Diagnostic performance of MRI for pregnant patients with clinically suspected appendicitis

Diagnostic performance of MRI for pregnant patients with clinically suspected appendicitis by up to 22%; therefore, early diagnosis and treatment is Purpose: To evaluate the accuracy of magnetic resonance important [1, 2]. imaging (MRI) in the diagnosis of acute appendicitis in Computed tomography (CT) is widely used to eval- pregnant patients and the value of additional diffusion- uate patients for suspected appendicitis with a reported weighted MRI (DWI). sensitivity and specificity of 91%–98.5% and 90%–98%, Methods: A total of 125 pregnant patients with clinically respectively [3, 4]; however, CT has disadvantages in suspected appendicitis who underwent 1.5 T MRI were pregnant patients due to ionizing radiation and the use of enrolled between May 2011 and January 2016. During iodinated contrast medium. Ultrasonography (US) is this period, two radiologists prospectively predicted usually the first-line imaging modality in pregnant pa- acute appendicitis on MRI during daily interpretation. tients with suspected appendicitis; however, the quality We retrospectively reviewed clinical records, and radio- of US is heavily dependent on physician technique. logical results were correlated with surgical pathology Identifying the appendix is difficult in pregnant patients and clinical outcomes. We calculated the sensitivity, and the reported diagnostic yield varies widely; therefore, specificity, and accuracy of MRI for diagnosing acute there is continued debate regarding http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Abdominal Radiology Springer Journals

Diagnostic performance of MRI for pregnant patients with clinically suspected appendicitis

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Imaging / Radiology; Gastroenterology; Hepatology
ISSN
2366-004X
eISSN
2366-0058
D.O.I.
10.1007/s00261-018-1654-5
Publisher site
See Article on Publisher Site

Abstract

by up to 22%; therefore, early diagnosis and treatment is Purpose: To evaluate the accuracy of magnetic resonance important [1, 2]. imaging (MRI) in the diagnosis of acute appendicitis in Computed tomography (CT) is widely used to eval- pregnant patients and the value of additional diffusion- uate patients for suspected appendicitis with a reported weighted MRI (DWI). sensitivity and specificity of 91%–98.5% and 90%–98%, Methods: A total of 125 pregnant patients with clinically respectively [3, 4]; however, CT has disadvantages in suspected appendicitis who underwent 1.5 T MRI were pregnant patients due to ionizing radiation and the use of enrolled between May 2011 and January 2016. During iodinated contrast medium. Ultrasonography (US) is this period, two radiologists prospectively predicted usually the first-line imaging modality in pregnant pa- acute appendicitis on MRI during daily interpretation. tients with suspected appendicitis; however, the quality We retrospectively reviewed clinical records, and radio- of US is heavily dependent on physician technique. logical results were correlated with surgical pathology Identifying the appendix is difficult in pregnant patients and clinical outcomes. We calculated the sensitivity, and the reported diagnostic yield varies widely; therefore, specificity, and accuracy of MRI for diagnosing acute there is continued debate regarding

Journal

Abdominal RadiologySpringer Journals

Published: Jun 4, 2018

References

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