","family":"Chandra","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Shintani\u2010Smith","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Conley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Kern","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce K.","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University\u2013Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21071"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21208"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.20084"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.20015"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.20044"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065899781389704"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.08.015"},{"key":"e_1_2_6_9_1","unstructured":"National Council on Radiation Protection and Measurements. Scientific Committee 6\u20102 on Radiation Exposure of the U.S. Population. Ionizing radiation exposure of the population of the United States. NCRP report no 160. Bethesda MD: National Council on Radiation Protection and Measurements;2009. Available at:http:\/\/www.ncrponline.org\/Publications\/Press_Releases\/160press.html. Accessed October 15 2014."},{"key":"e_1_2_6_10_1","unstructured":"American Nuclear Society. Radiation Dose Chart. Available at:http:\/\/www.ans.org\/pi\/resources\/dosechart. Accessed May 5 2014."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra072149"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.2.1770285"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0813"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2967\/jnumed.110.085720"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.10.018"},{"key":"e_1_2_6_16_1","unstructured":"U.S. Food and Drug Administration. Radiation\u2010emitting products. Available at:http:\/\/www.fda.gov\/Radiation\u2010EmittingProducts\/RadiationSafety\/RadiationDoseReduction\/ucm199994.htm. Accessed May 7 2014."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0378"},{"key":"e_1_2_6_18_1","volume-title":"ACR appropriateness criteria: sinonasal disease","year":"2009"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24100"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1910"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.07.009"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.02.002"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21106"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980223295-7"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/194589240201600404"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000224508.59725.19"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir747"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24001"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.24992","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.24992","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:42:23Z","timestamp":1696401743000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.24992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,24]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1002\/lary.24992"],"URL":"https:\/\/doi.org\/10.1002\/lary.24992","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,24]]}}}