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Diagnostic power of various computed tomography signs in diagnosing acute appendicitis.
MedLine Citation:
PMID:  22226440     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To review the diagnostic power of various computed tomography (CT) signs in acute appendicitis, in particular those initially classified as inconclusive.
MATERIALS AND METHODS: Retrospective review of 100 CT abdomen and pelvis studies with assessment of maximal luminal diameter, wall thickness and cross-sectional diameter of the appendix, periappendiceal inflammatory changes, and presence of appendicolith.
RESULTS: All CT signs show statistically significant occurrences in acute appendicitis. Their respective cut-off values with best sensitivity and specificity were calculated. Those from the inconclusive cases were also reviewed.
CONCLUSION: Maximal cross-sectional diameter of the appendix is the most powerful parameter. Rest of the CT signs is supportive, especially in cases with inconclusive results.
Authors:
Vincent Lai; Wan Chi Chan; Hin Yue Lau; Tsz Wai Yeung; Yiu Chung Wong; Ming Keung Yuen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical imaging     Volume:  36     ISSN:  1873-4499     ISO Abbreviation:  Clin Imaging     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911831     Medline TA:  Clin Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
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