Utilizing the MRI findings to diagnose acute appendicitis in pregnant women

Zeynep Yıldız; Fuldem Mutlu

Article Details

Utilizing the MRI findings to diagnose acute appendicitis in pregnant women

Authors:

Zeynep Yıldız | Fuldem Mutlu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Radyoloji ve Organ Görüntüleme

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 6, pp.1387-1392

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303057

pISSN:

2636-8579

Keywords:

Abstract:

 Aims: To assess the performance of magnetic resonance ımaging MRI  scale for the diagnosis of acute appendicitis in pregnant women and to determine the added diagnostic value of MRI imaging. Methods: In this retrospective study, the data of patients who presented to our hospital emergency department between January 2018 and December 2021, had clinical and laboratory findings consistent with acute appendicitis, and were diagnosed with radiological imaging, were extracted from the hospital automation system and used for statistical analysis. Ultrasound US was used as the first-line diagnostic method for pregnant patients, and magnetic resonance imaging MRI was used as the second-line diagnostic method. The success of US and MRI examinations in diagnosing acute appendicitis was evaluated. In MRI examinations, the mean values of appendix diameter and wall thickness parameters were examined, and the sensitivity, specificity, positive predictive value, and negative predictive value of periappendiceal fat tissue intensity increase, T2A lumen hyperintensity, and periappendiceal fluid parameters were evaluated. Additionally, the frequency of acute appendicitis according to trimesters was examined. SPSS v20.0 IBM SPSS Statistics for Windows, Version 20.0; Armonk, NY, USA package program was used for the analysis. Results: When the medical records of 200 patients diagnosed with appandicitis were retrospectively examined, it was determined that there were 13 pregnant cases diagnosed with MRI during this period. Sensitivity, specificity, positive predictive value, and negative predictive value were evaluated for parameters including intraluminal T2A hyperintensity, wall thickness, periappendiceal fluid accumulation, and periappendiceal fatty tissue intensity increase. İntraluminal T2A hyperintensity and also periappendiceal fatty tissue intensity increase parameter sensitivity was 100, however the wall thickness parameter had a sensitivity of 60 and the periappendiceal fluid accumulation parameter had a sensitivity of 80. the periappendiceal fatty tissue intensity increase parameter had a a specificity of 33.3, which is the lowest ratio among the other parameters. there was also no significant difference in the frequency of acute appendicitis according to trimesters Conclusion: MRI examination has a high success rate and can be used as the primary diagnostic method for pregnant appandicitis cases. In terms of parameter evaluation, the highest positive predictive value 90.9 is found by the parameter of intraluminal T2 hyperintensity, and the parameter of periappendiceal fluid collection is found to be in the second place. The success of T2A lumen hyperintensity and periappendiceal fat tissue intensity increase parameters, especially in excluding negative cases, was found to be quite high.

 Aims: To assess the performance of magnetic resonance ımaging MRI  scale for the diagnosis of acute appendicitis in pregnant women and to determine the added diagnostic value of MRI imaging. Methods: In this retrospective study, the data of patients who presented to our hospital emergency department between January 2018 and December 2021, had clinical and laboratory findings consistent with acute appendicitis, and were diagnosed with radiological imaging, were extracted from the hospital automation system and used for statistical analysis. Ultrasound US was used as the first-line diagnostic method for pregnant patients, and magnetic resonance imaging MRI was used as the second-line diagnostic method. The success of US and MRI examinations in diagnosing acute appendicitis was evaluated. In MRI examinations, the mean values of appendix diameter and wall thickness parameters were examined, and the sensitivity, specificity, positive predictive value, and negative predictive value of periappendiceal fat tissue intensity increase, T2A lumen hyperintensity, and periappendiceal fluid parameters were evaluated. Additionally, the frequency of acute appendicitis according to trimesters was examined. SPSS v20.0 IBM SPSS Statistics for Windows, Version 20.0; Armonk, NY, USA package program was used for the analysis. Results: When the medical records of 200 patients diagnosed with appandicitis were retrospectively examined, it was determined that there were 13 pregnant cases diagnosed with MRI during this period. Sensitivity, specificity, positive predictive value, and negative predictive value were evaluated for parameters including intraluminal T2A hyperintensity, wall thickness, periappendiceal fluid accumulation, and periappendiceal fatty tissue intensity increase. İntraluminal T2A hyperintensity and also periappendiceal fatty tissue intensity increase parameter sensitivity was 100, however the wall thickness parameter had a sensitivity of 60 and the periappendiceal fluid accumulation parameter had a sensitivity of 80. the periappendiceal fatty tissue intensity increase parameter had a a specificity of 33.3, which is the lowest ratio among the other parameters. there was also no significant difference in the frequency of acute appendicitis according to trimesters Conclusion: MRI examination has a high success rate and can be used as the primary diagnostic method for pregnant appandicitis cases. In terms of parameter evaluation, the highest positive predictive value 90.9 is found by the parameter of intraluminal T2 hyperintensity, and the parameter of periappendiceal fluid collection is found to be in the second place. The success of T2A lumen hyperintensity and periappendiceal fat tissue intensity increase parameters, especially in excluding negative cases, was found to be quite high.

 Aims: To assess the performance of magnetic resonance ımaging MRI  scale for the diagnosis of acute appendicitis in pregnant women and to determine the added diagnostic value of MRI imaging. Methods: In this retrospective study, the data of patients who presented to our hospital emergency department between January 2018 and December 2021, had clinical and laboratory findings consistent with acute appendicitis, and were diagnosed with radiological imaging, were extracted from the hospital automation system and used for statistical analysis. Ultrasound US was used as the first-line diagnostic method for pregnant patients, and magnetic resonance imaging MRI was used as the second-line diagnostic method. The success of US and MRI examinations in diagnosing acute appendicitis was evaluated. In MRI examinations, the mean values of appendix diameter and wall thickness parameters were examined, and the sensitivity, specificity, positive predictive value, and negative predictive value of periappendiceal fat tissue intensity increase, T2A lumen hyperintensity, and periappendiceal fluid parameters were evaluated. Additionally, the frequency of acute appendicitis according to trimesters was examined. SPSS v20.0 IBM SPSS Statistics for Windows, Version 20.0; Armonk, NY, USA package program was used for the analysis. Results: When the medical records of 200 patients diagnosed with appandicitis were retrospectively examined, it was determined that there were 13 pregnant cases diagnosed with MRI during this period. Sensitivity, specificity, positive predictive value, and negative predictive value were evaluated for parameters including intraluminal T2A hyperintensity, wall thickness, periappendiceal fluid accumulation, and periappendiceal fatty tissue intensity increase. İntraluminal T2A hyperintensity and also periappendiceal fatty tissue intensity increase parameter sensitivity was 100, however the wall thickness parameter had a sensitivity of 60 and the periappendiceal fluid accumulation parameter had a sensitivity of 80. the periappendiceal fatty tissue intensity increase parameter had a a specificity of 33.3, which is the lowest ratio among the other parameters. there was also no significant difference in the frequency of acute appendicitis according to trimesters Conclusion: MRI examination has a high success rate and can be used as the primary diagnostic method for pregnant appandicitis cases. In terms of parameter evaluation, the highest positive predictive value 90.9 is found by the parameter of intraluminal T2 hyperintensity, and the parameter of periappendiceal fluid collection is found to be in the second place. The success of T2A lumen hyperintensity and periappendiceal fat tissue intensity increase parameters, especially in excluding negative cases, was found to be quite high.

 Aims: To assess the performance of magnetic resonance ımaging MRI  scale for the diagnosis of acute appendicitis in pregnant women and to determine the added diagnostic value of MRI imaging. Methods: In this retrospective study, the data of patients who presented to our hospital emergency department between January 2018 and December 2021, had clinical and laboratory findings consistent with acute appendicitis, and were diagnosed with radiological imaging, were extracted from the hospital automation system and used for statistical analysis. Ultrasound US was used as the first-line diagnostic method for pregnant patients, and magnetic resonance imaging MRI was used as the second-line diagnostic method. The success of US and MRI examinations in diagnosing acute appendicitis was evaluated. In MRI examinations, the mean values of appendix diameter and wall thickness parameters were examined, and the sensitivity, specificity, positive predictive value, and negative predictive value of periappendiceal fat tissue intensity increase, T2A lumen hyperintensity, and periappendiceal fluid parameters were evaluated. Additionally, the frequency of acute appendicitis according to trimesters was examined. SPSS v20.0 IBM SPSS Statistics for Windows, Version 20.0; Armonk, NY, USA package program was used for the analysis. Results: When the medical records of 200 patients diagnosed with appandicitis were retrospectively examined, it was determined that there were 13 pregnant cases diagnosed with MRI during this period. Sensitivity, specificity, positive predictive value, and negative predictive value were evaluated for parameters including intraluminal T2A hyperintensity, wall thickness, periappendiceal fluid accumulation, and periappendiceal fatty tissue intensity increase. İntraluminal T2A hyperintensity and also periappendiceal fatty tissue intensity increase parameter sensitivity was 100, however the wall thickness parameter had a sensitivity of 60 and the periappendiceal fluid accumulation parameter had a sensitivity of 80. the periappendiceal fatty tissue intensity increase parameter had a a specificity of 33.3, which is the lowest ratio among the other parameters. there was also no significant difference in the frequency of acute appendicitis according to trimesters Conclusion: MRI examination has a high success rate and can be used as the primary diagnostic method for pregnant appandicitis cases. In terms of parameter evaluation, the highest positive predictive value 90.9 is found by the parameter of intraluminal T2 hyperintensity, and the parameter of periappendiceal fluid collection is found to be in the second place. The success of T2A lumen hyperintensity and periappendiceal fat tissue intensity increase parameters, especially in excluding negative cases, was found to be quite high.

Article Details

Utilizing the MRI findings to diagnose acute appendicitis in pregnant women

Authors:

Zeynep Yıldız | Fuldem Mutlu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Radyoloji ve Organ Görüntüleme

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 6, pp.1387-1392

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303057

pISSN:

2636-8579

Magnetic resonance imaging

Acute

Appendicitis

Ultrasonography

Pregnant women

Issues

Article Details

Utilizing the MRI findings to diagnose acute appendicitis in pregnant women

Authors: Zeynep Yıldız | Fuldem Mutlu

Publisher: MediHealth Academy Yayıncılık

Main Topics: Radyoloji ve Organ Görüntüleme

Journal: Journal of Health Sciences and Medicine Vol.6 Issue 6, pp.1387-1392

Document Type: Article

Publication Date: 10/2023

Document Language: English

Document ID (Org No.): 2001303057

pISSN: 2636-8579

Magnetic resonance imaging

Acute

Appendicitis

Ultrasonography

Pregnant women

Issues

Authors:

Zeynep Yıldız | Fuldem Mutlu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Radyoloji ve Organ Görüntüleme

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 6, pp.1387-1392

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303057

pISSN:

2636-8579