A new technique for the diagnosis of acute appendicitis: abdominal CT with compression to the right lower quadrant
| Autor: | Mustafa Ozmen, Erhan Akpinar, Abidin Kılınçer, Deniz Akata, Bülent Erbil, Volkan Kaynaroğlu, Emre Ünal, Ali Devrim Karaosmanoglu |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Contrast Media Lumen (anatomy) Appendix Sensitivity and Specificity 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Abdomen Image Interpretation Computer-Assisted Pressure medicine Humans Radiology Nuclear Medicine and imaging Aged Neuroradiology Chi-Square Distribution medicine.diagnostic_test business.industry Ultrasound Interventional radiology General Medicine Middle Aged Appendicitis Compression (physics) medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Acute Disease Female Radiology Tomography X-Ray Computed business |
| Zdroj: | European Radiology. 27:3317-3325 |
| ISSN: | 1432-1084 0938-7994 |
| DOI: | 10.1007/s00330-016-4728-1 |
| Popis: | To determine the diagnostic accuracy of abdominal CT with compression to the right lower quadrant (RLQ) in adults with acute appendicitis. 168 patients (age range, 18–78 years) were included who underwent contrast-enhanced CT for suspected appendicitis performed either using compression to the RLQ (n = 71) or a standard protocol (n = 97). Outer diameter of the appendix, appendiceal wall thickening, luminal content and associated findings were evaluated in each patient. Kruskal-Wallis, Fisher’s and Pearson's chi-squared tests were used for statistical analysis. There was no significant difference in the mean outer diameter (MOD) between compression CT scans (10.6 ± 1.9 mm) and standard protocol (11.2 ± 2.3 mm) in patients with acute appendicitis (P = 1). MOD was significantly lower in the compression group (5.2 ± 0.8 mm) compared to the standard protocol (6.5 ± 1.1 mm) (P |
| Databáze: | OpenAIRE |
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