Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital.

Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Research Abstract Details 

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Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Abstract Text:

L A Kory,

OBJECTIVE: We evaluated the accuracy of unenhanced helical CT with enteric contrast material in the diagnosis of appendicitis in children and adults treated at a community hospital. SUBJECTS AND METHODS: Over an 8-month period, 100 consecutive patients with right lower quadrant pain and suspected appendicitis were prospectively evaluated. Thin-collimation helical CT scanning was performed after administration of enteric contrast material. CT interpretations were correlated with surgical pathology (45 patients) and clinical follow-up (55 patients). RESULTS: The findings of 33 CT scans were interpreted as positive for appendicitis (29 true-positives and four false-positives), and the findings of 67 were interpreted as negative for appendicitis (66 true-negatives and one false-negative). Sensitivity was 97%, specificity was 94%, accuracy was 95%, positive predictive value was 88%, and negative predictive value was 99%. In the 67 CT scans with negative findings for appendicitis, an alternative diagnosis was made for 36 patients (54%). CONCLUSION: Unenhanced helical CT with enteric contrast material for the evaluation of appendicitis can be implemented in a community hospital. In our study, such imaging achieved excellent accuracy.

Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Publishing Authors By Initials

LA Kory,

For similar tomography, x-ray computed research abstracts see: tomography, x-ray computed research

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Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 171

Page Numbers: 997-1001

Journal Abbreviation:

ISSN: 0361-803X

DAY: 15

MONTH: Oct

YEAR: 1998

Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Information

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LANGUAGE: eng

NlmUniqueID: 7708173

Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Keywords Mesh Terms:

KEYWORDS: Tomography, X-Ray Computed

MESH TERMS: methods

Chemical & Substance for Abstract: Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital. Information

Substance Name: Diatrizoate Meglumine

Registry Number: 131-49-7

Grant and Affiliation Information for Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital.

AFFILIATION: Hawaii Radiologic Associates, Hilo 96720, USA.

Country: UNITED STATES

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MEDLINETA: AJR Am J Roentgenol

REFSOURCE: AJR Am J Roentgenol. 1999 May;172(5):144

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