E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Assessment of acute tonsillitis using fiber-optic system

Seyit Mehmet Ceylan, Tuba Denkçeken, Cihan Atak, Merve Erdoğan, Hadiye Demirbakan.

Abstract
Background: Diagnostic procedures for acute tonsillitis etiology consist of clinical evaluation, rapid diagnostic tests, and bacterial culture, blood tests do not have differential diagnostic value. It is important to determine that whether acute tonsillitis is due to a viral etiology such as rhinovirus, coronavirus, parainfluenza viruses, and herpesvirus or a bacterial factor such as A group beta-hemolytic streptococcus (GABHS) by real-time and non-invasive methods.

Objectives: Our aim was to differentiate viral or bacterial acute tonsillitis from healthy controls with the elastic scattering spectroscopy.

Materials and Methods: Spectral data were obtained from a total of five positive culture and rapid antigen test (RAT) bacterial etiology GABHS, 12 negative culture and RAT (viral etiology), and 20 non-tonsillitis people as the healthy control group. All data were obtained in the visible wave-length range. Measurements were compared with the culture and RAT results. Multivariate statistical analyses were performed through principal components analysis (PCA) and linear discriminant analysis (LDA), and performance was computed with the receiver operating characteristic curve.

Results: The differentiation based on the discriminant score provided a sensitivity of 80% and specificity of 91.7% in differentiating negative culture and RAT from positive with an accuracy of 88.2%, sensitivity of 16.7%, and specificity of 90% in discriminating negative culture and positive RAT from non-tonsillitis with an accuracy of 62.5% and sensitivity of 100% and specificity of 85% in discriminating positive RAT from non-tonsillitis with an accuracy of 88%.

Conclusion: We showed that scattering spectroscopy could discriminate tonsillitis with GABHS, viral tonsillitis, and healthy tonsils with high sensitivity using PCA and LDA. It can be concluded that the
optical spectroscopy method has the potential for use in the fast determination of whether the patient’s tonsillitis viral or a
bacterial etiology with 80% sensitivity during the examination in real time.

Key words: Acute Tonsillitis; Spectroscopy; Culture; Rapid Antigen Test; Principal Component Analysis


 
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Pubmed Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. Assessment of acute tonsillitis using fiber-optic system. Int J Med Sci Public Health. 2020; 9(10): 621-625. doi:10.5455/ijmsph.2020.01003202121012021


Web Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. Assessment of acute tonsillitis using fiber-optic system. http://www.ijmsph.com/?mno=39262 [Access: July 02, 2021]. doi:10.5455/ijmsph.2020.01003202121012021


AMA (American Medical Association) Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. Assessment of acute tonsillitis using fiber-optic system. Int J Med Sci Public Health. 2020; 9(10): 621-625. doi:10.5455/ijmsph.2020.01003202121012021



Vancouver/ICMJE Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. Assessment of acute tonsillitis using fiber-optic system. Int J Med Sci Public Health. (2020), [cited July 02, 2021]; 9(10): 621-625. doi:10.5455/ijmsph.2020.01003202121012021



Harvard Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan (2020) Assessment of acute tonsillitis using fiber-optic system. Int J Med Sci Public Health, 9 (10), 621-625. doi:10.5455/ijmsph.2020.01003202121012021



Turabian Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. 2020. Assessment of acute tonsillitis using fiber-optic system. International Journal of Medical Science and Public Health, 9 (10), 621-625. doi:10.5455/ijmsph.2020.01003202121012021



Chicago Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. "Assessment of acute tonsillitis using fiber-optic system." International Journal of Medical Science and Public Health 9 (2020), 621-625. doi:10.5455/ijmsph.2020.01003202121012021



MLA (The Modern Language Association) Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan. "Assessment of acute tonsillitis using fiber-optic system." International Journal of Medical Science and Public Health 9.10 (2020), 621-625. Print. doi:10.5455/ijmsph.2020.01003202121012021



APA (American Psychological Association) Style

Seyit Mehmet Ceylan| Tuba Denkçeken| Cihan Atak| Merve Erdoğan| Hadiye Demirbakan (2020) Assessment of acute tonsillitis using fiber-optic system. International Journal of Medical Science and Public Health, 9 (10), 621-625. doi:10.5455/ijmsph.2020.01003202121012021





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