The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen

Objective: To assess the added value of coronal reformatted images using 16-MDCT in different encountered non-traumatic-acute abdominal disorders. Patients and methods: 16-MDCT was performed in 100 patients with acute non-traumatic abdominal pain. Two independent readers blinded to the clinical info...

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Main Authors: Mohamed Ahmed Youssef, Aly Aly Elbarbary
Format: Article
Language:English
Published: Taylor & Francis Group 2014-06-01
Series:Alexandria Journal of Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S209050681300081X
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author Mohamed Ahmed Youssef
Aly Aly Elbarbary
author_facet Mohamed Ahmed Youssef
Aly Aly Elbarbary
author_sort Mohamed Ahmed Youssef
collection DOAJ
description Objective: To assess the added value of coronal reformatted images using 16-MDCT in different encountered non-traumatic-acute abdominal disorders. Patients and methods: 16-MDCT was performed in 100 patients with acute non-traumatic abdominal pain. Two independent readers blinded to the clinical information interpreted the axial scans alone, and then axial plus coronal scans for the presence of pathology. Confidence was scored with a 1–5 scale (1 = absent, 5 = present). The final diagnosis was determined by surgical and pathologic reports and by clinical follow-up in those who did not undergo surgery. Results: Mean sensitivity and specificity for the readers together were 92.5% and 92% for axial scans alone and 93.5% and 92.5% for combined axial and coronal scans (not significant), respectively. For the most inexperienced reader, the coronal reformations were helpful in 81% of cases, while for the most experienced reader, the coronal reformations were helpful in 39% of the cases. The coronal images were helpful in an average of 60% of the cases for the two readers. Conclusions: Axial and coronal reformations of 16 slice MDCT have equal sensitivity and specificity for the diagnosis of acute abdominal pathology. However, coronal reformations improved the diagnostic confidence for all readers.
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spelling doaj.art-aeace7ae311d4842ab5122335c710b2c2022-12-21T23:47:34ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682014-06-0150217918810.1016/j.ajme.2013.10.003The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomenMohamed Ahmed YoussefAly Aly ElbarbaryObjective: To assess the added value of coronal reformatted images using 16-MDCT in different encountered non-traumatic-acute abdominal disorders. Patients and methods: 16-MDCT was performed in 100 patients with acute non-traumatic abdominal pain. Two independent readers blinded to the clinical information interpreted the axial scans alone, and then axial plus coronal scans for the presence of pathology. Confidence was scored with a 1–5 scale (1 = absent, 5 = present). The final diagnosis was determined by surgical and pathologic reports and by clinical follow-up in those who did not undergo surgery. Results: Mean sensitivity and specificity for the readers together were 92.5% and 92% for axial scans alone and 93.5% and 92.5% for combined axial and coronal scans (not significant), respectively. For the most inexperienced reader, the coronal reformations were helpful in 81% of cases, while for the most experienced reader, the coronal reformations were helpful in 39% of the cases. The coronal images were helpful in an average of 60% of the cases for the two readers. Conclusions: Axial and coronal reformations of 16 slice MDCT have equal sensitivity and specificity for the diagnosis of acute abdominal pathology. However, coronal reformations improved the diagnostic confidence for all readers.http://www.sciencedirect.com/science/article/pii/S209050681300081XAcute abdomenMDCT
spellingShingle Mohamed Ahmed Youssef
Aly Aly Elbarbary
The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
Alexandria Journal of Medicine
Acute abdomen
MDCT
title The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
title_full The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
title_fullStr The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
title_full_unstemmed The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
title_short The added value of coronal reformatted images using 16 slice multidetector computed tomography in non-traumatic-acute abdomen
title_sort added value of coronal reformatted images using 16 slice multidetector computed tomography in non traumatic acute abdomen
topic Acute abdomen
MDCT
url http://www.sciencedirect.com/science/article/pii/S209050681300081X
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