2.6 mm"), with the use of 64-detector row " />

Evaluation of the maximum depth of intraluminal appendiceal fluid to diagnose appendicitis with a 64-detector row CT scanner.

Abstract:

OBJECTIVE:The objective of this study was to investigate whether the criterion "maximum depth of intraluminal appendiceal fluid greater than 2.6 mm" ("DEPTH >2.6 mm"), with the use of 64-detector row computed tomography, is useful to diagnose appendicitis. METHODS:We retrospectively evaluated 0.68-mm-thick images of 2894 intravenously enhanced abdominal-pelvic computed tomography using the following criteria: (1) appendiceal wall thickness greater than 3 mm, (2) appendiceal wall enhancement, (3) focal cecal wall thickening, (4) adjacent lymphadenopathy greater than 5 mm, (5) appendicolith, (6) periappendiceal inflammation, and (7) the new criterion, DEPTH >2.6 mm. Of the 2894 images, 1013 were classified into normal group (including 622 distended [diameter >6 mm] but normal appendices without adjacent lesions), modified group (235 distended normal appendices modified with adjacent lesions), proven-appendicitis group (82 operatively proven appendicitis cases), and clinical-appendicitis group (62 clinically certified appendicitis cases). RESULTS:The new criterion, DEPTH >2.6 mm, demonstrated both higher sensitivities and higher specificities in all groups (>90%), although this criterion showed lower specificities than some conventional criteria. In contrast, conventional criteria showed lower sensitivities or lower specificities (<60%) in one or more of these groups. CONCLUSIONS:DEPTH >2.6 mm is particularly useful for differentiating appendicitis from distended normal appendix.

journal_name

J Comput Assist Tomogr

authors

Moteki T,Ohya N,Horikoshi H

doi

10.1097/RCT.0b013e3182324443

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

703-10

issue

6

eissn

0363-8715

issn

1532-3145

pii

00004728-201111000-00008

journal_volume

35

pub_type

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