Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease
Objective: Our aims were to determine the sensitivity and specificity of the practice of 24-hour-delayed radiographs used to demonstrate the transition zone of Hirschsprung disease. Materials and Methods: We collected the cases from all pediatric patients with suspected Hirschsprung disease who were...
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| Format: | Article |
| Language: | English |
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Prince of Songkla University
2010-02-01
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| Series: | Journal of Health Science and Medical Research (JHSMR) |
| Subjects: | |
| Online Access: | https://www.jhsmr.org/index.php/jhsmr/article/view/334 |
| _version_ | 1818108843081596928 |
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| author | Teeranan Laohawiriyakamol Pramot Tanutit |
| author_facet | Teeranan Laohawiriyakamol Pramot Tanutit |
| author_sort | Teeranan Laohawiriyakamol |
| collection | DOAJ |
| description | Objective: Our aims were to determine the sensitivity and specificity of the practice of 24-hour-delayed radiographs used to demonstrate the transition zone of Hirschsprung disease.
Materials and Methods: We collected the cases from all pediatric patients with suspected Hirschsprung disease who were referred for barium enema with a 24-hour-delayed radiographs from January 2000 through October 2006. All pediatric patients had a final biopsy diagnosis. Both barium enema and 24-hour-delayed radiographs were restudied by an experienced radiologist unaware of the results of the pathology reports. The radiologist used a checklist of radiological criteria including transition zone, rectosigmoid index and mucosal irregularity patterns on barium enema and retention of contrast agent on delayed radiographs. The sensitivity and specificity of the findings were evaluated using 2x2 tables.
Results:The study had 46 patients, 27 with and 19 without Hirschsprung disease. The sensitivity and specificity of the 24-hour-delayed radiographs for demonstrating the transition zone of Hirschsprung disease were about 80.8 and 40.0 percent, respectively. The sensitivity andspecificity of barium enema for demonstrating the transition zone of Hirschsprung disease were about 88.9 percent and 36.8 percent, respectively.
Conclusion: 24-hour-delayed radiographs had high sensitivity and low specificity for demonstrating the transition zone of Hirschsprung disease, about the same as a barium enema. |
| first_indexed | 2024-12-11T02:21:48Z |
| format | Article |
| id | doaj.art-30636ab3625944e9af9902a6194a564e |
| institution | Directory Open Access Journal |
| issn | 2586-9981 2630-0559 |
| language | English |
| last_indexed | 2024-12-11T02:21:48Z |
| publishDate | 2010-02-01 |
| publisher | Prince of Songkla University |
| record_format | Article |
| series | Journal of Health Science and Medical Research (JHSMR) |
| spelling | doaj.art-30636ab3625944e9af9902a6194a564e2022-12-22T01:24:02ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592010-02-0128117348Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung diseaseTeeranan Laohawiriyakamol0Pramot Tanutit1Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Objective: Our aims were to determine the sensitivity and specificity of the practice of 24-hour-delayed radiographs used to demonstrate the transition zone of Hirschsprung disease. Materials and Methods: We collected the cases from all pediatric patients with suspected Hirschsprung disease who were referred for barium enema with a 24-hour-delayed radiographs from January 2000 through October 2006. All pediatric patients had a final biopsy diagnosis. Both barium enema and 24-hour-delayed radiographs were restudied by an experienced radiologist unaware of the results of the pathology reports. The radiologist used a checklist of radiological criteria including transition zone, rectosigmoid index and mucosal irregularity patterns on barium enema and retention of contrast agent on delayed radiographs. The sensitivity and specificity of the findings were evaluated using 2x2 tables. Results:The study had 46 patients, 27 with and 19 without Hirschsprung disease. The sensitivity and specificity of the 24-hour-delayed radiographs for demonstrating the transition zone of Hirschsprung disease were about 80.8 and 40.0 percent, respectively. The sensitivity andspecificity of barium enema for demonstrating the transition zone of Hirschsprung disease were about 88.9 percent and 36.8 percent, respectively. Conclusion: 24-hour-delayed radiographs had high sensitivity and low specificity for demonstrating the transition zone of Hirschsprung disease, about the same as a barium enema.https://www.jhsmr.org/index.php/jhsmr/article/view/33424-hour-delayed radiographshirschsprung diseasetransition zone |
| spellingShingle | Teeranan Laohawiriyakamol Pramot Tanutit Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease Journal of Health Science and Medical Research (JHSMR) 24-hour-delayed radiographs hirschsprung disease transition zone |
| title | Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease |
| title_full | Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease |
| title_fullStr | Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease |
| title_full_unstemmed | Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease |
| title_short | Sensitivity and specificity of 24-hour-delayed radiographs in demonstrating the transition zone of Hirschsprung disease |
| title_sort | sensitivity and specificity of 24 hour delayed radiographs in demonstrating the transition zone of hirschsprung disease |
| topic | 24-hour-delayed radiographs hirschsprung disease transition zone |
| url | https://www.jhsmr.org/index.php/jhsmr/article/view/334 |
| work_keys_str_mv | AT teerananlaohawiriyakamol sensitivityandspecificityof24hourdelayedradiographsindemonstratingthetransitionzoneofhirschsprungdisease AT pramottanutit sensitivityandspecificityof24hourdelayedradiographsindemonstratingthetransitionzoneofhirschsprungdisease |