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Journals / İzmir Tıp Fakültesi Dergisi / 2026 / Cilt: 5 Sayı: 3

Evaluation of Clinical Indications and Radiological Findings in Brain CT Examinations Requested from the Emergency Department: Experience from a Tertiary Private Hospital

Acil Servisten İstenen Beyin BT Tetkiklerinde Klinik Nedenlerin ve Radyolojik Sonuçların Değerlendirilmesi: Üçüncü Basamak Özel Hastane Deneyimi

Cemre Ozenbas(IZMIR TINAZTEPE UNIVERSITY)0000-0002-6688-5003
Mustafa Boran Şekerci(Izmir Tınaztepe University)0009-0001-8366-9011
Ege Çağın İşci(IZMIR TINAZTEPE UNIVERSITY)0009-0006-3182-7520
Serenay Egem Bayarcan(IZMIR TINAZTEPE UNIVERSITY)0009-0005-7399-918X
Mehmet Ali Eser(IZMIR TINAZTEPE UNIVERSITY)0009-0002-9701-9201
Elvan Yıldırımkaya(IZMIR TINAZTEPE UNIVERSITY)0009-0004-2077-9039
Medya Çelik(IZMIR TINAZTEPE UNIVERSITY)0009-0007-8228-0833
Elif Doğru(IZMIR TINAZTEPE UNIVERSITY)0009-0004-6367-4704
Sena Kılıç(IZMIR TINAZTEPE UNIVERSITY)0009-0001-9273-9288
Cemile Gündoğdu(IZMIR TINAZTEPE UNIVERSITY)0009-0004-3287-6872
Pages
177–185
Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Radiological outcomes were analyzed both overall and within each clinical indication group.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim This study aimed to evaluate the clinical indications and radiological outcomes of brain CT examinations performed in the emergency department of a tertiary private hospital, with emphasis on emergent pathologies and incidental findings.
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Key Findings & Data:Materials and methods A total of 1,319 patients who presented to the emergency department and underwent brain CT between January 1, 2024, and August 1, 2025, were included in this retrospective study.
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Conclusion & Impact:Radiological outcomes were analyzed both overall and within each clinical indication group.
🔬Design:Klinik Araştırma
📍Scope:2024 Verileri
⚙️Variables:Beyin BT · acil servis · radyoloji

Abstract

Aim This study aimed to evaluate the clinical indications and radiological outcomes of brain CT examinations performed in the emergency department of a tertiary private hospital, with emphasis on emergent pathologies and incidental findings. Materials and methods A total of 1,319 patients who presented to the emergency department and underwent brain CT between January 1, 2024, and August 1, 2025, were included in this retrospective study. After excluding 110 cases with insufficient clinical information, analyses were conducted on 1,209 patients. Clinical indications were categorized into eight groups, and radiological findings were classified into six diagnostic categories. Radiological outcomes were analyzed both overall and within each clinical indication group. Conclusion Most brain CT examinations performed in the emergency department resulted in normal findings; however, trauma and cerebrovascular disease were more strongly associated with acute abnormalities. The presence of mass lesions in specific clinical presentations highlights the need for careful symptom-based imaging strategies. Multicenter studies with larger patient cohorts are warranted to optimize evidence-based imaging use in emergency settings. Key words: Brain CT, emergency department, radiology, clinical indications

Özet

Amaç Bu çalışmanın amacı, üçüncü basamak özel bir hastanenin acil servisinden istenen beyin BT tetkiklerinin klinik istem nedenlerini ve radyolojik sonuçlarını değerlendirmek; acil patoloji saptanma oranlarını ve raslantısal bulguların sıklığını belirlemektir. Gereç ve Yöntem Retrospektif olarak planlanan çalışmaya 01.01.2024–01.08.2025 tarihleri arasında acil servise başvurarak beyin BT çekilen 1.319 hasta dahil edildi. Klinik bilgi eksikliği bulunan 110 olgu çalışma dışı bırakılarak analizler 1.209 hasta üzerinden yapıldı. Klinik istem nedenleri sekiz gruba ayrıldı; radyolojik sonuçlar altı kategoride değerlendirildi. Klinik istem nedenleri özelinde ve tüm hasta grubunda radyolojik sonuçların analizi yapıldı. Sonuç Acil serviste istenen beyin BT’lerin büyük kısmı normal sonuçlanmaktadır. Ancak travma ve serebrovasküler hastalık gibi belirli klinik tablolar akut patoloji ile daha yakından ilişkilidir. Bazı semptom gruplarında saptanan kitle lezyonları klinik değerlendirmenin önemini göstermektedir. Daha geniş, çok merkezli çalışmalar acil serviste görüntüleme kullanımının daha etkin planlanmasına katkı sağlayabilir. Anahtar Sözcükler: Beyin BT, acil servis, radyoloji, klinik istem

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Cite This Article

Ozenbas, C., Şekerci, M. B., İşci, E. Ç., Bayarcan, S. E., Eser, M. A., Yıldırımkaya, E., Çelik, M., Doğru, E., Kılıç, S., Gündoğdu, C. (2026). Evaluation of Clinical Indications and Radiological Findings in Brain CT Examinations Requested from the Emergency Department: Experience from a Tertiary Private Hospital. İzmir Tıp Fakültesi Dergisi, Cilt: 5 Sayı: 3, 177–185. https://doi.org/10.57221/izmirtip.1957889

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