Differentiation of cancerous and inflammatory colorectal perforations using multi-detector computed tomography
| Autor: | Jiong Zhu, Jian Rong Xu, Zhi Guo Zhuang, Qi Feng, Xu Hua Gong, Li Jun Qian |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Intraclass correlation Urology Perforation (oil well) Contrast Media Sensitivity and Specificity 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over Univariate analysis Radiological and Ultrasound Technology business.industry Gastroenterology Odds ratio Middle Aged Diverticulitis Inflammatory Bowel Diseases medicine.disease Iopamidol Exact test Intestinal Perforation Lymphatic Metastasis 030220 oncology & carcinogenesis Female Radiology Differential diagnosis Colorectal Neoplasms Tomography X-Ray Computed business |
| Zdroj: | Abdominal Radiology. 42:2233-2242 |
| ISSN: | 2366-0058 2366-004X |
| DOI: | 10.1007/s00261-017-1134-3 |
| Popis: | To determine reliable CT features to distinguish cancerous from inflammatory colorectal perforations. A total of 43 patients with surgically and pathologically confirmed colorectal perforation caused by either colorectal cancer (n =27) or an inflammatory conditions (n = 16) were identified. Two radiologists independently assessed the contrast-enhanced CT features for locations of perforation, mural configurations, soft-tissue alterations, lymphadenopathy, and metastases. Intergroup comparisons for univariate analysis were performed using Fisher’s exact test or chi-square test for categorical data and Mann–Whitney test for numeric data. Stepwise logistic regression analysis was conducted with features that were found significant under the univariate analysis. Interobserver agreement was assessed using intraclass correlation coefficient (ICC) and kappa test. Maximal mural thickness >1.39 cm (sensitivity, 100%; specificity, 68.75%), luminal mass or shoulder formation (sensitivity, 88.89%; specificity, 68.75%), absence of diverticula (sensitivity, 96.30%; specificity, 50.00%), irregular mural thickening (sensitivity, 92.59%; specificity, 81.25%), lymphadenopathy (sensitivity, 40.74%; specificity, 93.75%), and metastases (sensitivity, 25.93%; specificity, 100%) were significantly frequent in cancerous perforations. The maximal mural thickness (P = 0.0493, odds ratio = 439.83) and irregular mural thickening (P = 0.0343, odds ratio = 4.69) were identified as the highly distinguished identifiers. The CT manifestations of cancerous and inflammatory colorectal perforations overlap. Definitive diagnosis is not always possible with imaging alone. The maximal mural thickness >1.39 cm and irregular configuration of the thickened bowel wall were the two highly statistically significant CT features that may help order the difference between the two entities. |
| Databáze: | OpenAIRE |
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