Fahmida Arab Mallah, Muhammad Khalid, Syed Aamir Shah, Umer Farooq Riana, Khaleeq-uz Zaman.
Comparison of Radiological diagnosis made by Radiologist with Clinical Basis Diagnosing of Brain tumors with Respect to Final Histopathologic Diagnosis.
Ann Pak Inst Med Sci Jan ;11(4):180-4.

Objective: To study the opinion of radiologists compared to that of a neurosurgeon with respect to final histopathology and to find the reason for any discrepancy. Place and Duration: This descriptive study was carried out in the Neurosurgery department, PIMS Islamabad Introduction: Brain tumors are a diverse group of neoplasm, diagnosed by numerous imaging modalities; however CT scan and MRI are most important and commonly used. Accuracy varies from 69-90%, which is mostly due to availability of equipment’s and skills of radiologist. We have compared the radiological diagnosis with clinical basis diagnosis keeping histopathology as gold standard. Material and Methods: in this descriptive study we enrolled a total of 100 cases of different types of brain tumors in a period of one year and eight months. All patients suspected of brain tumor on radiology and planned for surgery of both sex and those who were willing for surgery were included and those who were above 70 years, unfit for anesthesia and those having recurrent tumors were excluded. Results: Total 100 cases were enrolled with mean age of 33.8±12.7 years ranging from 13-65 years,with male and female ratio 1.5:1.As per study out of 100 cases 27 were high grade Glioma,18 low grade Glioma,meningioma16,Cp angle acoustic neuroma 6,metastases 5 and pituitary 5 cases. Overall accuracy of preoperative diagnosis of brain tumors by neurosurgeon was about 82% of histopathology and that of radiologist about 51% on CT scan and MRI. Conclusion: As per study findings neurosurgeons are more likely to pick the type of brain tumors with great accuracy as compared to radiologist. The accuracy of diagnosis by radiologist can be enhanced if clinical details and other medical record of patient along with CT scan and MRI provided.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com