Publication date: Available online 28 November 2017
Source:European Journal of Radiology
Author(s): Manoj Mannil, Christos Polysopoulos, Dominik Weishaupt, Anika Hansmann
IntroductionAcute appendicitis is the most common surgical condition in industrialized countries. However, diagnosis in borderline cases is often cumbersome and requires follow-up examinations, and/or a Computed Tomography examination. Therefore, our aim was to develop a combined clinical and sonographic score to enhance prediction of acute appendicitis.Patients and MethodsThe modified Alvarado score and various established sonographic criteria were investigated in 132 patients with suspected acute appendicitis. Two models were computed accounting for missing values. After analysis of sensitivity and specificity for the modified Alvarado score, logistic regression analysis was performed to identify significantly contributing sonographic features.ResultsThe threshold of the logistic regression analysis of the two models resulted in the formula: modified Alvarado score+axial Appendix diameter [mm]. When the Appendix diameter is >8mm, 1 point/mm is added, while for a diameter <8mm, 1 point/mm is subtracted. The cut-off value is ≥13 for acute appendicitis with a sensitivity 91.4% and a specificity of 100%, compared to a sensitivity of 90% and a specificity of 84.4% for the modified Alvarado score in our cohort.ConclusionThe established modified Alvarado score for diagnosis of acute Appendicitis can be improved by adding the axial diameter of the Appendix in a sonographic examination.
from Imaging via alkiviadis.1961 on Inoreader http://ift.tt/2AI0PYG
Κυριακή 3 Δεκεμβρίου 2017
Clinical-radiological Scoring System for Enhanced Diagnosis of Acute Appendicitis
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Publication date: Available online 4 January 2018 Source: European Journal of Radiology Author(s): Peiyao Zhang, Jing Wang, Qin Xu, Zhen...
-
Background Hyperthyroidism is associated with increased thrombotic risk. As contact system activation through formation of neutrophil extrac...
-
Dtsch med Wochenschr DOI: 10.1055/s-0043-100054 Hintergrund und Fragestellung Ein etablierter Weg, die optimale Behandlung von Tumorpatien...
-
Publication date: March 2017 Source: Free Radical Biology and Medicine, Volume 104 from #AlexandrosSfakianakis via Alexandros G.Sfak...
-
Related Articles Anatomic parameters of the sacral lamina for osteosynthesis in transverse sacral fractures. Surg Radiol Anat....
-
Medicine by Alexandros G. Sfakianakis,Anapafseos 5... Medicine by Alexandros G. Sfakianakis,Anapafseos 5... Heralding change: The evolution ...
-
BACKGROUND AND PURPOSE: Dengue is a common arboviral disease, which uncommonly involves the brain. There has been a recent surge in dengu...
-
Purpose. We present a case of a patient with Soemmering ring after cataract surgery and a potential complication that can arise as a result ...
-
Abstract Purpose Investigate in patients with metastatic and/or irresectable colorectal cancer treated with systemic treatment with cape...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου