Diagnostic Value of Chest Computed Tomography Scan for Identification of Foreign Body Aspiration in Children: A

Babak Goodarzy1, Erfan Rahmani2, Mehrdad Farrokhi3

  • 1School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

PubMed

Insights

Chest computed tomography (CT) scans effectively diagnose foreign body aspiration (FBA) in children, a critical pediatric emergency. This meta-analysis confirms CT

Area of Science:

  • Pediatric Emergency Medicine
  • Diagnostic Imaging
  • Radiology

Background:

  • Foreign body aspiration (FBA) is a significant pediatric emergency with high morbidity and mortality risks.
  • Accurate and timely diagnosis is crucial for effective management of FBA in children.

Purpose of the Study:

  • To systematically review and meta-analyze the diagnostic value of chest computed tomography (CT) for identifying FBA in pediatric patients.
  • To quantify the accuracy of chest CT scans in the diagnosis of foreign body aspiration in children.

Main Methods:

  • A systematic literature search was conducted across major databases (Medline, Scopus, Web of Science) up to May 2024.
  • Included studies were assessed for quality using the QUADAS-2 tool.
  • Meta-analysis techniques were employed to pool diagnostic accuracy metrics.

Main Results:

  • The systematic search identified 7203 articles.
  • Pooled sensitivity for chest CT in FBA detection was 0.99 (95% CI: 0.98-0.99) and pooled specificity was 0.97 (95% CI: 0.96-0.98).
  • The area under the SROC curve was 0.98, indicating high diagnostic performance.

Conclusions:

  • Chest CT scans demonstrate high diagnostic value for identifying foreign body aspiration in children.
  • Despite study heterogeneity, CT imaging is a reliable tool for suspected pediatric FBA cases.
Abstract

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