How to differentiate acute pelvic inflammatory disease from acute appendicitis ? A decision tree based on CT findings.
Purpose: To construct a decision tree based on CT findings to differentiate acute pelvic inflammatory disease (PID) from acute appendicitis (AA) in women with lower abdominal pain and inflammatory syndrome.Materials and Methods: This retrospective study was approved by our institutional review board...
| Publicado en: | European Radiology Vol. 28; no. 2; pp. 673 - 683 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126970433&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126970433 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2018 vid: 28 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 126970433 126970433 143914030 NLM28894927 10.1007/s00330-017-5032-4 NLM28894927 126970433 ppf: 673 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: How to differentiate acute pelvic inflammatory disease from acute appendicitis ? A decision tree based on CT findings. aug: au: El Hentour, Kim Millet, Ingrid Pages-Bouic, Emmanuelle Curros-Doyon, Fernanda Molinari, Nicolas Taourel, Patrice affil: Department of Medical Imaging, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier, France sug: subj: Tomography, X-Ray Computed Methods Appendix Pelvic Inflammatory Disease Diagnosis Appendicitis Diagnosis Decision Trees Algorithms Retrospective Design Female Acute Disease Diagnosis, Differential Adult Middle Age Adolescence Scales Adult: 19-44 years Middle Aged: 45-64 years Adolescent: 13-18 years Female ab: Purpose: To construct a decision tree based on CT findings to differentiate acute pelvic inflammatory disease (PID) from acute appendicitis (AA) in women with lower abdominal pain and inflammatory syndrome.Materials and Methods: This retrospective study was approved by our institutional review board and informed consent was waived. Contrast-enhanced CT studies of 109 women with acute PID and 218 age-matched women with AA were retrospectively and independently reviewed by two radiologists to identify CT findings predictive of PID or AA. Surgical and laboratory data were used for the PID and AA reference standard. Appropriate tests were performed to compare PID and AA and a CT decision tree using the classification and regression tree (CART) algorithm was generated.Results: The median patient age was 28 years (interquartile range, 22-39 years). According to the decision tree, an appendiceal diameter ≥ 7 mm was the most discriminating criterion for differentiating acute PID and AA, followed by a left tubal diameter ≥ 10 mm, with a global accuracy of 98.2 % (95 % CI: 96-99.4).Conclusion: Appendiceal diameter and left tubal thickening are the most discriminating CT criteria for differentiating acute PID from AA.Key Points: • Appendiceal diameter and marked left tubal thickening allow differentiating PID from AA. • PID should be considered if appendiceal diameter is < 7 mm. • Marked left tubal diameter indicates PID rather than AA when enlarged appendix. • No pathological CT findings were identified in 5 % of PID patients. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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