Does contrast-enhanced computed tomography raise awareness in the diagnosis of the invisible side of celiac disease in adults?
Purpose: This study aimed to evaluate the diagnosis and determine major and minor criteria of celiac disease (CD) with the malabsorption patterns (MABP) in the small intestine and colon on computed tomography (CT) and additional CT findings. Methods: This retrospective study was conducted with 116 p...
| Publicado en: | Abdominal Radiology Vol. 47; no. 5; pp. 1750 - 1762 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
May2022
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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=156495635&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156495635 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2366004X JT14 jtl: Abdominal Radiology issn: 2366004X maglogo: N pubinfo: dt: May2022 vid: 47 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156495635 155689799 10.1007/s00261-022-03480-x 156495635 ppf: 1750 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Does contrast-enhanced computed tomography raise awareness in the diagnosis of the invisible side of celiac disease in adults? aug: au: Göya, Cemil Dündar, İlyas Özgökçe, Mesut Türko, Ensar Özkaçmaz, Sercan Durmaz, Fatma Aydın, Mesut Alabalık, Ulaş Geylani, Yusuf Arslan, Mehmet Hattapoğlu, Salih affil: Department of Radiology, Medical Faculty, Van Yüzüncü Yıl University, Van, Turkey sug: ab: Purpose: This study aimed to evaluate the diagnosis and determine major and minor criteria of celiac disease (CD) with the malabsorption patterns (MABP) in the small intestine and colon on computed tomography (CT) and additional CT findings. Methods: This retrospective study was conducted with 116 patients diagnosed with CD, 14 CD patients recovering with treatment, and 35 control patients with non-CD. All patients had CT examinations and histopathological diagnoses. The sensitivity, specificity, PPV, NPV, and accuracy values of each CT finding defined in the literature were statistically evaluated. According to the patient and control groups, the numerical values of the findings and the sensitivity and specificity values were measured according to this cut-off value. The distribution of CT findings according to pathological Marsh data was evaluated in CD patients. Results: Sensitivity and specificity were found to be higher in small bowel MABP findings, mesenteric hypervascularity, and increased SMV/aorta diameter. There was a numerically significant difference in MDCT findings between the control and pathological Marsh groups. In the ROC analysis performed in terms of the total numerical values of each MDCT finding observed between the groups, it was found that there were more than 7 MDCT findings, 100% sensitivity, and 92% specificity. The presence of four major and three minor criteria or three major and four minor criteria were considered significant. Conclusions: Being aware of CT findings below the iceberg that may suggest CD in abdominal CT examinations performed in patients with atypical clinical and malabsorption findings or other nonspecific findings may prevent diagnostic delay and unnecessary procedures. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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